ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
The nurse is assessing a patient for signs of anemia. Which finding is most consistent with this condition?
Correct Answer: B
Rationale: Pale conjunctivae are a common sign of anemia due to decreased red blood cell count.
Question 2 of 5
Which of the following is an example of a sign?
Correct Answer: B
Rationale: Signs are objective findings observed or measured during the physical exam, like a temperature of 102° F.
Question 3 of 5
A 50-year-old woman presents with a history of sudden-onset leg pain and swelling. She has a recent history of prolonged immobility due to a recent surgery. What is the most likely diagnosis?
Correct Answer: A
Rationale: Sudden-onset leg pain, swelling, and a history of recent immobility are consistent with deep vein thrombosis (DVT).
Question 4 of 5
A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. The nurse interprets that these assessment findings are consistent with:
Correct Answer: B
Rationale: With a pneumothorax, free air in the pleural space causes partial or complete lung collapse. If the pneumothorax is large, then tachypnea and cyanosis are evident. Unequal chest expansion, decreased or absent tactile fremitus, tracheal deviation to the unaffected side, decreased chest expansion, hyperresonant percussion tones, and decreased or absent breath sounds are found with the presence of pneumothorax.
Question 5 of 5
A physical therapist plans to measure blood pressure and identifies the patient's brachial artery. The therapist knows that proper positioning of the cuff is essential. To avoid errors, the cuff should be positioned:
Correct Answer: C
Rationale: Proper blood pressure measurement requires the cuff to be directly over the brachial artery.