ATI RN
Rn Vital Signs Assessment ATI Questions
Question 1 of 5
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the ______ of the underlying tissue.
Correct Answer: C
Rationale: The correct answer is C: Density. Percussion helps assess the density of underlying tissues by producing different sounds based on the density of the tissue being tapped. Turgor (A) is assessed by skin elasticity, texture (B) refers to the feel of the skin surface, and consistency (D) is the uniformity of a substance. Density is the most relevant choice for assessing underlying tissue characteristics through percussion.
Question 2 of 5
The nurse is teaching a patient about proper foot care. Which statement by the patient indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer is C: "I will soak my feet in hot water every evening." Soaking feet in hot water can lead to dryness, skin irritation, and potential burns. It is not recommended for foot care. A: Wearing cotton socks helps keep feet dry. B: Inspecting feet daily is important to identify any cuts or sores early. D: Trimming toenails straight across can help prevent ingrown nails. Overall, the incorrect choice (C) poses risks to foot health compared to the other options.
Question 3 of 5
Regular oral hygiene is an essential intervention for the client who has had a stroke. Which of the following nursing measures is inappropriate when providing oral hygiene?
Correct Answer: A
Rationale: The correct answer is A because placing the client on the back with a small pillow under the head can increase the risk of aspiration for stroke patients. The rationale is that this position can cause the tongue to obstruct the airway, leading to difficulty swallowing and potentially causing aspiration pneumonia. B: Keeping portable suctioning equipment at the bedside is important for immediate intervention in case of oral secretions or choking. C: Opening the client's mouth with a padded tongue blade can help provide better access for oral hygiene procedures. D: Cleaning the client's mouth and teeth with a toothbrush is a crucial nursing measure to prevent oral health issues and maintain overall hygiene.
Question 4 of 5
A physical therapist employed by a home health care agency knocks on the door of a patient that has a scheduled therapy session. After waiting several minutes, the therapist concludes the patient is not at home. The MOST appropriate therapist action is:
Correct Answer: A
Rationale: The correct answer is A: Contact the patient and reschedule. This is the most appropriate action because it allows for communication with the patient to confirm their absence and to reschedule the therapy session. It shows professionalism, concern for the patient's well-being, and ensures continuity of care. Choice B (Notify the patient's insurance provider) is incorrect as it does not address the immediate need to reschedule the therapy session. Choice C (Notify the referring physician) is also incorrect as the therapist should first attempt to directly contact the patient. Choice D (Discharge the patient from physical therapy) is not appropriate without attempting to contact the patient first and providing an opportunity to reschedule.
Question 5 of 5
A physical therapist examines the lymph nodes of a 62-year-old male diagnosed with lymphoma. Which of the following is the therapist MOST likely to observe?
Correct Answer: C
Rationale: The correct answer is C: Hard, nontender, and immobile lymph nodes. In lymphoma, lymph nodes often become enlarged due to cancerous cell growth, leading to hard consistency. The lack of tenderness is typical in lymphoma, unlike infections. Immobility indicates infiltration of cancer cells disrupting normal node movement. Choices A, B, and D are incorrect as they do not align with the typical characteristics of lymphoma presentation, which involves hard, nontender, and immobile lymph nodes.