ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
Which of the following assessment findings is most concerning in a patient with a head injury?
Correct Answer: B
Rationale: The correct answer is B: Decreased level of consciousness. This is the most concerning assessment finding in a patient with a head injury because it indicates potential brain damage or swelling, which can lead to serious complications. Decreased consciousness may suggest increased intracranial pressure, requiring immediate medical intervention to prevent further damage. A: Reactive pupils are generally a positive sign and indicate normal brain function. C: Mild headache is a common symptom after a head injury and may not necessarily indicate a serious issue. D: Nausea and vomiting can be common symptoms in head injuries, but they are not as concerning as a decreased level of consciousness, as they can also be caused by other factors such as pain or anxiety.
Question 2 of 5
The nurse is performing an otoscopic examination of a patient's ear. Which finding is considered normal?
Correct Answer: C
Rationale: The correct answer is C: Pearly gray tympanic membrane. A normal tympanic membrane appears pearly gray in color due to its translucency. This indicates a healthy and intact eardrum. Red, bulging tympanic membrane (A) suggests inflammation or infection. Yellow, thickened tympanic membrane (B) may indicate fluid accumulation or pus behind the eardrum. A perforated tympanic membrane (D) means there is a hole in the eardrum, which is not considered normal.
Question 3 of 5
The following information is recorded in the health history: 'The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week.' Which category does it belong to?
Correct Answer: C
Rationale: The correct answer is C: Personal and social history. This information provides details about the patient's educational background, living situation, and occupation, which fall under personal and social history. Chief complaint is the main reason for seeking medical care, present illness relates to the current medical issue, and review of systems involves a systematic inquiry about the patient's symptoms in different body systems, none of which are covered in the given information.
Question 4 of 5
Which of the following examples represents an objective finding?
Correct Answer: C
Rationale: The correct answer is C because a temperature of 101°F is a measurable and quantifiable observation. Objective findings are based on measurable data, such as vital signs or lab results, that can be observed and verified. In contrast, choices A, B, and D are subjective findings based on the patient's feelings or reports, which can be influenced by various factors and are not easily quantifiable. Therefore, choice C is the only objective finding among the options provided.
Question 5 of 5
Which of the following symptoms is most likely to be documented under the endocrine system in the review of systems?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst. In the endocrine system, increased thirst can be associated with conditions like diabetes insipidus or diabetes mellitus. These conditions affect the regulation of fluids and electrolytes in the body. Increased thirst is a common symptom related to hormonal imbalances in the endocrine system. Summary: - Option B (Chest pain) is more likely related to the cardiovascular system. - Option C (Frequent headaches) can be linked to various systems such as neurology or even stress, but not specifically to the endocrine system. - Option D (Difficulty swallowing) is commonly associated with the digestive system rather than the endocrine system.