ATI RN
Vital Signs Assessment Nursing Questions
Question 1 of 5
When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard?
Correct Answer: C
Rationale: The correct answer is C: Swishing, whooshing sound. This sound indicates venous flow in Doppler ultrasonic stethoscope. Venous flow produces a continuous, swishing sound due to the irregularity of blood flow in veins. Option A, a low humming sound, does not accurately represent venous flow. Option B, a regular 'lub, dub' pattern, is typical of normal heart sounds. Option D, a steady, even, flowing sound, does not reflect the nature of venous flow, which is more turbulent and irregular.
Question 2 of 5
You are working in the emergency department and receive a patient who was admitted via ambulance. The patient is alert, but the injuries are severe. What are your priorities when collecting this patient's emergency database?
Correct Answer: D
Rationale: The correct answer is D because in an emergency situation with a patient who has severe injuries, the top priority is to collect critical information as you begin lifesaving measures. This includes obtaining information such as the patient's name, age, allergies, current medications, and any known medical conditions. This information is crucial for providing appropriate and timely treatment to the patient. Options A, B, and C are incorrect because in a life-threatening emergency, collecting the complete health history, full physical examination, or detailed medical history should not delay immediate life-saving interventions. Prioritizing critical information gathering ensures that necessary actions are taken promptly to stabilize the patient's condition.
Question 3 of 5
Mark each of the following statements as therapeutic or nontherapeutic. d. "What are the pros and cons of surgery?"
Correct Answer: A
Rationale: The correct answer is A because asking about the pros and cons of surgery is therapeutic. It allows the client to explore the benefits and risks, make informed decisions, and feel empowered in their healthcare choices. It encourages open communication and shared decision-making between the client and healthcare provider. Choice B is incorrect because seeking information about treatment options is a crucial part of the therapeutic process. Choices C and D are not applicable as they do not provide any information on whether the statement is therapeutic or nontherapeutic.
Question 4 of 5
All of the following are true about iliopsoas bursitis and tendonitis EXCEPT which of the following?
Correct Answer: B
Rationale: The correct answer is B because pain with hip extension is not typically associated with iliopsoas bursitis and tendonitis. The iliopsoas muscle is responsible for hip flexion, so pain is usually felt with activities that involve hip flexion. Choices A, C, and D are incorrect because these are commonly associated with iliopsoas bursitis and tendonitis. A: Snapping hip syndrome is related to the iliopsoas tendon moving over the hip joint. C: Pain deep in the groin and radiating to the front of the hip is a common presentation. D: Iliopsoas bursitis and tendonitis can involve inflammation or injury to the tendon, but complete rupture is less common.
Question 5 of 5
Which position should be avoided after total hip arthroplasty using an anterior approach?
Correct Answer: A
Rationale: The correct answer is A: Bridging. After total hip arthroplasty using an anterior approach, bridging should be avoided to prevent excessive stress on the hip joint. Bridging involves lifting the pelvis off the ground while lying on the back, which can strain the hip joint and potentially lead to dislocation. Adduction crossing midline can also stress the hip joint. Sitting on a regular toilet seat and crossing legs are acceptable postures as long as proper precautions are taken to avoid excessive hip flexion or internal rotation.