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ATI RN · ATI Fundamentals · Assessing Vital Signs ATI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Josh is a 14-year-old boy who presents with a sore throat. On examination, you notice dullness in the last intercostal space in the anterior axillary line on his left side with a deep breath. What does this indicate?

A. His spleen is definitely enlarged and further workup is warranted.

B. His spleen is possibly enlarged and close attention should be paid to further examination.

C. His spleen is possibly enlarged and further workup is warranted.

D. His spleen is definitely normal.

Expert Explanatory Rationale

Correct Answer: His spleen is possibly enlarged and close attention should be paid to further examination.

Question 2 of 5

The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say?

A. "We will need to get a biopsy to determine the cause."

B. "This is an overgrowth of hair and will go away in a few days."

C. "Black, hairy tongue is a fungal infection caused by all the antibiotics you have received."

D. "This is probably caused by the same bacteria you had in your lungs."

Expert Explanatory Rationale

Correct Answer: "Black, hairy tongue is a fungal infection caused by all the antibiotics you have received."

Question 3 of 5

The nurse is caring for an infant and is obtaining the patient's vital signs. The best site for the nurse to obtain the infant's pulse would be the artery.

A. Radial

B. Brachial

C. Femoral

D. Popliteal

Expert Explanatory Rationale

Correct Answer: Brachial

Question 4 of 5

A 17-year-old high school senior presents to your clinic in acute respiratory distress with sudden right-sided chest pain and severe shortness of breath. On auscultation you hear no breath sounds on the right side of his superior chest wall. On percussion he is hyperresonant over the right upper lobe. With palpation he has absent fremitus over the right upper lobe.

A. Spontaneous pneumothorax

B. Chronic obstructive pulmonary disease (COPD)

C. Asthma

D. Pneumonia

Expert Explanatory Rationale

Correct Answer: Spontaneous pneumothorax

Question 5 of 5

During percussion of the abdomen, the nurse notes a dull sound over the liver. What does this indicate?

A. Air-filled organs.

B. Presence of fluid.

C. Normal finding.

D. Presence of a tumor.

Expert Explanatory Rationale

Correct Answer: Normal finding.

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