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ATI RN · ATI Fundamentals · Chapter 12 Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In performing a voice test to assess hearing, which of these actions would the nurse perform?

A. Shield the lips so that the sound is muffled.
B. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
C. Ask the patient to place his finger in his ear to occlude outside noise.
D. Stand approximately 4 feet away to ensure that the patient can really hear at this distance.

Expert Explanatory Rationale

Correct Answer: Whisper a set of random numbers and letters, and then ask the patient to repeat them.

Question 2 of 5

A 68-year-old retired postman presents with dull, intermittent left-sided chest pain over several weeks, occurring after physical activity. The pain radiates to the left jaw and resolves with rest.

A. Angina pectoris
B. Pericarditis
C. Dissecting aortic aneurysm
D. Pleural pain

Expert Explanatory Rationale

Correct Answer: Angina pectoris

Question 3 of 5

Which of the following best describes the general survey component of the physical examination?

A. It assesses the patient's chief complaint.
B. It includes observations about the patient's appearance, behavior, and mobility.
C. It documents findings from a review of systems.
D. It evaluates the patient's vital signs.

Expert Explanatory Rationale

Correct Answer: It includes observations about the patient's appearance, behavior, and mobility.

Question 4 of 5

A 52-year-old man presents with a complaint of chest pain. The pain is crushing and radiates to his left arm. He has a history of hypertension and diabetes mellitus. His vital signs are as follows: BP 150/90 mm Hg, pulse 105 bpm, and respiratory rate 20 breaths/min. What is the most likely diagnosis?

A. Angina
B. Myocardial infarction
C. Aortic dissection
D. Pulmonary embolism

Expert Explanatory Rationale

Correct Answer: Myocardial infarction

Question 5 of 5

The nurse is performing a neurological assessment and asks the patient to touch their nose with their finger and then touch the nurse's finger. Which aspect of neurological function is being tested?

A. Cerebellar function and coordination.
B. Cranial nerve function.
C. Proprioception.
D. Memory.

Expert Explanatory Rationale

Correct Answer: Cerebellar function and coordination.

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