ATI RN
Health Assessment Vital Signs Quizlet Questions
Question 1 of 5
The nurse is assessing the adaptation of the client to changes in functional status after a brain attack (stroke). The nurse assesses that the client is adapting most successfully if the client:
Correct Answer: D
Rationale: The correct answer is D because consistently using adaptive equipment in dressing shows successful adaptation to changes in functional status after a stroke. This indicates the client's acceptance of their limitations and willingness to use tools that enable independence. Choice A is incorrect as anger towards family is not a positive sign of adaptation. Choice B suggests emotional distress, which is not indicative of successful adaptation. Choice C indicates difficulty with using modified utensils, which is a sign of struggle rather than successful adaptation.
Question 2 of 5
During a musculoskeletal assessment, the nurse observes swelling and redness over a joint. What is the nurse's next action?
Correct Answer: A
Rationale: The correct answer is A: Assess the range of motion of the joint. This is the next action because swelling and redness over a joint can indicate inflammation or injury, which may affect the joint's mobility. Assessing the range of motion will help determine the extent of the issue and guide further interventions. Applying heat (B) may worsen inflammation, documenting as normal (C) is inappropriate given the abnormal findings, and referring for further evaluation (D) can be considered after assessing the range of motion to provide more specific information to the healthcare provider.
Question 3 of 5
During a cardiac assessment, the nurse hears an S3 heart sound. What does this finding suggest?
Correct Answer: C
Rationale: The presence of an S3 heart sound typically indicates heart failure. This occurs due to rapid filling of the ventricles during early diastole, indicating volume overload. This sound is commonly heard in patients with heart failure, reflecting decreased cardiac function. In contrast, option A is incorrect as an S3 is not a normal finding in young adults. Option B, mitral valve stenosis, would present with an opening snap and a diastolic murmur, not an S3 sound. Option D, aortic regurgitation, is associated with a diastolic murmur and bounding pulses, not an S3 heart sound.
Question 4 of 5
A physical therapist completes a respiratory examination on a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which finding would the therapist MOST likely observe?
Correct Answer: D
Rationale: The correct answer is D: Increased total lung capacity. In COPD, there is typically air trapping due to decreased elasticity of the lungs and increased residual volume. This results in an increased total lung capacity as the lungs are hyperinflated. A: Decreased residual volume is incorrect because in COPD, there is air trapping leading to increased residual volume. B: Increased expiratory flow rates is incorrect because in COPD, there is airflow limitation causing decreased expiratory flow rates. C: Decreased functional residual capacity is incorrect because in COPD, there is air trapping leading to increased functional residual capacity.
Question 5 of 5
A physical therapist instructs a patient on the proper use of a walker. Which sequence of steps is MOST appropriate for a patient with a partial weight-bearing status?
Correct Answer: A
Rationale: The correct answer is A because when a patient has a partial weight-bearing status, they should first advance the walker to provide support, then advance the affected leg to ensure stability, and finally advance the unaffected leg to complete the step. This sequence ensures that the patient maintains balance and support throughout the movement. Choice B is incorrect because advancing the unaffected leg first may lead to instability. Choice C is incorrect as advancing the unaffected leg before the walker does not provide proper support. Choice D is incorrect as advancing the affected leg first without walker support can risk falls.