ATI RN
Rn Vital Signs Assessment ATI Questions
Question 1 of 5
Nerve connective tissue includes all of the following except:
Correct Answer: A
Rationale: The correct answer is A: Myelin sheath. Nerve connective tissue includes the endoneurium, perineurium, and epineurium. The myelin sheath is a lipid-rich layer that surrounds certain nerve fibers to facilitate faster nerve impulse conduction but is not considered a component of nerve connective tissue. Endoneurium surrounds individual nerve fibers, perineurium surrounds nerve fascicles, and epineurium encloses multiple fascicles to form a nerve. Therefore, the myelin sheath is not part of the connective tissue layers that make up a nerve.
Question 2 of 5
The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the _______ diagnosis.
Correct Answer: A
Rationale: The correct answer is A: Nursing. Developing appropriate nursing interventions requires accurate nursing diagnosis, which identifies the patient's health needs and guides the care plan. Nursing interventions are specific actions taken by nurses to achieve desired patient outcomes. Medical diagnosis (B) focuses on identifying diseases or conditions, not on nursing care. Admission (C) and collaborative (D) are not directly related to developing nursing interventions. In summary, nursing interventions are tailored based on the nursing diagnosis to address the patient's unique needs.
Question 3 of 5
Which of the following is a contraindication for spinal traction?
Correct Answer: C
Rationale: The correct answer is C: Osteopenia. Osteopenia is a contraindication for spinal traction because it indicates decreased bone density, increasing the risk of fractures during traction. Bursitis (A), cervical radiculopathy (B), and muscle spasm (D) are not contraindications for spinal traction as they can potentially benefit from this treatment modality.
Question 4 of 5
A patient complains of epistaxis. Which other cause should be considered?
Correct Answer: B
Rationale: Step-by-step rationale: 1. Epistaxis refers to nosebleeds, commonly due to nasal trauma or dry air. 2. Hematemesis refers to vomiting blood, which can indicate gastrointestinal bleeding. 3. Considering hematemesis as a cause of epistaxis is important to rule out more serious conditions like gastrointestinal ulcers or cancer. 4. Intracranial hemorrhage (choice A) is less likely as it presents with neurological symptoms. 5. Intestinal hemorrhage (choice C) is less likely to cause epistaxis. 6. Hematoma of the nasal septum (choice D) may cause epistaxis but is less common than gastrointestinal bleeding. Summary: Hematemesis is the correct answer as it is a more common and relevant cause of epistaxis compared to the other choices, which are less likely and not directly related to nasal bleeding.
Question 5 of 5
Mrs. LaFarge is a 60-year-old who presents with urinary incontinence. She is unable to get to the bathroom quickly enough when she senses the need to urinate. She has normal mobility. Which of the following is most likely?
Correct Answer: B
Rationale: The correct answer is B: Urge incontinence. This is because Mrs. LaFarge is described as having urgency (not being able to get to the bathroom quickly) which is characteristic of urge incontinence. Stress incontinence (choice A) is associated with leakage of urine during activities that increase intra-abdominal pressure. Overflow incontinence (choice C) is characterized by incomplete bladder emptying leading to constant dribbling of urine. Functional incontinence (choice D) is due to physical or cognitive impairments that prevent a person from reaching the toilet in time. In this case, the inability to get to the bathroom quickly is more indicative of urge incontinence.