ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Be mindful of the child's modesty. This is the most appropriate action because it respects the child's privacy and helps build trust. Starting with the genitalia (B) can be invasive and inappropriate. Talking about equipment (A) may not address the child's emotional needs. Performing a head-to-toe assessment starting with the chest (D) may overlook the importance of considering the child's comfort and modesty. Being mindful of modesty shows respect for the child's dignity and autonomy.
Question 2 of 5
The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
Correct Answer: B
Rationale: The correct answer is B: Yield a falsely high blood pressure. Using a standard-sized cuff on an obese patient will lead to inaccurate readings because the cuff will not fit properly around the arm. This can result in increased pressure on the brachial artery, leading to a falsely high blood pressure reading. The other choices are incorrect because: A: Using a standard cuff on an obese patient will result in a falsely high, not low, blood pressure reading. C: The cuff size plays a significant role in blood pressure accuracy, so the reading will not be the same with a standard-sized cuff. D: While technique can impact blood pressure readings, in this scenario, the inaccurate reading is primarily due to the incorrect cuff size, not the technique of the person performing the assessment.
Question 3 of 5
When checking for proper blood pressure cuff size, which guideline is correct?
Correct Answer: D
Rationale: The correct answer is D because the width of the rubber bladder should ideally be around 40% of the arm circumference for proper blood pressure measurement. This is crucial for accurate readings as using a cuff that is too narrow or too wide can lead to incorrect readings. Option A is incorrect as one size does not fit all. Option B is incorrect as the length of the bladder is not the key factor. Option C is incorrect as the width of the bladder should be around 40%, not 80%, of the arm circumference.
Question 4 of 5
An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?
Correct Answer: B
Rationale: The correct answer is B: Dry mucous membranes and cracked lips. Dehydration leads to reduced moisture in the body, resulting in dryness of mucous membranes and lips. This is a sign of fluid imbalance and severe dehydration. Smooth mucous membranes (choice A) may indicate adequate hydration. Pale mucous membranes (choice C) could suggest anemia or poor perfusion, not solely dehydration. White patches on mucous membranes (choice D) are usually associated with fungal infections, not dehydration.
Question 5 of 5
A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that it has slowly grown larger. The nurse suspects which condition?
Correct Answer: B
Rationale: The correct answer is B: Basal cell carcinoma. This type of skin cancer commonly presents as a pearly papule with rolled borders and a central ulcer. The slow growth over months is also characteristic of basal cell carcinoma. Acne (choice A) typically presents with comedones and inflammatory papules, not with the described characteristics. Melanoma (choice C) usually presents as an asymmetric, irregularly bordered lesion with variable colors. Squamous cell carcinoma (choice D) often appears as a scaly or crusted plaque, not a pearly papule with central ulcer.