ATI RN
Neurological Vital Signs Assessment Questions
Question 1 of 5
Which of the following complications can occur in lower extremity burns?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Lower extremity burns can lead to Achilles tendon shortening due to scar tissue formation, metatarsophalangeal joint hyperextension from contractures, and foot drop as a result of nerve damage or muscle weakness. Each complication is a common consequence of severe lower extremity burns. The other choices (A, B, C) are incorrect because they represent individual complications that can arise from lower extremity burns, but in reality, it is common for patients to experience a combination of these issues rather than just one isolated complication.
Question 2 of 5
Which of the following is a contraindication for the use of contrast baths?
Correct Answer: D
Rationale: The correct answer is D - Buerger's disease. Contrast baths involve alternating hot and cold water immersion, which can worsen symptoms in patients with Buerger's disease due to compromised blood flow. For the other options, A: Rheumatoid arthritis and C: Muscular strain are not contraindications, as contrast baths can help with inflammation and improve circulation. B: Complex regional pain syndrome may benefit from contrast baths to help with pain management.
Question 3 of 5
Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?
Correct Answer: A
Rationale: The correct answer is A: Palpation. Palpation is a technique that involves using the sense of touch to assess various aspects such as texture, temperature, moisture, and swelling during a patient assessment. This technique allows the nurse to feel for abnormalities, tenderness, or changes in the patient's body. It is a crucial part of a physical examination as it provides valuable information about the patient's condition. Explanation of why the other choices are incorrect: B: Inspection involves visual examination and does not involve the sense of touch. C: Percussion is a technique that involves tapping the body to assess underlying structures and is not related to using the sense of touch. D: Auscultation involves listening to sounds within the body using a stethoscope and does not involve the sense of touch.
Question 4 of 5
Bill, a 55-year-old man, presents with pain in his epigastrium which lasts for 30 minutes or more at a time and has started recently. Which of the following should be considered?
Correct Answer: D
Rationale: The correct answer is D: All of the above. 1. Epigastric pain lasting 30+ minutes suggests a serious condition. 2. Peptic ulcer: Common cause of epigastric pain, especially if worsened by food. 3. Pancreatitis: Presents with severe epigastric pain that may radiate to the back. 4. Myocardial ischemia: Can manifest as epigastric discomfort, especially in older individuals. Summary: All choices are valid considerations due to the severity and location of the pain, making D the correct answer.
Question 5 of 5
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery and radiation therapy, and a history of hypertension comes to your office for a routine checkup. Which of the following aspects of the physical are important to note when assessing the patient for peripheral vascular disease in the arms?
Correct Answer: D
Rationale: The correct answer is D: Radial pulse, brachial pulse. When assessing for peripheral vascular disease in the arms, it is important to check the radial and brachial pulses. The radial pulse is located at the wrist and is an indicator of arterial flow to the hand, while the brachial pulse is located in the upper arm and is important for assessing arterial flow to the forearm. In this patient with a history of breast cancer and hypertension, checking these pulses can provide valuable information about blood flow to the arms, especially after surgery and radiation therapy. Choices A, B, and C are incorrect because: A: Femoral and popliteal pulses are located in the lower extremities and are not relevant for assessing peripheral vascular disease in the arms. B: Dorsalis pedis and posterior tibial pulses are also located in the lower extremities and do not provide information about arterial flow to the arms. C: Carotid pulse is located in the neck and is