ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
The nurse is assessing a patient for signs of dehydration. Which finding is most indicative of dehydration?
Correct Answer: C
Rationale: The correct answer is C: Dry mouth and tongue. Dehydration leads to reduced fluid intake or excessive fluid loss, resulting in decreased saliva production leading to dry mouth and tongue. This is a direct indicator of dehydration. A: Moist mucous membranes are a sign of adequate hydration. B: Increased skin turgor is a sign of dehydration but not as direct as dry mouth and tongue. D: Bounding pulse can be seen in various conditions, not specific to dehydration.
Question 2 of 5
A 60-year-old woman presents with a complaint of painful and swollen joints in her hands, especially in the morning. She also reports stiffness that lasts for over an hour. What is the most likely diagnosis?
Correct Answer: B
Rationale: The most likely diagnosis is Rheumatoid arthritis (RA). RA commonly presents with painful, swollen joints in the hands, particularly in the morning, along with prolonged stiffness. The autoimmune nature of RA causes inflammation, leading to these symptoms. Osteoarthritis (A) typically presents with joint pain that worsens with activity but improves with rest, not specifically in the morning. Gout (C) usually involves sudden, severe pain in a single joint, not multiple joints in the morning. Systemic lupus erythematosus (D) is characterized by a variety of symptoms beyond joint pain, such as skin rashes and fatigue, making it less likely in this case.
Question 3 of 5
The nurse is assessing a patient's abdomen and notes the presence of visible peristalsis. What is the most likely cause of this finding?
Correct Answer: B
Rationale: The correct answer is B: Gastrointestinal obstruction. Visible peristalsis indicates increased movement of the intestines in an attempt to overcome the obstruction. This finding is not associated with normal digestive function (choice A), ascites (choice C), or hernia (choice D). Gastrointestinal obstruction leads to visible peristalsis due to the intestines trying to push contents past the blockage. This assessment finding is crucial for prompt intervention to prevent complications.
Question 4 of 5
The nurse is assessing a patient's abdomen and detects a mass. What is the next step in the assessment?
Correct Answer: C
Rationale: The correct next step in assessing a detected abdominal mass is to palpate it for size and consistency. Palpation helps determine the characteristics of the mass, such as its shape, size, texture, and tenderness. This step provides crucial information for further evaluation and diagnosis. Auscultation for bowel sounds would not provide direct information about the mass. Percussion for tenderness may be uncomfortable and should be done after palpation. Referring the patient for imaging should come after a thorough physical examination and initial assessment of the mass.
Question 5 of 5
The nurse is performing an abdominal examination and detects a bruit over the aorta. What condition is most likely associated with this finding?
Correct Answer: A
Rationale: The presence of a bruit over the aorta during an abdominal examination is most likely associated with an Aortic Aneurysm. Aneurysms can cause turbulent blood flow resulting in a bruit. Aortic aneurysm is a common location for this finding due to the dilation of the aorta. Renal artery stenosis, pneumonia, and pancreatitis are not typically associated with a bruit over the aorta, making them incorrect choices.