ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
Which area of the fundus is the central focal point for incoming images?
Correct Answer: A
Rationale: The fovea is the area of the retina which is responsible for central vision. It is surrounded by the macula, which is responsible for more peripheral vision. The optic disc and physiologic cup are where the optic nerve enters the eye.
Question 2 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located at the back of the knee?
Correct Answer: B
Rationale: The popliteal pulse is located behind the knee, where the femoral artery passes through the popliteal fossa.
Question 3 of 5
A patient with longstanding COPD was told by another practitioner that his liver was enlarged and this needed to be assessed. Which of the following would be reasonable to do next?
Correct Answer: B
Rationale: Measuring the liver span is most appropriate as COPD can cause the diaphragm to flatten and push the liver down, giving a false impression of hepatomegaly. The total span measurement helps distinguish true enlargement from displacement.
Question 4 of 5
After striking their head on a tree while falling from a ladder, the patient is admitted unconscious with nonreactive pupils. Which intervention would be the most dangerous for the client?
Correct Answer: D
Rationale: A lumbar puncture in the presence of increased ICP can cause brain herniation.
Question 5 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located on the top of the foot?
Correct Answer: A
Rationale: The dorsalis pedis pulse is located on the top of the foot and is an important indicator of peripheral circulation.