ATI: VITAL SIGNS QUESTIONS WITH CORRECT ANSWERS

The most important factor in measuring blood pressure accurately is: Correct Answer using a cuff of the appropriate size for the patient When assessing a patient's respiration, it is recommended that the patient: Correct Answer have the head of the bed elevated 45 to 60 degrees. When auscultating a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly and regularly. S2 is produced when the: Correct Answer semilunar valves close To auscultating a patient's apical pulse accurately, you position the bell of the diaphragm of your stethoscope over the point of maximal impulse, which is located: Correct Answer at the fifth intercostal space at the left midclavicular line. You are assessing a patient's vital signs. The patient has a temperature of 102F (39C). Which of the following do you expect to find? Correct Answer An elevated pulse rate The best way to determine the depth of a patient's respiration is to: Correct Answer observe the degree of chest-wall movement during inspiration and expiration When preparing to measure the vital signs of a patient, you should recognize that which of the following will affect the methods that you will use? (Select all that apply) Correct Answer the patient is 60 pounds’ overweight, the patient is reporting a stuffy nose, the patient is taking digoxin, the patient had a mastectomy 2 years ago You have assessed a 45 yr. old patient's vital signs. Which of the following assessment values requires immediate attention? Correct Answer a respiratory rate of 30/min You are preparing to use a tympanic thermometer. Which of the following steps has the highest priority in the accurate use of the piece of equipment for measuring body temperature? Correct Answer Gently pulling the pinna back and upward You are measuring a patient's temperature orally. You place the covered probe: Correct Answer in the posterior lingual pocket lateral to the midline You are assessing the vital signs of a newly admitted patient. To establish an accurate baseline of the patient's respiration, you: Correct Answer observe the patient's chest movements while appearing to assess his pulse When taking a patient's blood pressure, why is it important to notice the pressure on the manometer when you hear the fourth Korotkoff sound or phase? Correct Answer You might not hear a fifth korotkoff sound