RN Vital Signs Assessment (ATI)(Top QUALITY 2024/2025 EXAM REVIEW) FALL TO SPRING SEMESTER//

RN Vital Signs Assessment (ATI) A nurse is planning care for a client who is experiencing tachycardia. Which of the following interventions should the nurse plan to include? - Encourage the client to practice relaxation techniques each day. A nurse is teaching a group of assistive personnel (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 client who has stabilized BP measurements. A nurse is observing an assistive personnel (AP) obtain vital signs from an adult client. Which of the following actions by the AP requires follow up by the nurse? - 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 information should the nurse include? - 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? - SaO2 97%, Right Index Finger, Room Air A nurse is assessing a 3-month old infant during a well-child visit. Which of the following actions should the nurse take when assessing the apical pulse? - 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 respiratory rate that requires intervention? - A school-age child who has a respiratory rate of 14/min. A nurse is planning care for a group of clients. For which of the following clients should the nurse direct an assistive personnel (AP) to obtain a rectal temperature. - A client who is diaphoretic an frequently chewing ice to relieve dry mouth. A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. The nurse should identify that which of the following clients requires a follow-up assessment due to bradycardia? - A young adult who has a radial pulse rate of 56/min A nurse is teaching a group of newly licensed nurses about vital sign measurements. Which of the following factors should the nurse include in the teaching? - Body temperature is typically lower in older adults. A nurse is obtaining vital signs for a group of clients. Which of the following findings requires intervention? - A 11-year old child who has a respiratory rate of 34/min