ATI RN
Assess Vital Signs Questions
Question 1 of 5
Which of the following is the most common site of a Morton's neuroma?
Correct Answer: C
Rationale: The correct answer is C: the third intermetatarsal space. Morton's neuroma is most commonly found between the third and fourth metatarsal heads. This is due to the anatomical arrangement of the intermetatarsal spaces and the compression and irritation that can occur in this specific area. Choices A, B, and D are incorrect because Morton's neuroma typically occurs in the third intermetatarsal space. The condition is less commonly associated with the other intermetatarsal spaces.
Question 2 of 5
When prescribing physical therapy for a patient with bony metastases, it is prudent to avoid which of the following?
Correct Answer: A
Rationale: The correct answer is A: Resistive exercises in that limb. Bony metastases can weaken bones and increase the risk of fractures. Resistive exercises can put excessive stress on the bones, potentially leading to fractures. It is important to focus on gentle, low-impact exercises to maintain mobility without risking further damage. Active range of motion exercises (choice B) can help maintain flexibility without stressing the bones. Bracing (choice C) can provide support and stability. Cold therapy (choice D) can help with pain and inflammation management but does not directly impact bone strength.
Question 3 of 5
Which critical thinking skill helps the nurse see relationships among the data?
Correct Answer: B
Rationale: The correct answer is B: Clustering related cues. This critical thinking skill helps the nurse to see relationships among the data by grouping together related information. By clustering similar cues, the nurse can identify patterns, trends, and connections that may not be immediately obvious when data is scattered. This process aids in drawing meaningful conclusions and making informed decisions. Validation (choice A) involves confirming the accuracy and reliability of the data, not necessarily seeing relationships among them. Identifying gaps in data (choice C) focuses on recognizing missing information rather than analyzing relationships. Distinguishing relevant from irrelevant (choice D) is important in data analysis but does not specifically address the skill of seeing relationships among data.
Question 4 of 5
Which of the following is not an effect of ultraviolet radiation?
Correct Answer: B
Rationale: The correct answer is B: Decreased muscle spasm. Ultraviolet radiation does not directly affect muscle spasms. Increased vascularization (A) can occur as a response to UV exposure, cell protein changes (C) can be induced by UV radiation, and UV radiation can have a bactericidal (D) effect by damaging microbial DNA. Therefore, choice B is the correct answer as it does not align with the known effects of UV radiation.
Question 5 of 5
Which situation is most appropriate during which the nurse performs a focused or problem-centered history?
Correct Answer: D
Rationale: The correct answer is D because in an outpatient setting for cold and flu symptoms, a focused or problem-centered history is appropriate to quickly assess the current issue. Step 1: Identify the presenting problem - cold and flu symptoms. Step 2: Gather specific information related to the issue. Step 3: Focus on relevant history questions to determine the cause and appropriate intervention. Other choices are incorrect because they may require a comprehensive history for long-term care (A), immediate intervention for severe shortness of breath (B), or pre-operative assessment for surgery (C).