ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
The nurse is performing an abdominal assessment and notes that the patient has a positive Murphy's sign. What condition is most likely present?
Correct Answer: B
Rationale: A positive Murphy's sign, where the patient experiences pain upon palpation of the gallbladder, suggests cholecystitis.
Question 2 of 5
What is the primary purpose of using a Doppler device during a physical examination?
Correct Answer: A
Rationale: Doppler devices are used to detect weak peripheral pulses when they are difficult to palpate.
Question 3 of 5
While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm ulceration that is crusted with an elevated border and located on the outer third of the lower lip. What other information would be most important for the nurse to assess?
Correct Answer: B
Rationale: With carcinoma, the initial lesion is round and indurated, but then it becomes crusted and ulcerated with an elevated border. Most cancers occur between the outer and middle thirds of the lip. Any lesion that is still unhealed after 2 weeks should be referred.
Question 4 of 5
The patient's record, laboratory studies, objective data, and subjective data combine to form the:
Correct Answer: A
Rationale: The data base includes all collected information, such as records and study results.
Question 5 of 5
Which of the following is an example of a sign?
Correct Answer: B
Rationale: Signs are objective findings observed or measured during the physical exam, like a temperature of 102° F.