ATI RN · ATI Fundamentals · PN Vital Signs Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
During an assessment of a 20-year-old patient with a 3-day history of nausea and vomiting, the nurse notices dry mucosa and deep vertical fissures in the tongue. These findings are reflective of:
Expert Explanatory Rationale
Correct Answer: Dehydration.
A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not ____ four unrelated words ____.
Expert Explanatory Rationale
Correct Answer: Recall; after a 30-minute delay
During a neurological assessment, the nurse observes that the patient has difficulty walking on their toes. What condition is most likely associated with this finding?
Expert Explanatory Rationale
Correct Answer: Cerebellar ataxia.
The nurse is performing an abdominal assessment and detects a pulsatile mass in the midline of the abdomen. What condition is most likely associated with this finding?
Expert Explanatory Rationale
Correct Answer: Abdominal aortic aneurysm.
A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination the nurse learns that she has diabetes and takes oral hypoglycemic agents. The patient needs to be concerned about which possible effect of her medications?
Expert Explanatory Rationale
Correct Answer: Importance of sunscreen and avoiding direct sunlight
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