ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
Which of the following best describes subjective information?
Correct Answer: B
Rationale: Subjective information is based on the patient's personal experience, such as feeling short of breath.
Question 2 of 5
During an assessment, the nurse uses the profile sign to detect:
Correct Answer: B
Rationale: The nurse should use the profile sign (viewing the finger from the side) to detect early clubbing.
Question 3 of 5
The nurse is preparing for a class in early detection of breast cancer. Which statement is true with regard to breast cancer in black women in the United States?
Correct Answer: C
Rationale: Black women have a higher mortality rate from breast cancer than white women and are more likely to die of their disease. In addition, black women are significantly more likely to be diagnosed with regional or distant breast cancer than are white women. These racial differences in mortality rates may be related to an insufficient use of screening measures and a lack of access to health care.
Question 4 of 5
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the nurse hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child is standing. What would be a correct interpretation of these findings?
Correct Answer: B
Rationale: The S3 is a normal finding in children. The venous hum, caused by turbulence of blood flow in the jugular venous system, is common in healthy children and has no pathologic significance. Heart murmurs that are innocent (or functional) in origin are very common through childhood.
Question 5 of 5
The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient. What should the nurse do next?
Correct Answer: C
Rationale: A stronger percussion stroke is needed for obese or muscular individuals.