ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
Which of the following findings during a respiratory assessment is considered abnormal?
Correct Answer: C
Rationale: The correct answer is C because wheezing during auscultation is considered abnormal in a respiratory assessment. Wheezing indicates narrowed airways, which can be a sign of conditions such as asthma or COPD. Resonance on percussion (A) and symmetrical chest expansion (B) are normal findings. A respiratory rate of 16 breaths per minute (D) falls within the normal range of 12-20 breaths per minute. Therefore, wheezing is the only abnormal finding among the choices provided.
Question 2 of 5
Which technique is used to assess for tactile fremitus during a respiratory examination?
Correct Answer: C
Rationale: The correct answer is C: Palpating the chest while the patient speaks. Tactile fremitus is assessed by palpating the chest while the patient speaks to feel for vibrations caused by the passage of air through the lungs. This technique helps to identify abnormalities in lung tissue density and air content. Percussing the lung fields (A) is used to assess for resonance and dullness, not tactile fremitus. Auscultating for breath sounds (B) is used to assess lung sounds, not tactile fremitus. Inspecting chest wall movement during inspiration (D) is used to assess for respiratory effort and symmetry, not tactile fremitus.
Question 3 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 4 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 5 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.