The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct?

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Rn Vital Signs Assessment ATI Questions

Question 1 of 5

The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct?

Correct Answer: C

Rationale: The correct answer is C because a weak, thready pulse is defined as being hard to palpate, may fade in and out, and can be easily obliterated by pressure. This indicates a pulse that is difficult to feel, lacks consistency, and may disappear with minimal pressure. Choice A is incorrect as a weak, thready pulse is not easily palpable and does not pound under the fingertips. Choice B is incorrect as it describes a pulse with greater than normal force that suddenly collapses, which is indicative of a bounding pulse, not a weak, thready pulse. Choice D is incorrect as it describes a pulse with varying force between beats, which is not characteristic of a weak, thready pulse.

Question 2 of 5

You are caring for a patient who was recently diagnosed with type 1 diabetes. She is learning to manage her diabetes and will need support after discharge. Her knowledge deficit is considered a _____ priority problem & will require a collaborative effort with health care professionals.

Correct Answer: B

Rationale: The correct answer is B: Second-level. In the nursing process, addressing a knowledge deficit for a patient with a new diagnosis like type 1 diabetes falls under second-level priority. This is because it is essential for the patient's immediate well-being and safety, but it does not pose a direct threat to their life or physiological stability. Collaborative effort with healthcare professionals is crucial to ensure the patient receives comprehensive education and support. Choice A: First-level priorities are for life-threatening issues requiring immediate attention, such as airway obstruction or cardiac arrest, which do not apply in this scenario. Choice C: Third-level priorities are important for long-term health outcomes but not immediate concerns like knowledge deficit in a newly diagnosed patient. Choice D: This option is likely incomplete and cannot be considered a valid choice.

Question 3 of 5

Mark each of the following statements as therapeutic or nontherapeutic. e. "If I were you, I would get another opinion before having surgery."

Correct Answer: B

Rationale: The correct answer is B: Nontherapeutic. This statement is nontherapeutic because it implies that the speaker knows what's best for the patient and undermines the expertise of healthcare professionals. It may also create doubt and anxiety in the patient's mind. Other choices are not applicable as the statement clearly falls under the nontherapeutic category.

Question 4 of 5

Identify the final treatment phase of sports rehabilitation among the following:

Correct Answer: D

Rationale: The correct answer is D: Sports/task-specific activities. This phase is crucial as it focuses on integrating the individual back into their specific sport or activity, ensuring they are fully prepared to perform at their pre-injury level. This phase includes sport-specific drills, simulations, and progressive training to mimic the demands of the sport. It helps in enhancing performance, improving skills, and building confidence. A: Resolving pain and inflammation - This is usually addressed in the early stages of rehabilitation to promote healing and reduce discomfort. B: Restoring ROM - This phase focuses on improving range of motion and flexibility, typically done before the strengthening phase. C: Strengthening - While important, this phase precedes the sports-specific activities phase and aims to rebuild strength and stability in the injured area.

Question 5 of 5

All of these are accessory muscles of inspiration except which of the following?

Correct Answer: D

Rationale: The correct answer is D: Internal intercostals. The internal intercostal muscles are accessory muscles of expiration, not inspiration. During inspiration, the primary muscles involved are the diaphragm, external intercostals, scalene muscles, and sternocleidomastoid. The pectoralis major and trapezius are not directly involved in the mechanics of inspiration. Therefore, the internal intercostals are the only incorrect choice as they are expiratory muscles, not inspiratory.

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