ATI RN
Rn Vital Signs Assessment ATI Questions
Question 1 of 5
Which of the following is a contraindication for spinal traction?
Correct Answer: C
Rationale: The correct answer is C: Osteopenia. Osteopenia is a contraindication for spinal traction because it indicates decreased bone density, increasing the risk of fractures during traction. Bursitis (A), cervical radiculopathy (B), and muscle spasm (D) are not contraindications for spinal traction as they can potentially benefit from this treatment modality.
Question 2 of 5
Mrs. LaFarge is a 60-year-old who presents with urinary incontinence. She is unable to get to the bathroom quickly enough when she senses the need to urinate. She has normal mobility. Which of the following is most likely?
Correct Answer: B
Rationale: The correct answer is B: Urge incontinence. This is because Mrs. LaFarge is described as having urgency (not being able to get to the bathroom quickly) which is characteristic of urge incontinence. Stress incontinence (choice A) is associated with leakage of urine during activities that increase intra-abdominal pressure. Overflow incontinence (choice C) is characterized by incomplete bladder emptying leading to constant dribbling of urine. Functional incontinence (choice D) is due to physical or cognitive impairments that prevent a person from reaching the toilet in time. In this case, the inability to get to the bathroom quickly is more indicative of urge incontinence.
Question 3 of 5
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the ______ of the underlying tissue.
Correct Answer: C
Rationale: The correct answer is C: Density. Percussion helps assess the density of underlying tissues by producing different sounds based on the density of the tissue being tapped. Turgor (A) is assessed by skin elasticity, texture (B) refers to the feel of the skin surface, and consistency (D) is the uniformity of a substance. Density is the most relevant choice for assessing underlying tissue characteristics through percussion.
Question 4 of 5
An examiner is using an ophthalmoscope to examine a patient's eyes. Which technique indicates that the examination is being correctly performed?
Correct Answer: D
Rationale: The correct answer is D: Rotating the lens selector dial to the red numbers to compensate for myopia. This is the correct technique because red numbers on the lens selector dial indicate the adjustment for nearsightedness (myopia) by adding concave lenses. This adjustment helps in achieving a clear view of the retina in myopic patients. A: Using the large full circle of light when assessing pupils that are not dilated is incorrect because a smaller circle of light is preferred for assessing undilated pupils to reduce glare. B: Rotating the lens selector dial to the black numbers to compensate for astigmatism is incorrect because astigmatism is corrected by adjusting the cylindrical power, not by using black numbers on the lens selector dial. C: Using the grid on the lens aperture dial to visualize the external structures of the eye is incorrect as the grid is typically used for focusing and not for visualizing external structures.
Question 5 of 5
The nurse is teaching a patient about proper foot care. Which statement by the patient indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer is C: "I will soak my feet in hot water every evening." Soaking feet in hot water can lead to dryness, skin irritation, and potential burns. It is not recommended for foot care. A: Wearing cotton socks helps keep feet dry. B: Inspecting feet daily is important to identify any cuts or sores early. D: Trimming toenails straight across can help prevent ingrown nails. Overall, the incorrect choice (C) poses risks to foot health compared to the other options.