ATI Vital Signs Exam Questions with Correct Answers 100% Verified| Guaranteed Success
A charge nurse is reviewing the technique for obtaining SaO2 with a group of newly hired
nurses. Identify the order of steps 1- Select site for obtaining measurement
2- apply sensor probe on chosen site
3. confirm pulse rate displayed by palpating
4- wait 15 seconds and observe SaO2 percentage
A nurse is assessing a client who ha orthostatic hypotension. Which actions should the nurse
take? Encourage client to change positions slowly.
A nurse is planning care for a group of clients. Which of the following clients should the nurse
direct an AP to obtain rectal temp? A client who is diaphoretic and chewing ice to relieve dry
mouth
A nurse obtains a clients electronic Bp reading of 188/96 . Which action should nurse take?
Obtain a manual reading of BP
A nurse is discussing the physiology of BP with a group of AP. Which info should the nurse
include? BP is measured and documented in millimeters of mercury
A nurse is assessing a 3 month old infant during a well child visit. Which action should nurse
take while assessing apical pulse? Place stethoscope over the 4th intercostal space to the
left of the sternum
A nurse is planning care for a client who is experiencing tachycardia. Which of the following
interventions should the nurse plan to include? Encourage clients to practice relaxation
techniques daily.
, A charge nurse is discussing the physiology of the heart with newly licensed nurse. Which
anatomical site should the new nurse identify as pace maker of the heart? SA node
A nurse is caring for a client who has a heart rate of 120/min. Which action should nurse take?
Instruct client to bear down like they are having a bowel movement.
A nurse is evaluating the effectiveness of interventions used to address the clients vital signs
that were outside of the expected range. Which finding indicates intervention was effective?
A young adult who is experiencing an asthma attack and has BP of 116/72 mm Hg and using
an inhaler
A nurse is caring for a client who has a heart rate of 118/min. Which action should nurse take to
improve heart rate? Encourage client to reduce intake of caffeinated soft drinks
A charge nurse is discussing mechanisms of loss of body heat with a newly licensed nurse.
Which statement should nurse include? Radiation is the loss of body heat when a client is in
close proximity to cooler surface.
A nurse is caring for a client who has an increase in cardiac output. Which of the following
findings should the nurse expect? Increase in blood pressure
A nurse on a pediatric unit is reviewing the medical records for a group of clients. Which of the
following clients has a vital sign outside of the expected reference range and requires
intervention? 3 year old preschooler who has an apical pulse rate of 144/min.
A nurse is preparing an in service about peripheral pulses for a group of staff nurses. Which info
should the nurse include? A pulse strength of +1 indicates that the pulse is weak or
diminished upon palpation
A charge nurse is reviewing the technique for obtaining SaO2 with a group of newly hired
nurses. Identify the order of steps 1- Select site for obtaining measurement
2- apply sensor probe on chosen site
3. confirm pulse rate displayed by palpating
4- wait 15 seconds and observe SaO2 percentage
A nurse is assessing a client who ha orthostatic hypotension. Which actions should the nurse
take? Encourage client to change positions slowly.
A nurse is planning care for a group of clients. Which of the following clients should the nurse
direct an AP to obtain rectal temp? A client who is diaphoretic and chewing ice to relieve dry
mouth
A nurse obtains a clients electronic Bp reading of 188/96 . Which action should nurse take?
Obtain a manual reading of BP
A nurse is discussing the physiology of BP with a group of AP. Which info should the nurse
include? BP is measured and documented in millimeters of mercury
A nurse is assessing a 3 month old infant during a well child visit. Which action should nurse
take while assessing apical pulse? Place stethoscope over the 4th intercostal space to the
left of the sternum
A nurse is planning care for a client who is experiencing tachycardia. Which of the following
interventions should the nurse plan to include? Encourage clients to practice relaxation
techniques daily.
, A charge nurse is discussing the physiology of the heart with newly licensed nurse. Which
anatomical site should the new nurse identify as pace maker of the heart? SA node
A nurse is caring for a client who has a heart rate of 120/min. Which action should nurse take?
Instruct client to bear down like they are having a bowel movement.
A nurse is evaluating the effectiveness of interventions used to address the clients vital signs
that were outside of the expected range. Which finding indicates intervention was effective?
A young adult who is experiencing an asthma attack and has BP of 116/72 mm Hg and using
an inhaler
A nurse is caring for a client who has a heart rate of 118/min. Which action should nurse take to
improve heart rate? Encourage client to reduce intake of caffeinated soft drinks
A charge nurse is discussing mechanisms of loss of body heat with a newly licensed nurse.
Which statement should nurse include? Radiation is the loss of body heat when a client is in
close proximity to cooler surface.
A nurse is caring for a client who has an increase in cardiac output. Which of the following
findings should the nurse expect? Increase in blood pressure
A nurse on a pediatric unit is reviewing the medical records for a group of clients. Which of the
following clients has a vital sign outside of the expected reference range and requires
intervention? 3 year old preschooler who has an apical pulse rate of 144/min.
A nurse is preparing an in service about peripheral pulses for a group of staff nurses. Which info
should the nurse include? A pulse strength of +1 indicates that the pulse is weak or
diminished upon palpation
