ATI RN
PN Vital Signs Assessment Questions
Question 1 of 5
The client after having a haemorrhagic stroke has residual dysphagia. When a diet order is initiated, the nurse avoids doing which of the following?
Correct Answer: A
Rationale: The correct answer is A. Giving the client thin liquids can be dangerous for someone with dysphagia as it can increase the risk of aspiration. Thickening liquids to the consistency of oatmeal helps prevent aspiration. Placing food on the unaffected side of the mouth can assist in swallowing. Allowing plenty of time for chewing and swallowing is important for safe eating.
Question 2 of 5
Which of the following is the most appropriate method for assessing skin turgor?
Correct Answer: B
Rationale: The correct answer is B: Pinching the skin over the sternum. Skin turgor is the skin's ability to return to its normal position after being pinched or pulled. The sternum is a central, flat bone that is less affected by factors like age or body fat distribution compared to other areas like the hands or abdomen. Pinching the skin over the sternum provides a more accurate assessment of skin turgor. Pinching the skin over the dorsum of the hand (A) may not be as reliable due to variations in skin thickness and elasticity. Pinching the skin over the forehead (C) and abdomen (D) are not ideal locations for assessing skin turgor as they are not commonly used for this purpose in clinical practice.
Question 3 of 5
A physical therapist using an electrical stimulation device attempts to quantify several characteristics of a monophasic waveform. When measuring phase charge, the standard unit of measure is the:
Correct Answer: A
Rationale: The correct answer is A: coulomb. Phase charge, which is the amount of electrical charge delivered during each phase of the waveform, is measured in coulombs. Coulomb is the standard unit of electric charge in the International System of Units (SI). It represents the quantity of electricity transported in one second by a current of one ampere. Ampere (B) is the unit of electric current, ohm (C) is the unit of resistance, and second (D) is the unit of time. Therefore, coulomb is the appropriate unit for measuring phase charge in a monophasic waveform.
Question 4 of 5
A patient rehabilitating from a spinal cord injury is able to direct their own care but is dependent on others for all activities of daily living. The patient's injury would be classified as:
Correct Answer: A
Rationale: The correct answer is A: C4. This is because the patient is able to direct their own care, which indicates intact cognitive function, a characteristic of C4 spinal cord injury level. The patient being dependent on others for all activities of daily living suggests a high level of physical impairment, aligning with the functional limitations associated with C4 injury. Choices B, C, and D are incorrect as they represent higher spinal cord injury levels with varying degrees of upper extremity function and independence in self-care activities.
Question 5 of 5
A physical therapist observes a patient performing a deep squat. Which muscle group is MOST active during the ascent phase?
Correct Answer: A
Rationale: The hip extensors are most active during the ascent phase of a deep squat as they are responsible for extending the hip joint, which is required to stand up from the squat position. Knee flexors, ankle dorsiflexors, and trunk flexors are not primarily responsible for the movement pattern of ascending from a deep squat. Hip extensors play a crucial role in this phase by generating the necessary force to lift the body upright.