ATI skills module 3.0 vital signs Exam Questions & Answers

ATI skills module 3.0 vital signs Exam Questions & Answers A nurse is ausculating a clients apical pulse to listen to the s1 and s2 heart sounds. S2 hear sounds are heard when which of the following occurs - Ans ️️ -The second heart sound s2 is generated by the closure of the aortic and pulmonic valves, or semilunar valves, and signals the start of diastole. S2 is the "dub" heard in the normal "lub Dub" A nurse is establishing baseline for a clients respirations. Which of the following actions should the nurse take? - Ans ️️ -observe the clients chest movements while appearing to assess their pulse A nurse is obtaining a clients blood pressure and notices the pressure reading on the manometer when listening to the fourth korotkoff sound. which of the following factors does this pressure reading correlate to? - Ans ️️ -It might not follow with a fifth korotkoff sound. Repiration of 30 min is above the expected refrence range of 12 to 20 min and indicates the need for immediate attention. An adult client who has respirations of 30/min is experiencing shortness of breath, or dyspnea. without intervention this can become a life threating situation - Ans ️️ - The nurse can determine the depth of respiration subjectively by evaluating how much chest wall as the client breathes. with shallow respirations the nurse will observer very little movement. deep respiration involves full expansion of the lungs, which usually quite visible. - Ans ️️ - The difference between systolic and diastolic pressure is the pulse pressure. If the clients blood pressure is 130/85 mm Hg, the pulse pressure is 45 mm - Ans ️️ - to locate the PMI the nurse should first locate the angle of louis, a bony prominence just below the suprasternal notch. - Ans ️️ -to take clients apical pulse elevate the head of the clients bed 45 to 60 degrees - Ans ️️ -to assess clients respiration vital signs - Ans ️️ -temperature, pulse, respirations, and blood pressure