ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
Correct Answer: C
Rationale: The correct action is pulling the pinna up and back before inserting the speculum. This helps straighten the ear canal for better visualization. Tilting the head forward (A) does not aid in the examination. Releasing traction (B) can cause the speculum to move out of place. Using the smallest speculum (D) may not provide adequate visualization.
Question 4 of 5
The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient?
Correct Answer: C
Rationale: The correct answer is C, decreased ability to identify odors, for an 80-year-old patient due to age-related changes. As people age, the sense of smell tends to decline, affecting the ability to identify odors accurately. This is a common phenomenon in older adults due to changes in olfactory receptors and decreased sensitivity. Hypertrophy of the gums (A) is not typically associated with aging. Increased production of saliva (B) is not a common age-related change. Finer and less prominent nasal hair (D) is more likely to occur in younger individuals due to hormonal changes rather than in older adults.
Question 5 of 5
The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth, the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of:
Correct Answer: A
Rationale: The correct answer is A: Acquired immunodeficiency syndrome (AIDS). The dark red confluent macule on the hard palate is known as Kaposi sarcoma, a common manifestation of AIDS. This lesion can be the first visible sign of AIDS in patients with a history of intravenous drug abuse. It is important for the nurse to recognize this early sign to facilitate prompt diagnosis and treatment. Measles (choice B) typically presents with a widespread rash, not a localized lesion on the hard palate. Leukemia (choice C) may present with oral manifestations, but a dark red macule on the hard palate is not a typical finding. Carcinoma (choice D) refers to cancer, which may present differently in the oral cavity compared to Kaposi sarcoma.