ATI RN · ATI Fundamentals · ATI Vital Signs Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
During an acute episode of dyspnea in chronic obstructive pulmonary disease (COPD) patients, which breathing technique may help to reduce symptoms and the work of breathing?
Expert Explanatory Rationale
Correct Answer: Pursed-lip breathing
Which cranial nerve is being tested when the nurse asks the patient to stick out their tongue?
Expert Explanatory Rationale
Correct Answer: Cranial nerve XII (hypoglossal nerve).
Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn't say anything in response to your question. This is an example of which type of challenging patient?
Expert Explanatory Rationale
Correct Answer: Silent patient
The nurse is assessing a patient's pupils and notes that the pupils constrict when exposed to light but do not constrict when focused on a near object. What does this finding suggest?
Expert Explanatory Rationale
Correct Answer: Failure of the accommodation reflex.
During a cardiovascular assessment, the nurse auscultates a murmur that occurs during diastole. What is the most likely cause of this finding?
Expert Explanatory Rationale
Correct Answer: Mitral stenosis.
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