ATI RN
Assess Vital Signs Questions
Question 1 of 5
The practitioner, entering the examining room to meet a patient for the first time, states: "Hello, I'm M.M., and I'm here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right with you, she will remain during the examination." Which of the following must be added to cover all aspects of the interview contract?
Correct Answer: A
Rationale: The correct answer is A because it covers all essential aspects of the interview contract. Firstly, mentioning confidentiality ensures patient privacy. Secondly, addressing patient costs sets clear expectations. Lastly, explaining the role of each person involved establishes transparency. Choice B is incorrect as it only covers the purpose of the interview and the role of the interviewer, missing important elements like confidentiality and patient costs. Choice C is incorrect as it lacks information on patient costs and the expectations of each person, focusing solely on the time, place, and confidentiality statement. Choice D is incorrect as it only includes the purpose of the interview and a description of the physical examination, missing crucial aspects like confidentiality, patient costs, and roles of individuals involved.
Question 2 of 5
Which of the following is the most common site of a Morton's neuroma?
Correct Answer: C
Rationale: The correct answer is C: the third intermetatarsal space. Morton's neuroma is most commonly found between the third and fourth metatarsal heads. This is due to the anatomical arrangement of the intermetatarsal spaces and the compression and irritation that can occur in this specific area. Choices A, B, and D are incorrect because Morton's neuroma typically occurs in the third intermetatarsal space. The condition is less commonly associated with the other intermetatarsal spaces.
Question 3 of 5
Scapula winging is caused by an injury to which one of the following nerves?
Correct Answer: C
Rationale: The correct answer is C: Long thoracic nerve. Scapula winging is primarily caused by injury to the long thoracic nerve, which innervates the serratus anterior muscle responsible for stabilizing the scapula against the thoracic wall. Damage to this nerve results in dysfunction of the serratus anterior, leading to abnormal scapular movement. The other choices are incorrect because: A: Radial nerve - primarily involved in elbow, wrist, and finger extension, not scapular stabilization. B: Suprascapular nerve - innervates the supraspinatus and infraspinatus muscles, not directly related to scapular winging. D: Axillary nerve - innervates the deltoid and teres minor muscles, not directly involved in scapular stabilization.
Question 4 of 5
When prescribing physical therapy for a patient with bony metastases, it is prudent to avoid which of the following?
Correct Answer: A
Rationale: The correct answer is A: Resistive exercises in that limb. Bony metastases can weaken bones and increase the risk of fractures. Resistive exercises can put excessive stress on the bones, potentially leading to fractures. It is important to focus on gentle, low-impact exercises to maintain mobility without risking further damage. Active range of motion exercises (choice B) can help maintain flexibility without stressing the bones. Bracing (choice C) can provide support and stability. Cold therapy (choice D) can help with pain and inflammation management but does not directly impact bone strength.
Question 5 of 5
Which critical thinking skill helps the nurse see relationships among the data?
Correct Answer: B
Rationale: The correct answer is B: Clustering related cues. This critical thinking skill helps the nurse to see relationships among the data by grouping together related information. By clustering similar cues, the nurse can identify patterns, trends, and connections that may not be immediately obvious when data is scattered. This process aids in drawing meaningful conclusions and making informed decisions. Validation (choice A) involves confirming the accuracy and reliability of the data, not necessarily seeing relationships among them. Identifying gaps in data (choice C) focuses on recognizing missing information rather than analyzing relationships. Distinguishing relevant from irrelevant (choice D) is important in data analysis but does not specifically address the skill of seeing relationships among data.