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ATI RN · ATI Fundamentals · Rn Vital Signs Assessment ATI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?

A. Recommend that he make an appointment with his physician for a mammogram.

B. Ignore it. Benign breast enlargement in men is not unusual.

C. Explain that this condition may be the result of hormonal changes, and recommend that he be evaluated by his physician.

D. Explain that gynecomastia in men is usually associated with prostate enlargement and recommend that he be thoroughly screened.

Expert Explanatory Rationale

Correct Answer: Explain that this condition may be the result of hormonal changes, and recommend that he be evaluated by his physician.

Question 2 of 5

Tachycardia when an individual is at rest could indicate...

A. Infection

B. Dehydration

C. Fever

D. All of the above

Expert Explanatory Rationale

Correct Answer: All of the above

Question 3 of 5

An examiner is using an ophthalmoscope to examine a patient's eyes. Which technique indicates that the examination is being correctly performed?

A. Using the large full circle of light when assessing pupils that are not dilated.

B. Rotating the lens selector dial to the black numbers to compensate for astigmatism.

C. Using the grid on the lens aperture dial to visualize the external structures of the eye.

D. Rotating the lens selector dial to the red numbers to compensate for myopia.

Expert Explanatory Rationale

Correct Answer: Rotating the lens selector dial to the red numbers to compensate for myopia.

Question 4 of 5

A 45-year-old woman presents with sudden onset of severe, unilateral lower abdominal pain. She also reports nausea and vomiting. On examination, she has tenderness to palpation in the right lower quadrant. What is the most likely diagnosis?

A. Appendicitis

B. Ovarian cyst rupture

C. Pelvic inflammatory disease

D. Ectopic pregnancy

Expert Explanatory Rationale

Correct Answer: Ovarian cyst rupture

Question 5 of 5

A nurse performing physical assessments of residents in a long-term care facility describes to the student nurse common head and neck variations in the older adult. Which of the following accurately defines these variations? Select all that apply.

A. decreased color vision and peripheral vision

B. increased adaptation to light and dark

C. a blue ring around the cornea (arcus senilis)

D. entropion and ectropion

Expert Explanatory Rationale

Correct Answer: decreased color vision and peripheral vision

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