ATI fundamentals Vital Signs
1.establish a baseline when the patient reports no specific health-related
problem.
You got it right. Vital signs are assessed for various reasons that include
deter- mining the patient's response to medical and nursing therapy as well
as iden- tifying clinical problems. However, the primary reason for such
assessment at an initial visit of an apparently well patient is to document
baseline data.
This information will be useful for comparison with vital-sign data obtained
at subsequent visits.: Having recently moved into the area, a 56-year-old
female is having her initial visit with the primary care provider she
selected. The patient denies any chronic or acute illnesses.
You measure & record her vital sign data, whats next?
The primary reason for assessing this patient's
vital signs is to
2.The difference between heat produced by and lost from the body
rationale: Normal body temperature is the healthy balance between the
amounts of heat the body produces as a byproduct of metabolism, muscle
activity, thyroxine output, and sympathetic stimulation and the heat lost as
a result of radiation, conduction, convection, and evaporation.: Which of
the following accurately describes body temperature?
3.B. T = 99.6º F (O): Which of the following temperatures is within the
normal range for adults and is documented correctly?
A. T = 98.6º F
B.T = 99.6º F (O)
C. T = 101.0º F (O)
4.A. The human pulse is the palpable bounding of the blood flow in a
periph- eral artery.: Which of the following is true regarding assessing a
patient's pulse?
A.The human pulse is the palpable bounding of the blood flow in a
peripheral artery.
B.The normal pulse range for a resting adult is 50 to 110 beats/mi
C.Three components that the nurse should include when documenting
pulse (P) are the rate, rhythm, and depth.
D.To calculate the pulse of a patient whose rhythm is irregular, the
nurse should count the pulse rate for 30 seconds and multiply by two.
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, ATI fundamentals Vital Signs
5.B. No
You got it right. Respiration is the mechanism a person uses to introduce
2/
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, ATI fundamentals Vital Signs
oxygen into the body while expelling carbon dioxide into the atmosphere.:
Will your assessment of respiration provide information about your
patient's ability to intake carbon dioxide and to expel oxygen?
6.B. "R = 14/min, normal, regular" is an appropriate documentation of a
patient's respiration.: Which of the following is true regarding assessing a
patient's respiration?
A. It is best to inform the patient that you are assessing her respiration.
B. "R = 14/min, normal, regular" is an appropriate documentation of
a patient's respiration.
C. Occurrence or periods of apnea in an older adult is a normal
respiratory finding.
D. Anxiety and acute pain are two factors that should not affect a
patient's respiratory rate.
7.B. The pressure exerted by the blood during the heart's contraction phase-
: Which of the following describes systolic pressure?
A. The force blood exerts on the wall of a blood vessel during both the
contraction and relaxation phases of the heart
B.The pressure exerted by the blood during the heart's contraction
phase
C. The pressure exerted by the blood during the heart's relaxation phase
8.no: You recorded your patient's blood pressure as 166/88. Is this
within the normal range for an adult?
9.A, C, D, E: Your patient's blood pressure exceeds the upper limit of
the normal range for an adult, so you measure it again.
Which of the following questions would be appropriate to ask your
patient before you reassess her blood pressure?
select all that apply
A. What is your usual blood-pressure reading?
B. Have you eaten anything within the last hour
C. Did you drink any tea, coffee, or soda within the last half hour?
D.Are you currently experiencing any emotional stress such as fear or
anxiety?
E. Have you smoked within the last 15 to 30 minutes?
10.A: How long would you wait before reassessing your patient's blood
pressure on the same arm?
A. 2 to 3 minutes
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16
1.establish a baseline when the patient reports no specific health-related
problem.
You got it right. Vital signs are assessed for various reasons that include
deter- mining the patient's response to medical and nursing therapy as well
as iden- tifying clinical problems. However, the primary reason for such
assessment at an initial visit of an apparently well patient is to document
baseline data.
This information will be useful for comparison with vital-sign data obtained
at subsequent visits.: Having recently moved into the area, a 56-year-old
female is having her initial visit with the primary care provider she
selected. The patient denies any chronic or acute illnesses.
You measure & record her vital sign data, whats next?
The primary reason for assessing this patient's
vital signs is to
2.The difference between heat produced by and lost from the body
rationale: Normal body temperature is the healthy balance between the
amounts of heat the body produces as a byproduct of metabolism, muscle
activity, thyroxine output, and sympathetic stimulation and the heat lost as
a result of radiation, conduction, convection, and evaporation.: Which of
the following accurately describes body temperature?
3.B. T = 99.6º F (O): Which of the following temperatures is within the
normal range for adults and is documented correctly?
A. T = 98.6º F
B.T = 99.6º F (O)
C. T = 101.0º F (O)
4.A. The human pulse is the palpable bounding of the blood flow in a
periph- eral artery.: Which of the following is true regarding assessing a
patient's pulse?
A.The human pulse is the palpable bounding of the blood flow in a
peripheral artery.
B.The normal pulse range for a resting adult is 50 to 110 beats/mi
C.Three components that the nurse should include when documenting
pulse (P) are the rate, rhythm, and depth.
D.To calculate the pulse of a patient whose rhythm is irregular, the
nurse should count the pulse rate for 30 seconds and multiply by two.
1/
16
, ATI fundamentals Vital Signs
5.B. No
You got it right. Respiration is the mechanism a person uses to introduce
2/
16
, ATI fundamentals Vital Signs
oxygen into the body while expelling carbon dioxide into the atmosphere.:
Will your assessment of respiration provide information about your
patient's ability to intake carbon dioxide and to expel oxygen?
6.B. "R = 14/min, normal, regular" is an appropriate documentation of a
patient's respiration.: Which of the following is true regarding assessing a
patient's respiration?
A. It is best to inform the patient that you are assessing her respiration.
B. "R = 14/min, normal, regular" is an appropriate documentation of
a patient's respiration.
C. Occurrence or periods of apnea in an older adult is a normal
respiratory finding.
D. Anxiety and acute pain are two factors that should not affect a
patient's respiratory rate.
7.B. The pressure exerted by the blood during the heart's contraction phase-
: Which of the following describes systolic pressure?
A. The force blood exerts on the wall of a blood vessel during both the
contraction and relaxation phases of the heart
B.The pressure exerted by the blood during the heart's contraction
phase
C. The pressure exerted by the blood during the heart's relaxation phase
8.no: You recorded your patient's blood pressure as 166/88. Is this
within the normal range for an adult?
9.A, C, D, E: Your patient's blood pressure exceeds the upper limit of
the normal range for an adult, so you measure it again.
Which of the following questions would be appropriate to ask your
patient before you reassess her blood pressure?
select all that apply
A. What is your usual blood-pressure reading?
B. Have you eaten anything within the last hour
C. Did you drink any tea, coffee, or soda within the last half hour?
D.Are you currently experiencing any emotional stress such as fear or
anxiety?
E. Have you smoked within the last 15 to 30 minutes?
10.A: How long would you wait before reassessing your patient's blood
pressure on the same arm?
A. 2 to 3 minutes
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16
