ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located on the top of the foot?
Correct Answer: A
Rationale: The dorsalis pedis pulse is located on the top of the foot and is an important indicator of peripheral circulation.
Question 2 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 3 of 5
The patient is lying in bed under a ceiling fan. Which technique is the nurse using when the fan produces heat loss?
Correct Answer: C
Rationale: A ceiling fan moves air over the patient, causing heat loss via convection , where warm air around the body is replaced by cooler moving air. Radiation involves heat emission without contact, not fan-driven. Conduction requires direct contact (e.g., cold pack), not air movement. Evaporation involves moisture loss, not primarily fan-related here. Choice C is correct because convection matches the mechanism of air circulation enhancing heat dissipation, a principle nurses apply in thermoregulation strategies to cool patients effectively in clinical settings.
Question 4 of 5
The nurse is assessing for clubbing of the fingernails and expects to find:
Correct Answer: D
Rationale: The normal nail is firm at its base and has an angle of 160 degrees. In clubbing, the angle straightens to 180 degrees or greater and the nail base feels spongy.
Question 5 of 5
The nurse is preparing to assess a hospitalized patient with significant shortness of breath. How should the nurse proceed?
Correct Answer: D
Rationale: In emergencies, a focused assessment is prioritized to address immediate concerns, with the rest done later.