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Vital Signs ATI Test 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 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
Ans: 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
Ans: 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?
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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
Ans: 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
Ans: 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
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b) RR 24
c) SaO2 97% right index finger, room air
d) BP 132/86 mm Hg
Ans: c) SaO2 97% right index finger, room air
A nurse is assessing a three month old infant during a well-
child visit. Which of the following actions should the nurse
take when assessing the apical pulse?
a) count the number of beats heard in 15 seconds and
multiply by 4
b) notify the provider if the apical pulse rate is greater than
110/min
c) place the stethoscope over the 4th intercostal space to the
left of the sternum
d) auscultate the apical pulse for an S4 heart sound
Ans: c) 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 RR that
requires intervention?
a) an adolescent who has a RR of 20/min
b) an older adult with RR of 16/min
c) an infant with RR of 52/min
d) a school-age child who has a RR of 14/min
Ans: d) a school-age child who has a RR of 14/min
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Vital Signs ATI Test 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 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
Ans: 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
Ans: 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?
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,Comprehensive Study 2 Up to Date Content
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
Ans: 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
Ans: 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
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b) RR 24
c) SaO2 97% right index finger, room air
d) BP 132/86 mm Hg
Ans: c) SaO2 97% right index finger, room air
A nurse is assessing a three month old infant during a well-
child visit. Which of the following actions should the nurse
take when assessing the apical pulse?
a) count the number of beats heard in 15 seconds and
multiply by 4
b) notify the provider if the apical pulse rate is greater than
110/min
c) place the stethoscope over the 4th intercostal space to the
left of the sternum
d) auscultate the apical pulse for an S4 heart sound
Ans: c) 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 RR that
requires intervention?
a) an adolescent who has a RR of 20/min
b) an older adult with RR of 16/min
c) an infant with RR of 52/min
d) a school-age child who has a RR of 14/min
Ans: d) a school-age child who has a RR of 14/min
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