The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? 'Tactile fremitus:

Questions 64

ATI RN

ATI RN Test Bank

Vital Signs Assessment ATI Quizlet Questions

Question 1 of 5

The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? 'Tactile fremitus:

Correct Answer: C

Rationale: The correct understanding of tactile fremitus is that it is caused by sounds generated from the larynx and transmitted through the bronchopulmonary system to the chest wall. This vibration is felt by the hand during palpation. Moisture in the alveoli (choice A) does not cause tactile fremitus. Air in the subcutaneous tissues (choice B) does not relate to tactile fremitus. Blood flow through the pulmonary arteries (choice D) is not associated with tactile fremitus. The correct answer, choice C, is supported by the fact that tactile fremitus is a physical sensation felt by the hands due to the transmission of sound through the chest wall.

Question 2 of 5

A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease:

Correct Answer: A

Rationale: The correct answer is A. Benign breast disease can make breasts feel lumpy or tender, which can make it harder to perform breast exams. This is due to the presence of noncancerous changes in breast tissue. Choices B, C, and D are incorrect because benign breast disease does not frequently turn into cancer, is not easily reduced with hormone replacement therapy, and can be diagnosed at any age, not just before childbearing age.

Question 3 of 5

The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees. The nurse knows that this finding indicates:

Correct Answer: D

Rationale: The correct answer is D: Elevated pressure related to heart failure. The finding of jugular venous pulsations 5 cm above the sternal angle when the head of the bed is elevated 45 degrees is indicative of elevated central venous pressure, which is commonly seen in patients with heart failure. This is known as the hepatojugular reflux test, where pressure is transmitted back to the jugular veins due to increased right atrial pressure in heart failure. This finding suggests impaired cardiac function leading to fluid overload and congestion in the venous system. Choices A, B, and C are incorrect because they do not explain the specific pathophysiological mechanism associated with the patient's presentation.

Question 4 of 5

When assessing a child's lung sounds, the nurse hears loud, low-pitched tones. What should the nurse do?

Correct Answer: A

Rationale: The correct answer is A: Consider this finding normal for a child. Loud, low-pitched lung sounds in children are often attributed to their thin chest walls and clear airways. Step 1: Understand that children's lung sounds can be louder and lower-pitched compared to adults due to their anatomy. Step 2: Recognize that this finding is typically normal in children and does not require further investigation. Summary: Options B, C, and D are incorrect as they are unnecessary and may lead to unnecessary procedures or testing when the finding is normal in children.

Question 5 of 5

Francis is a middle-aged man who noted right-sided lower abdominal pain after straining with yard work. Which of the following would make a hernia more likely?

Correct Answer: D

Rationale: The correct answer is D because the absence of symmetry of the inguinal areas with straining indicates a possible hernia. When Francis strains, if there is asymmetry in the inguinal areas, it suggests a weakness in the abdominal wall allowing for a hernia to protrude. This is a key sign of a hernia. A: Absence of pain with straining is not indicative of a hernia. Pain is often present in hernias. B: Absence of bowel sounds in the scrotum is not a typical sign of a hernia. Bowel sounds are usually heard in the abdomen. C: Absence of a varicocele refers to enlarged veins in the scrotum, which is unrelated to a hernia.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions