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ATI RN · ATI Fundamentals · PN Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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:

A. Dehydration.
B. Irritation by gastric juices.
C. A normal oral assessment.
D. Side effects from nausea medication.

Expert Explanatory Rationale

Correct Answer: Dehydration.

Question 2 of 5

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 ____.

A. Invent; within 5 minutes
B. Invent; within 30 seconds
C. Recall; after a 30-minute delay
D. Recall; after a 60-minute delay

Expert Explanatory Rationale

Correct Answer: Recall; after a 30-minute delay

Question 3 of 5

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?

A. Cerebellar ataxia.
B. Peripheral neuropathy.
C. Parkinson's disease.
D. Stroke.

Expert Explanatory Rationale

Correct Answer: Cerebellar ataxia.

Question 4 of 5

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?

A. Abdominal aortic aneurysm.
B. Cholecystitis.
C. Pancreatitis.
D. Gastritis.

Expert Explanatory Rationale

Correct Answer: Abdominal aortic aneurysm.

Question 5 of 5

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?

A. Increased possibility of bruising
B. Skin sensitivity as a result of exposure to salt water
C. Lack of availability of glucose-monitoring supplies
D. Importance of sunscreen and avoiding direct sunlight

Expert Explanatory Rationale

Correct Answer: Importance of sunscreen and avoiding direct sunlight

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