RN Vital Signs Assessment (ATI)
Latest Questions and Graded
Answers
A nurse is planning care for a client who is experiencing
tachycardia. Which of the following interventions should the
nurse plan to include?
Ans: 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?
Ans: 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?
Ans: 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?
Ans: A client who has a blood pressure of 162/102
mm Hg has stage II hypertension.
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A charge nurse is reviewing documentation of vital signs by
a newly licensed nurse. Which of the following pieces of
documentation is correct?
Ans: 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?
Ans: 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?
Ans: 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.
Ans: 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?
Ans: A young adult who has a radial pulse rate of
56/min
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