ATI RN · ATI Fundamentals · Vital Signs and Pain Assessment

The nurse has palpated a lump in a female patient's right breast. The nurse documents this as a small, round, firm, distinct, lump located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed. No associated retraction of the skin or nipple, no erythema, and no axillary lymphadenopathy are observed. What information is missing from the documentation?

You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint of increased weakness and a history of coronary artery disease and diabetes. You assess the brachial and radial pulses and note that they are bounding. What does that translate to on a scale of 0 to 3?

The nurse is assessing a patient's cranial nerve function and asks the patient to close their eyes and smile. Which cranial nerve is being tested?

When obtaining an oral temperature, after requesting the patient to open the mouth, the probe is gently inserted into:

Variations in body temperature can be caused by...