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ATI RN · ATI Fundamentals · Vital Signs Assessment Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope:

A. Is often used to direct light onto the sinuses.

B. Uses a short, broad speculum to help visualize the ear.

C. Is used to examine the structures of the internal ear.

D. Directs light into the ear canal and onto the tympanic membrane.

Expert Explanatory Rationale

Correct Answer: Directs light into the ear canal and onto the tympanic membrane.

Question 2 of 5

Which position should be avoided after total hip arthroplasty using an anterior approach?

A. Bridging

B. Adduction crossing midline

C. Sitting on regular toilet seat

D. Cross legs

Expert Explanatory Rationale

Correct Answer: Bridging

Question 3 of 5

During a musculoskeletal assessment, the nurse notes that the patient has limited range of motion in the shoulder. What is the most likely cause of this finding?

A. Frozen shoulder (adhesive capsulitis).

B. Osteoarthritis.

C. Rheumatoid arthritis.

D. Bursitis.

Expert Explanatory Rationale

Correct Answer: Frozen shoulder (adhesive capsulitis).

Question 4 of 5

The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the client's peripheral response to pain?

A. Sternal rub.

B. Nail bed pressure.

C. Pressure on the orbital rim.

D. Squeezing of the sternocleidomastoid muscle.

Expert Explanatory Rationale

Correct Answer: Nail bed pressure.

Question 5 of 5

Two nurses are taking an apical-radial pulse and note a difference in pulse rate of 8 beats/min. How will the nurse document this difference?

A. Pulse deficit

B. Pulse amplitude

C. Ventricular rhythm

D. Heart arrhythmia

Expert Explanatory Rationale

Correct Answer: Pulse deficit

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