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ATI RN · ATI Fundamentals · Neurological Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following complications can occur in lower extremity burns?

A. Achilles tendon shortening

B. Metatarsophalangeal joint hyperextension

C. Foot drop

D. All of the above

Expert Explanatory Rationale

Correct Answer: All of the above

Question 2 of 5

The nurse is preparing to measure the vital signs of a 6-month-old infant. Which action by the nurse is correct?

A. Respirations are measured; then pulse and temperature.

B. Vital signs should be measured more frequently than in an adult.

C. Procedures are explained to the parent, and the infant is encouraged to handle the equipment.

D. The nurse should first perform the physical examination to allow the infant to become more familiar with her and then measure the infant's vital signs.

Expert Explanatory Rationale

Correct Answer: Respirations are measured; then pulse and temperature.

Question 3 of 5

Which of the following positions should not be used to assess the abdomen?

A. supine

B. dorsal recumbent

C. kneechest

D. Sims

Expert Explanatory Rationale

Correct Answer: dorsal recumbent

Question 4 of 5

During a respiratory assessment, the nurse observes that the patient has bilateral crackles on inspiration. What is the most likely cause of this finding?

A. Pulmonary fibrosis.

B. Pulmonary edema.

C. Pneumonia.

D. Asthma.

Expert Explanatory Rationale

Correct Answer: Pulmonary edema.

Question 5 of 5

The nurse is assessing a patient's extraocular movements. Which cranial nerves are being evaluated?

A. Cranial nerves II, III, and IV.

B. Cranial nerves III, IV, and VI.

C. Cranial nerves V, VI, and VII.

D. Cranial nerves II, V, and VII.

Expert Explanatory Rationale

Correct Answer: Cranial nerves III, IV, and VI.

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