RN Vital Signs Assessment (ATI) Exam Questions with Correct
Answers 100% and Answers with Verified Solutions | Latest 2026
Update
Q: Which of the following medications should the nurse anticipate administering?
Answer:
1. a nicotine product 2. an opioid antagonist 3. an antihypertensive 4. a
bronchodilator A bronchodilator exp: Tachypnea occurs during an asthma attack due
to a constriction in the airways, leading to a decrease in oxygenation. The respiratory
rate increases to compensate for the decrease in oxygen to the tissues. A
bronchodilator decreases inflammation in the lungs, which opens the airways. This
allows for improved oxygenation to the tissues, thereby decreasing the respiratory
rate. 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 the expected reference
range and requires intervention? 1. A 1-month-old infant who has a respiratory rate
of 58/min 2. A 3-year-old preschooler who has an apical pulse rate of 144/min 3. An
8-year-old child who has a respiratory rate of 25/min 4. An 18-month-old toddler
who has an apical pulse rate of 120/min A 3-year-old preschooler who has an apical
pulse rate of 144/min. exp: The nurse should identify that an apical pulse rate of
144/min is above the expected reference range of 75 to 129/min for a preschooler.
This finding requires intervention by the nurse. A nurse is evaluating the
effectiveness of interventions provided to a client who was admitted for decreased
circulation. Which of the following findings requires further intervention by the
nurse?
,Q: 1. Pulse deficit of 0
Answer:
2. Left radial pulse is nonpalpable
3. Peripheral pulse +2 bilateral
4. Brachial pulses are symmetrical Left radial pulse is nonpalpable
exp: Peripheral pulses that are nonpalpable require further intervention by the nurse.
The
nurse should use a Doppler ultrasound stethoscope to auscultate the pulse. The nurse
should
also determine if the client has other manifestations of impaired circulation, such as
cool, pale
skin. The nurse should notify the provider of any unexpected findings.
A nurse is caring for a recently admitted client and as part of the plan of care, two
nurses
obtained simultaneous pulse rates. The client's auscultated apical pulse was 106/min
and the
palpated radial pulse was 93/min. The nurse should document the findings as which
of the
following?
1. Pulse deficit less than 10
2. Radial pulse irregular
3.Apical pulse greater than radial
4. Pulse deficit of 13/min Pulse deficit of 13/min
exp: A pulse deficit is the numerical difference between the apical pulse and a
peripheral pulse
(usually the radial) for 1 min time. This can be caused by atrial fibrillation, aortic
rupture, or
coronary artery disease. The nurse should document the findings in the client's
medical record
and notify the provider if a pulse deficit is present.
A nurse is caring for a client who has an increase in cardiac output. Which of the
following
, findings should the nurse expect?
1. Increase in blood pressure
2. Decrease in respiratory rate
3. Decrease in heart rate
4. Increase in stroke volume Increase in blood pressure
Answers 100% and Answers with Verified Solutions | Latest 2026
Update
Q: Which of the following medications should the nurse anticipate administering?
Answer:
1. a nicotine product 2. an opioid antagonist 3. an antihypertensive 4. a
bronchodilator A bronchodilator exp: Tachypnea occurs during an asthma attack due
to a constriction in the airways, leading to a decrease in oxygenation. The respiratory
rate increases to compensate for the decrease in oxygen to the tissues. A
bronchodilator decreases inflammation in the lungs, which opens the airways. This
allows for improved oxygenation to the tissues, thereby decreasing the respiratory
rate. 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 the expected reference
range and requires intervention? 1. A 1-month-old infant who has a respiratory rate
of 58/min 2. A 3-year-old preschooler who has an apical pulse rate of 144/min 3. An
8-year-old child who has a respiratory rate of 25/min 4. An 18-month-old toddler
who has an apical pulse rate of 120/min A 3-year-old preschooler who has an apical
pulse rate of 144/min. exp: The nurse should identify that an apical pulse rate of
144/min is above the expected reference range of 75 to 129/min for a preschooler.
This finding requires intervention by the nurse. A nurse is evaluating the
effectiveness of interventions provided to a client who was admitted for decreased
circulation. Which of the following findings requires further intervention by the
nurse?
,Q: 1. Pulse deficit of 0
Answer:
2. Left radial pulse is nonpalpable
3. Peripheral pulse +2 bilateral
4. Brachial pulses are symmetrical Left radial pulse is nonpalpable
exp: Peripheral pulses that are nonpalpable require further intervention by the nurse.
The
nurse should use a Doppler ultrasound stethoscope to auscultate the pulse. The nurse
should
also determine if the client has other manifestations of impaired circulation, such as
cool, pale
skin. The nurse should notify the provider of any unexpected findings.
A nurse is caring for a recently admitted client and as part of the plan of care, two
nurses
obtained simultaneous pulse rates. The client's auscultated apical pulse was 106/min
and the
palpated radial pulse was 93/min. The nurse should document the findings as which
of the
following?
1. Pulse deficit less than 10
2. Radial pulse irregular
3.Apical pulse greater than radial
4. Pulse deficit of 13/min Pulse deficit of 13/min
exp: A pulse deficit is the numerical difference between the apical pulse and a
peripheral pulse
(usually the radial) for 1 min time. This can be caused by atrial fibrillation, aortic
rupture, or
coronary artery disease. The nurse should document the findings in the client's
medical record
and notify the provider if a pulse deficit is present.
A nurse is caring for a client who has an increase in cardiac output. Which of the
following
, findings should the nurse expect?
1. Increase in blood pressure
2. Decrease in respiratory rate
3. Decrease in heart rate
4. Increase in stroke volume Increase in blood pressure
