10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
RN Vital Signs Assessment (ATI) OMPLETE QUESTIONS
AND ACCURATE DETAILED ANSWERS \VERIFIED 100%
GRADED A+
A nurse is planning care for a A client who is diaphoretic an frequently chewing ice to relieve
group of dry mouth.
clients. For which of the exp: Oral temperatures should not be obtained in
following clients should the clients who have consumed food or liquids or smoked
nurse direct an assistive tobacco products within the previous 30 min. The
personnel (AP) to obtain a client's
rectal temperature? diaphoresis will make it difficult to obtain an accurate
1. A toddler who has diarrhea
temperature via the tympanic membrane or temporal
2. A client who is 1 day
artery. Therefore, the nurse should direct the AP to
postoperative following
obtain this client's temperature rectally.
a hemorrhoidectomy
and
receiving pain medications via
PCA pump
3. An infant who is
receiving intravenous
fluids
4. A client who is diaphoretic
and
frequently chewing ice to
relieve dry mouth
A nurse is reviewing the A young adult who has a radial pulse rate of 56/min
vital signs for a group of exp: The nurse should identify that a young adult client
clients obtained by an who has a radial pulse rate of 56/min is exhibiting
assistive personnel. The bradycardia. The nurse should confirm the pulse rate by
nurse should identify that auscultating the apical pulse for 1 min, as well as
which of the following assessing the client for manifestations of bradycardia
clients requires a such as fatigue, dizziness, or shortness of breath.
follow-up assessment due to
bradycardia?
1. A school-age child who
has an apical pulse rate
/ 1/39
,10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
of 78/min
2. A young adult who has a
radial pulse rate of 56/min
3. An adolescent who has a
radial pulse rate of
76/min
4. An older adult who has
an apical pulse rate of
62/min
A nurse is teaching a Body temperature is typically lower in older adults.
group of newly licensed exp: The nurse should identify that body temperature is
nurses about vital generally slightly lower in older adults than in younger
sign adults and children.
measurements. Which of
the following factors
should the nurse include
in the teaching?
1. Anxiety can cause a
decrease in
respiratory rate.
2. Body temperature is
typically lower in older
adults.
3. Caffeine can cause a
temporary
decrease in pulse rate in
adolescents.
4. Blood pressure slightly
decreases
immediately following the use
of nicotine.
/ 2/39
,10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
A nurse is obtaining vital A 11-year old child who has a respiratory rate of 34/min.
signs for a group of clients. exp: The nurse should identify that a respiratory rate of
Which of the following 34/min is above the expected reference range of 18 to
findings requires 30/min for a school-age child. This finding requires
intervention by the nurse.
intervention?
1. A 17-year-old who has a
respiratory rate of 16/min
2. A young adult who has a
pulse rate of 98/min
3. An 11-year-old child
who has a
respiratory rate of
34/min
4. An older adult who has a
pulse rate of 62/min
A nurse is reviewing the A young adult who has an apical pulse rate of 104/min.
vital signs for a group of exp: The nurse should identify that a pulse rate of
clients. Which of the 104/min is above the expected reference range of 60 to
following clients should 100/min for a young adult. Therefore, this client is
the nurse identify as exhibiting tachycardia. The nurse should allow the client
exhibiting tachycardia? to rest in a comfortable position and recheck the apical
1. An infant who has an
pulse rate. If it remains elevated, the nurse should
apical pulse rate of notify the
132/min provider.
2. A preschooler who has
an apical pulse rate of
108/min
3. A young adult who has
an apical pulse rate of
104/min
4. An older adult who has an
apical pulse
rate of 96/min
/ 3/39
, 10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
A charge nurse is teaching a Recording vital signs provides critical information
group of assistive regarding a client's condition. exp:Vital signs,
personnel (AP) about the including blood pressure, temperature, pulse,
importance of documenting respiratory rate, and SaO2, reflect the client's current
accurate vital signs. Which health status and will vary according to changes in the
of the following client's health condition, such as infection, stress, pain,
information should the or bleeding, and should be recorded accurately and
charge nurse include in in a timely manner.
the
teaching?
1. Record vital signs at the end
of each shift.
2. Recording vital signs
provides critical
information regarding a
client's condition.
3. Obtaining and
documenting baseline
vital signs is the
responsibility of the AP.
4. It is not necessary to
record electronic blood
pressure measurements.
A nurse is preparing to obtain Apex of the heart.
a young exp:The nurse should identify that the apical pulse is
adult client's apical pulse. auscultated over the apex of the client's heart for a client
In which of the following who is older than 7 years of age. This is located between
locations should the nurse the 5th intercostal space to the left of the client's
place their stethoscope to sternum.
auscultate the client's
pulse.
1. Apex of the heart
2. Right side of sternum
3. 4th intercostal space
4. Midclavicular line below
right clavicle
/ 4/39
RN Vital Signs Assessment (ATI) OMPLETE QUESTIONS
AND ACCURATE DETAILED ANSWERS \VERIFIED 100%
GRADED A+
A nurse is planning care for a A client who is diaphoretic an frequently chewing ice to relieve
group of dry mouth.
clients. For which of the exp: Oral temperatures should not be obtained in
following clients should the clients who have consumed food or liquids or smoked
nurse direct an assistive tobacco products within the previous 30 min. The
personnel (AP) to obtain a client's
rectal temperature? diaphoresis will make it difficult to obtain an accurate
1. A toddler who has diarrhea
temperature via the tympanic membrane or temporal
2. A client who is 1 day
artery. Therefore, the nurse should direct the AP to
postoperative following
obtain this client's temperature rectally.
a hemorrhoidectomy
and
receiving pain medications via
PCA pump
3. An infant who is
receiving intravenous
fluids
4. A client who is diaphoretic
and
frequently chewing ice to
relieve dry mouth
A nurse is reviewing the A young adult who has a radial pulse rate of 56/min
vital signs for a group of exp: The nurse should identify that a young adult client
clients obtained by an who has a radial pulse rate of 56/min is exhibiting
assistive personnel. The bradycardia. The nurse should confirm the pulse rate by
nurse should identify that auscultating the apical pulse for 1 min, as well as
which of the following assessing the client for manifestations of bradycardia
clients requires a such as fatigue, dizziness, or shortness of breath.
follow-up assessment due to
bradycardia?
1. A school-age child who
has an apical pulse rate
/ 1/39
,10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
of 78/min
2. A young adult who has a
radial pulse rate of 56/min
3. An adolescent who has a
radial pulse rate of
76/min
4. An older adult who has
an apical pulse rate of
62/min
A nurse is teaching a Body temperature is typically lower in older adults.
group of newly licensed exp: The nurse should identify that body temperature is
nurses about vital generally slightly lower in older adults than in younger
sign adults and children.
measurements. Which of
the following factors
should the nurse include
in the teaching?
1. Anxiety can cause a
decrease in
respiratory rate.
2. Body temperature is
typically lower in older
adults.
3. Caffeine can cause a
temporary
decrease in pulse rate in
adolescents.
4. Blood pressure slightly
decreases
immediately following the use
of nicotine.
/ 2/39
,10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
A nurse is obtaining vital A 11-year old child who has a respiratory rate of 34/min.
signs for a group of clients. exp: The nurse should identify that a respiratory rate of
Which of the following 34/min is above the expected reference range of 18 to
findings requires 30/min for a school-age child. This finding requires
intervention by the nurse.
intervention?
1. A 17-year-old who has a
respiratory rate of 16/min
2. A young adult who has a
pulse rate of 98/min
3. An 11-year-old child
who has a
respiratory rate of
34/min
4. An older adult who has a
pulse rate of 62/min
A nurse is reviewing the A young adult who has an apical pulse rate of 104/min.
vital signs for a group of exp: The nurse should identify that a pulse rate of
clients. Which of the 104/min is above the expected reference range of 60 to
following clients should 100/min for a young adult. Therefore, this client is
the nurse identify as exhibiting tachycardia. The nurse should allow the client
exhibiting tachycardia? to rest in a comfortable position and recheck the apical
1. An infant who has an
pulse rate. If it remains elevated, the nurse should
apical pulse rate of notify the
132/min provider.
2. A preschooler who has
an apical pulse rate of
108/min
3. A young adult who has
an apical pulse rate of
104/min
4. An older adult who has an
apical pulse
rate of 96/min
/ 3/39
, 10/31/25, 4:44 PM RN Vital Signs Assessment (ATI)
A charge nurse is teaching a Recording vital signs provides critical information
group of assistive regarding a client's condition. exp:Vital signs,
personnel (AP) about the including blood pressure, temperature, pulse,
importance of documenting respiratory rate, and SaO2, reflect the client's current
accurate vital signs. Which health status and will vary according to changes in the
of the following client's health condition, such as infection, stress, pain,
information should the or bleeding, and should be recorded accurately and
charge nurse include in in a timely manner.
the
teaching?
1. Record vital signs at the end
of each shift.
2. Recording vital signs
provides critical
information regarding a
client's condition.
3. Obtaining and
documenting baseline
vital signs is the
responsibility of the AP.
4. It is not necessary to
record electronic blood
pressure measurements.
A nurse is preparing to obtain Apex of the heart.
a young exp:The nurse should identify that the apical pulse is
adult client's apical pulse. auscultated over the apex of the client's heart for a client
In which of the following who is older than 7 years of age. This is located between
locations should the nurse the 5th intercostal space to the left of the client's
place their stethoscope to sternum.
auscultate the client's
pulse.
1. Apex of the heart
2. Right side of sternum
3. 4th intercostal space
4. Midclavicular line below
right clavicle
/ 4/39
