ATI RN
EMT Vital Signs Assessment Questions
Question 1 of 5
Which is the most effective pattern of palpation for breast cancer?
Correct Answer: C
Rationale: The correct answer is C because examining in lines resembling the back and forth pattern of mowing a lawn allows for systematic coverage of the entire breast, ensuring no area is missed. This pattern helps in detecting any abnormalities or lumps consistently. A: Beginning at the nipple and making an ever-enlarging spiral may miss certain areas of the breast. B: Dividing the breast into quadrants may lead to missing areas between the quadrants. D: Beginning at the nipple and palpating outward in a stripe pattern may not cover the entire breast evenly, potentially missing abnormalities.
Question 2 of 5
The nurse is performing the Denver II screening test on a 12-month-old infant during a routine well-child visit. The nurse should tell the infant's parents that the Denver II:
Correct Answer: C
Rationale: The correct answer is C because the Denver II screening test is indeed a tool designed to detect children who are slow in development across various areas, such as motor skills, social skills, and language development. It is not specific to intellectual ability or predicting future school problems, as suggested in option D. It also does not solely focus on speech disorders, as mentioned in option B. While the Denver II assesses cognitive, physical, and psychological development, it is primarily used to identify developmental delays rather than diagnosing specific disorders, making option A incorrect.
Question 3 of 5
The nurse has used interpretation regarding a patient's statement or actions. After using this technique, it would be best for the nurse to:
Correct Answer: B
Rationale: The correct answer is B because allowing time for the patient to confirm or correct the inference is essential after using interpretation. This step promotes effective communication by giving the patient the opportunity to clarify their intentions or feelings. It shows respect for the patient's perspective and encourages open dialogue. Apologizing (choice A) may not be necessary if interpretation is done respectfully. Continuing with the interview (choice C) without addressing the interpretation can hinder rapport. Immediately restating the conclusion (choice D) without seeking confirmation may lead to misunderstandings. In summary, choice B promotes patient-centered care and ensures accurate communication.
Question 4 of 5
The nurse keeps in mind the most important step to prevent microorganism transmission in hospitals is:
Correct Answer: C
Rationale: The correct answer is C: Washing hands before and after contact with patients. Hand hygiene is the most crucial step to prevent microorganism transmission in hospitals. It helps reduce the spread of infections from patient to patient and healthcare workers. Washing hands effectively removes bacteria and viruses, preventing their transmission. Wearing protective eyewear (A) is important for eye protection but does not directly prevent microorganism transmission. Wearing gloves (B) is essential for specific patient interactions but does not address all instances of transmission. Cleaning stethoscopes (D) is important for equipment hygiene, but handwashing is more critical for overall infection control.
Question 5 of 5
The nurse is performing a general survey. Which action is a component of the general survey?
Correct Answer: A
Rationale: The correct answer is A because observing the patient's body stature and nutritional status is a key component of the general survey, which involves assessing the overall appearance and health status of the patient. This step provides valuable information about the patient's overall well-being and can help identify any potential health issues. Choice B is incorrect because interpreting subjective information reported by the patient is part of the health history, not the general survey. Choice C is incorrect because measuring vital signs (temperature, pulse, respirations, and blood pressure) is part of the physical assessment, not the general survey. Choice D is incorrect because observing specific body systems while performing the physical assessment is also not part of the general survey, but rather a focused assessment on particular body systems.