ATI VITAL SIGNS TEST WITH CORRECT ANSWERS

A nurse is planning care for a client who is experiencing tachycardia. Which of the following interventions should the nurse plan to make? a) instruct the client to increase exercise b) instruct the client to consume no more than four caffeinated beverages per day c) encourage the client to practice relaxation techniques each day d) encourage the client to engage in pattern paced breathing by panting Correct Answer c) encourage the client to practice relaxation techniques each day A nurse is teaching a group of AP about techniques used to obtain BP. For which of the following clients should the nurse to instruct the AP to obtain an electronic BP measurement? a) a client who has a BP lower than the expected reference range b) a school-age client c) a client recovering from extensive abdominal surgery d) a client who has stabilized BP measurements Correct Answer d) a client who has stabilized BP measurements A nurse is observing an AP obtain vital signs from an adult client. Which of the following actions by the AP requires follow up by the nurse? a) the AP pulls the pinna up and back when obtaining a tympanic temperature b) the AP informs the client when they are counting the respirations c) the AP gently presses down with the pads of two or three fingers over the radial pulse site d) the AP selects a blood pressure cuff that is 40% the circumference of the client's arm Correct Answer b) the AP informs the client when they are counting the respirations A charge nurse in a clinic is preparing an in-service about blood pressure measurements for a group of staff members. Which of the following should the nurse include? a) A client diagnosed with an elevated BP when the measurement is greater than 130/80 mm Hg b) A client us experiencing a hypertensive crisis when their BP is greater than 150/90 mm Hg c) A client who has a BP of 128/86 mm Hg has stage I hypertension d) A client who has a blood pressure of 162/102 mm Hg has stage II hypertension Correct Answer d) A client who has a blood pressure of 162/102 mm Hg has stage II hypertension A charge nurse is reviewing documentation of vital signs by a newly licensed nurse. Which of the following pieces of documentation is correct? a) pulse 52/min b) RR 24 c) SaO2 97% right index finger, room air d) BP 132/86 mm Hg Correct Answer c) SaO2 97% right index finger, room air