RN Vital Signs Assessment (ATI) questions 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 include? Correct Answer - Encourage the client to practice relaxation techniques each day.
A nurse is teaching a group of assistive personnel (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? Correct Answer - A client who has stabilized BP measurements.
A nurse is observing an assistive personnel (AP) obtain vital signs from an adult client. Which of the following actions by the AP requires follow up by the nurse? Correct Answer - 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 information should the nurse include? Correct Answer - 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? Correct Answer - SaO2 97%, Right Index Finger, Room Air
A nurse is assessing a 3-month old infant during a well-child visit. Which of the following actions should the nurse take when assessing the apical pulse? Correct Answer - Place the stethoscope over the 4th intercostal space to the left of the sternum. A nurse is caring for a group of clients. Which of the following clients is experiencing an alteration in their respiratory rate that requires intervention? Correct Answer - A school-age child who has a respiratory rate of 14/min.
A nurse is planning care for a group of clients. For which of the following clients should the nurse direct an assistive personnel (AP) to obtain a rectal temperature. Correct Answer - A client who is diaphoretic an frequently chewing ice to relieve dry mouth.
A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. The nurse should identify that which of the following clients requires a follow-up assessment due to bradycardia? Correct Answer - A young adult who has a radial pulse rate of 56/min
A nurse is teaching a group of newly licensed nurses about vital sign measurements. Which of the following factors should the nurse include in the teaching? Correct Answer - Body temperature is typically lower in older adults.
A nurse is obtaining vital signs for a group of clients. Which of the following findings requires intervention? Correct Answer - A 11-year old child who has a respiratory rate of 34/min.
A nurse is reviewing the vital signs for a group of clients. Which of the following clients should the nurse identify as exhibiting tachycardia? Correct Answer - A young adult who has an apical pulse rate of 104/min.
A charge nurse is teaching a group of assistive personnel (AP) about the importance of documenting accurate vital signs. Which of the following information should the charge nurse include in the teaching? Correct Answer - Recording vital signs provides critical information regarding a client's condition.
following interventions should the nurse plan to include? Correct Answer - Encourage the client to practice relaxation techniques each day.
A nurse is teaching a group of assistive personnel (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? Correct Answer - A client who has stabilized BP measurements.
A nurse is observing an assistive personnel (AP) obtain vital signs from an adult client. Which of the following actions by the AP requires follow up by the nurse? Correct Answer - 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 information should the nurse include? Correct Answer - 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? Correct Answer - SaO2 97%, Right Index Finger, Room Air
A nurse is assessing a 3-month old infant during a well-child visit. Which of the following actions should the nurse take when assessing the apical pulse? Correct Answer - Place the stethoscope over the 4th intercostal space to the left of the sternum. A nurse is caring for a group of clients. Which of the following clients is experiencing an alteration in their respiratory rate that requires intervention? Correct Answer - A school-age child who has a respiratory rate of 14/min.
A nurse is planning care for a group of clients. For which of the following clients should the nurse direct an assistive personnel (AP) to obtain a rectal temperature. Correct Answer - A client who is diaphoretic an frequently chewing ice to relieve dry mouth.
A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. The nurse should identify that which of the following clients requires a follow-up assessment due to bradycardia? Correct Answer - A young adult who has a radial pulse rate of 56/min
A nurse is teaching a group of newly licensed nurses about vital sign measurements. Which of the following factors should the nurse include in the teaching? Correct Answer - Body temperature is typically lower in older adults.
A nurse is obtaining vital signs for a group of clients. Which of the following findings requires intervention? Correct Answer - A 11-year old child who has a respiratory rate of 34/min.
A nurse is reviewing the vital signs for a group of clients. Which of the following clients should the nurse identify as exhibiting tachycardia? Correct Answer - A young adult who has an apical pulse rate of 104/min.
A charge nurse is teaching a group of assistive personnel (AP) about the importance of documenting accurate vital signs. Which of the following information should the charge nurse include in the teaching? Correct Answer - Recording vital signs provides critical information regarding a client's condition.
