ATI RN FUNDAMENTALS Vital signs assessment EXAM
2025 ACTUAL EXAM COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.A nurse is planning care for a client who is experiencing tachycardia.
Which of the following interventions should the nurse plan to include?:
Encourage the client to practice relaxation techniques each day.
2.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?: A client
who has stabilized BP measurements.
3.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?: The AP informs the client when they are counting the
respirations.
4.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
informa- tion should the nurse include?: A client who has a blood pressure
of 162/102 mm Hg has stage II hypertension.
5.A charge nurse is reviewing documentation of vital signs by a newly li-
censed nurse. Which of the following pieces of documentation is correct?:
- SaO2 97%, Right Index Finger, Room Air
6.A nurse is assessing a 3-month old infant during a well-child visit.
To get this or any other Exam contact ()
, Which of the following actions should the nurse take when assessing the
apical pulse?: Place the stethoscope over the 4th intercostal space to
the left of the sternum.
7.A nurse is caring for a group of clients. Which of the following clients is
ex- periencing an alteration in their respiratory rate that requires
intervention?: A school-age child who has a respiratory rate of 14/min.
8.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.: A client who is diaphoretic an frequently chewing
ice to relieve dry mouth.
9.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?: A young
adult who has a radial pulse rate of 56/min
10.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?: Body temperature is typically lower in older adults.
11. A nurse is obtaining vital signs for a group of clients. Which of the
following findings requires intervention?: A 11-year old child who has a
respiratory rate of 34/min.
To get this or any other Exam contact ()
2025 ACTUAL EXAM COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.A nurse is planning care for a client who is experiencing tachycardia.
Which of the following interventions should the nurse plan to include?:
Encourage the client to practice relaxation techniques each day.
2.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?: A client
who has stabilized BP measurements.
3.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?: The AP informs the client when they are counting the
respirations.
4.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
informa- tion should the nurse include?: A client who has a blood pressure
of 162/102 mm Hg has stage II hypertension.
5.A charge nurse is reviewing documentation of vital signs by a newly li-
censed nurse. Which of the following pieces of documentation is correct?:
- SaO2 97%, Right Index Finger, Room Air
6.A nurse is assessing a 3-month old infant during a well-child visit.
To get this or any other Exam contact ()
, Which of the following actions should the nurse take when assessing the
apical pulse?: Place the stethoscope over the 4th intercostal space to
the left of the sternum.
7.A nurse is caring for a group of clients. Which of the following clients is
ex- periencing an alteration in their respiratory rate that requires
intervention?: A school-age child who has a respiratory rate of 14/min.
8.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.: A client who is diaphoretic an frequently chewing
ice to relieve dry mouth.
9.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?: A young
adult who has a radial pulse rate of 56/min
10.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?: Body temperature is typically lower in older adults.
11. A nurse is obtaining vital signs for a group of clients. Which of the
following findings requires intervention?: A 11-year old child who has a
respiratory rate of 34/min.
To get this or any other Exam contact ()
