ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
Which of the following is an example of a sign?
Correct Answer: B
Rationale: Signs are objective findings observed or measured during the physical exam, like a temperature of 102° F.
Question 2 of 5
During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:
Correct Answer: C
Rationale: Asians and Native Americans are more likely to have dry cerumen, whereas Blacks and Whites usually have wet cerumen.
Question 3 of 5
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?
Correct Answer: A
Rationale: Chest pain that increases with breathing is typically related to the musculoskeletal system, such as costochondritis or pleuritic pain.
Question 4 of 5
Which of these would be formulated by a nurse using diagnostic reasoning?
Correct Answer: C
Rationale: Diagnostic reasoning involves formulating a diagnostic hypothesis based on collected data.
Question 5 of 5
A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, 'I buy obie get spirding and take my train.' What is the best description of this patient's problem?
Correct Answer: D
Rationale: In Wernicke's aphasia, speech is fluent but incomprehensible with word substitutions and made-up words. Patients often have a strong urge to speak but their speech lacks meaningful content.