ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
Which of the following symptoms is most likely to be documented under the endocrine system in the review of systems?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst. In the endocrine system, increased thirst can be associated with conditions like diabetes insipidus or diabetes mellitus. These conditions affect the regulation of fluids and electrolytes in the body. Increased thirst is a common symptom related to hormonal imbalances in the endocrine system. Summary: - Option B (Chest pain) is more likely related to the cardiovascular system. - Option C (Frequent headaches) can be linked to various systems such as neurology or even stress, but not specifically to the endocrine system. - Option D (Difficulty swallowing) is commonly associated with the digestive system rather than the endocrine system.
Question 2 of 5
The nurse is assessing a patient for signs of dehydration. Which finding is most indicative of dehydration?
Correct Answer: C
Rationale: The correct answer is C: Dry mouth and tongue. Dehydration leads to reduced fluid intake or excessive fluid loss, resulting in decreased saliva production leading to dry mouth and tongue. This is a direct indicator of dehydration. A: Moist mucous membranes are a sign of adequate hydration. B: Increased skin turgor is a sign of dehydration but not as direct as dry mouth and tongue. D: Bounding pulse can be seen in various conditions, not specific to dehydration.
Question 3 of 5
A 60-year-old woman presents with complaints of difficulty swallowing and weight loss. On examination, she has a palpable mass in the left upper abdomen. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis for a 60-year-old woman with difficulty swallowing, weight loss, and a palpable mass in the left upper abdomen is pancreatic cancer. Difficulty swallowing can be indicative of compression of the esophagus by the mass. Weight loss is common in pancreatic cancer due to malabsorption and cancer cachexia. A palpable mass in the left upper abdomen corresponds to the location of the pancreas. Pancreatic cancer commonly presents with these symptoms and signs. Gastric ulcer (B) typically presents with abdominal pain, bloating, and nausea. Cirrhosis (C) usually presents with symptoms related to liver dysfunction such as jaundice and ascites. Cholecystitis (D) presents with right upper quadrant abdominal pain, nausea, and vomiting.
Question 4 of 5
A 60-year-old woman presents with a complaint of painful and swollen joints in her hands, especially in the morning. She also reports stiffness that lasts for over an hour. What is the most likely diagnosis?
Correct Answer: B
Rationale: The most likely diagnosis is Rheumatoid arthritis (RA). RA commonly presents with painful, swollen joints in the hands, particularly in the morning, along with prolonged stiffness. The autoimmune nature of RA causes inflammation, leading to these symptoms. Osteoarthritis (A) typically presents with joint pain that worsens with activity but improves with rest, not specifically in the morning. Gout (C) usually involves sudden, severe pain in a single joint, not multiple joints in the morning. Systemic lupus erythematosus (D) is characterized by a variety of symptoms beyond joint pain, such as skin rashes and fatigue, making it less likely in this case.
Question 5 of 5
The nurse is assessing a patient's abdomen and notes the presence of visible peristalsis. What is the most likely cause of this finding?
Correct Answer: B
Rationale: The correct answer is B: Gastrointestinal obstruction. Visible peristalsis indicates increased movement of the intestines in an attempt to overcome the obstruction. This finding is not associated with normal digestive function (choice A), ascites (choice C), or hernia (choice D). Gastrointestinal obstruction leads to visible peristalsis due to the intestines trying to push contents past the blockage. This assessment finding is crucial for prompt intervention to prevent complications.