ATI RN
Vital Signs Assessment Questions
Question 1 of 5
The nurse is examining a patient who tells the nurse, 'I sure sweat a lot, especially on my face and feet but it doesn't have an odor.' The nurse knows that this condition could be related to:
Correct Answer: A
Rationale: The correct answer is A: Eccrine glands. Eccrine glands are responsible for producing sweat that is mostly composed of water and salts. Excessive sweating on the face and feet without odor is characteristic of eccrine gland activity. Eccrine glands are distributed throughout the body and help regulate body temperature through sweat production. Apocrine glands, choice B, produce a thicker sweat that can lead to body odor. Choices C and D are related to the skin's outer layers and not directly associated with sweating.
Question 2 of 5
The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the:
Correct Answer: A
Rationale: The correct answer is A: Auricle. The auricle is the visible part of the outer ear that consists of movable cartilage and skin. When administering eardrops, pulling the auricle down and back helps straighten the ear canal for proper medication delivery. The other choices are incorrect because: B: Concha is the concave bowl-shaped depression in the outer ear, C: Outer meatus is the ear canal, and D: Mastoid process is a bony prominence behind the ear.
Question 3 of 5
The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination?
Correct Answer: C
Rationale: Rationale: C is correct because in newborns, the normal tympanic membrane can appear thick and opaque due to a thinner eardrum and presence of amniotic fluid remnants. A: Immobility of the drum is not normal. B: An injected membrane indicates a hemorrhage, not necessarily infection. D: The appearance of the membrane differs in newborns due to their unique anatomy.
Question 4 of 5
While obtaining a health history from the mother of a 1-year-old child, the nurse notices that the baby has had a bottle in his mouth the entire time. The mother states, "It makes a great pacifier." The best response by the nurse would be:
Correct Answer: D
Rationale: Correct Answer - D: "Prolonged use of a bottle can increase the risk for tooth decay and ear infections." Rationale: 1. Prolonged bottle use can lead to tooth decay due to exposure to sugars in milk or formula. 2. The constant sucking can also cause ear infections by pushing bacteria into the Eustachian tubes. 3. It is important for the nurse to educate the mother on these risks to promote the child's health. Summary of Other Choices: A: Incorrect. Encouraging the mother that bottles make good pacifiers does not address the potential health risks associated with prolonged bottle use. B: Incorrect. While it's true that bottle use may be better for teeth than thumb-sucking, it still poses risks for tooth decay and ear infections. C: Incorrect. The contents of the bottle do not negate the risks associated with prolonged bottle use.
Question 5 of 5
When examining the nares of a 45-year-old patient who has complaints of rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?
Correct Answer: C
Rationale: Correct Answer: C. Allergic rhinitis Rationale: The patient's symptoms of itching, sneezing, and clear rhinorrhea are classic signs of allergic rhinitis. The pale and swollen turbinates also support this diagnosis, as they are common findings in allergic rhinitis due to inflammation from allergens. Incorrect Choices: A: Nasal polyps - Nasal polyps typically present with nasal congestion, loss of smell, and may be associated with asthma. They are not commonly associated with clear rhinorrhea and itching. B: Acute sinusitis - Acute sinusitis is characterized by facial pain, pressure, purulent nasal discharge, and fever. The absence of these symptoms makes acute sinusitis less likely. D: Acute rhinitis - Acute rhinitis, or the common cold, usually presents with thick nasal discharge, sore throat, and low-grade fever. The clear rhinorrhea and itching in this patient are more