Vital Signs ATI Exam Questions with Correct Answers 100% and
Answers with Verified Solutions | Latest 2026 Update
, Q: A nurse is assessing a client's respiration. Which of the following actions should
the nurse take?
Answer:
Elevate the head of the clients bed 45-60 degrees 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 preparing to record the difference between a
clients sys and diastol BP. WHich of the following terms defines this info 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. A nurse is measuring a clients temp orally. Which of the following
actions should the nurse take? Place the probe in the posterior lingual pocket lateral
to the 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. A nurse is collecting data about a clients respiratory
condt. Which of the following actions should the nurse take to determine the depth of
the clients respiration? Observe the degree of chest wall movement during inspiration
and expiration The nurse can determine the depth of respiration subjectively by
evaluating how much chest- wall movement is observed. The movement is generated
by the movements of the diaphragm and intercostal muscles as the client breathes.
With shallow respiration, the nurse will observe
Answers with Verified Solutions | Latest 2026 Update
, Q: A nurse is assessing a client's respiration. Which of the following actions should
the nurse take?
Answer:
Elevate the head of the clients bed 45-60 degrees 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 preparing to record the difference between a
clients sys and diastol BP. WHich of the following terms defines this info 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. A nurse is measuring a clients temp orally. Which of the following
actions should the nurse take? Place the probe in the posterior lingual pocket lateral
to the 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. A nurse is collecting data about a clients respiratory
condt. Which of the following actions should the nurse take to determine the depth of
the clients respiration? Observe the degree of chest wall movement during inspiration
and expiration The nurse can determine the depth of respiration subjectively by
evaluating how much chest- wall movement is observed. The movement is generated
by the movements of the diaphragm and intercostal muscles as the client breathes.
With shallow respiration, the nurse will observe
