ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
The nurse is assessing a patient with anemia. Which physical assessment finding is most consistent with this condition?
Correct Answer: C
Rationale: The correct answer is C: Pallor. Anemia is characterized by a decrease in red blood cells, leading to decreased oxygen supply to tissues. Pallor, or paleness of the skin, is a common physical finding in anemic patients due to reduced hemoglobin levels. Flushed skin (choice A) is more indicative of fever or increased blood flow. Cyanosis (choice B) occurs when there is insufficient oxygen in the blood, not necessarily related to anemia. Jaundice (choice D) is associated with liver dysfunction, not directly related to anemia. In summary, pallor is the most consistent finding in anemia due to decreased hemoglobin levels and subsequent tissue oxygenation.
Question 2 of 5
Which of the following assessment findings is most concerning in a patient with a head injury?
Correct Answer: B
Rationale: The correct answer is B: Decreased level of consciousness. This is the most concerning assessment finding in a patient with a head injury because it indicates potential brain damage or swelling, which can lead to serious complications. Decreased consciousness may suggest increased intracranial pressure, requiring immediate medical intervention to prevent further damage. A: Reactive pupils are generally a positive sign and indicate normal brain function. C: Mild headache is a common symptom after a head injury and may not necessarily indicate a serious issue. D: Nausea and vomiting can be common symptoms in head injuries, but they are not as concerning as a decreased level of consciousness, as they can also be caused by other factors such as pain or anxiety.
Question 3 of 5
Which technique is used to assess for tactile fremitus during a respiratory examination?
Correct Answer: C
Rationale: The correct answer is C: Palpating the chest while the patient speaks. Tactile fremitus is assessed by palpating the chest while the patient speaks to feel for vibrations caused by the passage of air through the lungs. This technique helps to identify abnormalities in lung tissue density and air content. Percussing the lung fields (A) is used to assess for resonance and dullness, not tactile fremitus. Auscultating for breath sounds (B) is used to assess lung sounds, not tactile fremitus. Inspecting chest wall movement during inspiration (D) is used to assess for respiratory effort and symmetry, not tactile fremitus.
Question 4 of 5
The nurse is performing an otoscopic examination of a patient's ear. Which finding is considered normal?
Correct Answer: C
Rationale: The correct answer is C: Pearly gray tympanic membrane. A normal tympanic membrane appears pearly gray in color due to its translucency. This indicates a healthy and intact eardrum. Red, bulging tympanic membrane (A) suggests inflammation or infection. Yellow, thickened tympanic membrane (B) may indicate fluid accumulation or pus behind the eardrum. A perforated tympanic membrane (D) means there is a hole in the eardrum, which is not considered normal.
Question 5 of 5
The following information is recorded in the health history: 'The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week.' Which category does it belong to?
Correct Answer: C
Rationale: The correct answer is C: Personal and social history. This information provides details about the patient's educational background, living situation, and occupation, which fall under personal and social history. Chief complaint is the main reason for seeking medical care, present illness relates to the current medical issue, and review of systems involves a systematic inquiry about the patient's symptoms in different body systems, none of which are covered in the given information.