ATI module vital signs test Questions with Correct Answers 100% and
Answers with Verified Solutions | Latest 2026 Update
Q: quite visible. A nurse is obtaining vital signs from a client. Which of the
following findings is the priority for the nurse to report to the provider?
Answer:
Respirations 30/min Respirations of 30/min is above the expected reference range of
12 to 20/min and indicates the need for immediate attention. An adult client who has
respirations of 30/min is experiencing shortness of breath, or dyspnea. Without
intervention, this can become a life-threatening situation. A nurse is preparing to
record the difference between a client's systolic and diastolic blood pressure. Which
of the following terms defines this information when documenting? Pulse pressure
The difference between the systolic and diastolic pressures is the pulse pressure. If
the client's blood pressure is 130/85 mm Hg, the pulse pressure is 45 mm Hg. Pulse
pressure can be a predictor of heart conditions, especially in older adults. For
example, an elevated pulse pressure usually reflects stiffness and reduced elasticity
of the aorta, most often due to hypertension or atherosclerosis.
, Q: A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart
sounds. S2 heart sounds are heard when which of the following occurs?
Answer:
When the semilunar valves close The second heart sound, S2, is generated by the
closure of the aortic and pulmonic valves, or semilunar valves, and signals the start
of diastole. S2 is the "dub" heard in the normal "lub-dub" sound. A nurse is preparing
to obtain a clients blood pressure. Which of the following actions should the nurse
take to measure the blood pressure accurately? Use a cuff of the appropriate size for
the client Using the wrong cuff size for the client will result in an erroneous reading.
A cuff that is too small will result in a reading that is falsely high and using a cuff
that is too big will record a false low. One way to select a cuff is to make sure that
the width of the cuff is 40% of the arm circumference where the cuff will be
wrapped. The bladder, which is inside the cuff, should surround 80% of the arm
circumference. A nurse is assessing a client's respiration. Which of the following
actions should the nurse take? Elevate the head of the clients bed 45 degree to 60
degree. This is a comfortable position for most clients and it allows full ventilatory
movement. Discomfort can increase a client's respiratory rate. A nurse is measuring a
client's temperature orally. Which of the following actions should the nurse take?
Place the probe in the posterior lingual pocket lateral to there midline. The heat
produced by superficial blood vessels in the right and the left posterior sublingual
pocket is what generates an accurate oral temperature reading. Inserting the probe
"sideways" into the back of the area under the tongue on the left or the right will
access this area.
Answers with Verified Solutions | Latest 2026 Update
Q: quite visible. A nurse is obtaining vital signs from a client. Which of the
following findings is the priority for the nurse to report to the provider?
Answer:
Respirations 30/min Respirations of 30/min is above the expected reference range of
12 to 20/min and indicates the need for immediate attention. An adult client who has
respirations of 30/min is experiencing shortness of breath, or dyspnea. Without
intervention, this can become a life-threatening situation. A nurse is preparing to
record the difference between a client's systolic and diastolic blood pressure. Which
of the following terms defines this information when documenting? Pulse pressure
The difference between the systolic and diastolic pressures is the pulse pressure. If
the client's blood pressure is 130/85 mm Hg, the pulse pressure is 45 mm Hg. Pulse
pressure can be a predictor of heart conditions, especially in older adults. For
example, an elevated pulse pressure usually reflects stiffness and reduced elasticity
of the aorta, most often due to hypertension or atherosclerosis.
, Q: A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart
sounds. S2 heart sounds are heard when which of the following occurs?
Answer:
When the semilunar valves close The second heart sound, S2, is generated by the
closure of the aortic and pulmonic valves, or semilunar valves, and signals the start
of diastole. S2 is the "dub" heard in the normal "lub-dub" sound. A nurse is preparing
to obtain a clients blood pressure. Which of the following actions should the nurse
take to measure the blood pressure accurately? Use a cuff of the appropriate size for
the client Using the wrong cuff size for the client will result in an erroneous reading.
A cuff that is too small will result in a reading that is falsely high and using a cuff
that is too big will record a false low. One way to select a cuff is to make sure that
the width of the cuff is 40% of the arm circumference where the cuff will be
wrapped. The bladder, which is inside the cuff, should surround 80% of the arm
circumference. A nurse is assessing a client's respiration. Which of the following
actions should the nurse take? Elevate the head of the clients bed 45 degree to 60
degree. This is a comfortable position for most clients and it allows full ventilatory
movement. Discomfort can increase a client's respiratory rate. A nurse is measuring a
client's temperature orally. Which of the following actions should the nurse take?
Place the probe in the posterior lingual pocket lateral to there midline. The heat
produced by superficial blood vessels in the right and the left posterior sublingual
pocket is what generates an accurate oral temperature reading. Inserting the probe
"sideways" into the back of the area under the tongue on the left or the right will
access this area.
