RN Vital Signs Assessment (ATI) Exam Questions with Correct
Answers 100% and Answers with Verified Solutions | Latest 2026
Update
Q: a newly licensed nurse. Which of the following statements should the charge
nurse include?
Answer:
"Hypertension is diagnosed with two elevated measurements on two separate
occasions." A nurse is reviewing the vital signs for a group of clients to determine
the effectiveness of interventions. Which of the following findings indicates an
intervention was effective? An adult client who received medication for pain 30 min
ago now has a respiratory rate of 18/min. A nurse working on a medical-surgical unit
is caring for a group of clients. Which of the following clients' vital signs should the
nurse identify is outside the expected reference range and notify the provider? A
client who has an apical pulse rate of 120/min. A nurse is providing teaching about
thermoregulation to a group of newly licensed nurses. Which of the following
statements should the nurse include in the teaching? "The body lowers body
temperature through sweating." A nurse obtains a client's electronic blood pressure
reading of 188/96 mm Hg. Which of the following actions should the nurse take
next? Obtain a manual blood pressure reading from the client. A charge nurse is
discussing the physiology of the heart with a newly licensed nurse. Which of the
following anatomical sites should the newly licensed nurse identify as the pacemaker
of the heart? Sinoatrial (SA) node A nurse is reviewing blood flow through the heart
with a group of assistive personnel. The nurse should identify that blood flows to
which of the following parts of the heart as it leaves the right ventricle? Pulmonary
artery
, Q: A nurse is reviewing the recent vital signs of a group of clients. Which of the
following clients should the nurse see first?
Answer:
A 52-year-old client who has an SaO2 of 92%. A nurse is preparing an in-service
about peripheral pulses for a group of staff nurses. Which of the following
information should the nurse include? A pulse strength of +1 indicates that the pulse
is weak or diminished upon palpation. A nurse is planning care for a group of clients
and is delegating to the assistive personnel (AP) to take the clients' vital signs. For
which of the following clients should the nurse obtain the vital signs rather than the
AP. A client who has recently admitted and reports chest pain. A nurse is caring for
client who has a heart rate of 118/min. Which of the following actions should the
nurse take to improve the client's heart rate? Encourage the client to reduce intake of
caffeinated soft drinks. A nurse is providing care to a client who has an apical pulse
rate of 54/min and is experiencing dizziness. Which of the following is the nurse's
priority action? Inform the client to ask for assistance with getting out of bed. A
nurse is caring for a client who has hypotension. Which of the following factors
should the nurse identify as a contributing factor to the client's condition? Decrease
in contractility. A nurse is caring for a client who asks about factors that could cause
their pulse rate to increase. Which of the following factors should the nurse include
in their response? Smoking A nurse is reviewing documentation of vital signs by a
newly licensed nurse for an assigned client. Which of the following entries in the
chart requires follow up by the nurse? Pulse rate 116/min, left radial, standing,
immediately following 10 min of ambulating in hall.
Answers 100% and Answers with Verified Solutions | Latest 2026
Update
Q: a newly licensed nurse. Which of the following statements should the charge
nurse include?
Answer:
"Hypertension is diagnosed with two elevated measurements on two separate
occasions." A nurse is reviewing the vital signs for a group of clients to determine
the effectiveness of interventions. Which of the following findings indicates an
intervention was effective? An adult client who received medication for pain 30 min
ago now has a respiratory rate of 18/min. A nurse working on a medical-surgical unit
is caring for a group of clients. Which of the following clients' vital signs should the
nurse identify is outside the expected reference range and notify the provider? A
client who has an apical pulse rate of 120/min. A nurse is providing teaching about
thermoregulation to a group of newly licensed nurses. Which of the following
statements should the nurse include in the teaching? "The body lowers body
temperature through sweating." A nurse obtains a client's electronic blood pressure
reading of 188/96 mm Hg. Which of the following actions should the nurse take
next? Obtain a manual blood pressure reading from the client. A charge nurse is
discussing the physiology of the heart with a newly licensed nurse. Which of the
following anatomical sites should the newly licensed nurse identify as the pacemaker
of the heart? Sinoatrial (SA) node A nurse is reviewing blood flow through the heart
with a group of assistive personnel. The nurse should identify that blood flows to
which of the following parts of the heart as it leaves the right ventricle? Pulmonary
artery
, Q: A nurse is reviewing the recent vital signs of a group of clients. Which of the
following clients should the nurse see first?
Answer:
A 52-year-old client who has an SaO2 of 92%. A nurse is preparing an in-service
about peripheral pulses for a group of staff nurses. Which of the following
information should the nurse include? A pulse strength of +1 indicates that the pulse
is weak or diminished upon palpation. A nurse is planning care for a group of clients
and is delegating to the assistive personnel (AP) to take the clients' vital signs. For
which of the following clients should the nurse obtain the vital signs rather than the
AP. A client who has recently admitted and reports chest pain. A nurse is caring for
client who has a heart rate of 118/min. Which of the following actions should the
nurse take to improve the client's heart rate? Encourage the client to reduce intake of
caffeinated soft drinks. A nurse is providing care to a client who has an apical pulse
rate of 54/min and is experiencing dizziness. Which of the following is the nurse's
priority action? Inform the client to ask for assistance with getting out of bed. A
nurse is caring for a client who has hypotension. Which of the following factors
should the nurse identify as a contributing factor to the client's condition? Decrease
in contractility. A nurse is caring for a client who asks about factors that could cause
their pulse rate to increase. Which of the following factors should the nurse include
in their response? Smoking A nurse is reviewing documentation of vital signs by a
newly licensed nurse for an assigned client. Which of the following entries in the
chart requires follow up by the nurse? Pulse rate 116/min, left radial, standing,
immediately following 10 min of ambulating in hall.
