ATI- Skills Module 3.0- Vital Signs Pretest & Posttest Exam
Questions And Answers 100% Pass
A nurse is preparing to measure a clients vital signs. The nurse should identify that
which of the following factors will affect the methods that are used? - ANSWER 1. The
client who has a BMI of 35
2. The client is rporting a stuffy nose
3. The client is taking digoxin for an irregular heart rate
4. The client had a mastectomy 2 years ago
You are preparing to use a tympanic thermometer. Which of the following actions should
the nurse take to ensure an accurate reading - ANSWER Gently pulling the pinna back
and upward
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? - ANSWER Pulse Pressure
A nurse is an establishing baseline for a client's respiration. Which of the following
actions should the nurse take? - ANSWER Observe the client's chest movements while
appearing to assess their pulse
A nurse is preparing to auscultate a client's apical pulse at the point of maximal
impulses (PMI) In which of the following locations should the nurse position the
stethoscope? - ANSWER Overt the fifth intercostal space at the left midclavicular line
A nurse is measuring a client's temperature orally. Which of the following actions should
the nurse take? - ANSWER Place the probe in the posterior lingual pocket lateral to the
midline
A nurse is auscultating a client's apical pulse to listen o the S1 and S2 heart sounds are
heard when which of the following occurs? - ANSWER When the semilunar valves close
A nurse is preparing to obtain a client's blood pressure. Which of the following actions
should the nurse take to measure the blood pressure accurately? - ANSWER Use a cuff
the appropriate size for the client
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?Oral Temp: 37.8*Resps: 30/minBP 148/88
mm HgRadial Pulse: 45 beats/30 sec - ANSWER Respirations 30/min
A nurse is assessing a client's respiration. Which of the following actions should the
nurse take? - ANSWER Elevate the head of the client's bed 45-60
Questions And Answers 100% Pass
A nurse is preparing to measure a clients vital signs. The nurse should identify that
which of the following factors will affect the methods that are used? - ANSWER 1. The
client who has a BMI of 35
2. The client is rporting a stuffy nose
3. The client is taking digoxin for an irregular heart rate
4. The client had a mastectomy 2 years ago
You are preparing to use a tympanic thermometer. Which of the following actions should
the nurse take to ensure an accurate reading - ANSWER Gently pulling the pinna back
and upward
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? - ANSWER Pulse Pressure
A nurse is an establishing baseline for a client's respiration. Which of the following
actions should the nurse take? - ANSWER Observe the client's chest movements while
appearing to assess their pulse
A nurse is preparing to auscultate a client's apical pulse at the point of maximal
impulses (PMI) In which of the following locations should the nurse position the
stethoscope? - ANSWER Overt the fifth intercostal space at the left midclavicular line
A nurse is measuring a client's temperature orally. Which of the following actions should
the nurse take? - ANSWER Place the probe in the posterior lingual pocket lateral to the
midline
A nurse is auscultating a client's apical pulse to listen o the S1 and S2 heart sounds are
heard when which of the following occurs? - ANSWER When the semilunar valves close
A nurse is preparing to obtain a client's blood pressure. Which of the following actions
should the nurse take to measure the blood pressure accurately? - ANSWER Use a cuff
the appropriate size for the client
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?Oral Temp: 37.8*Resps: 30/minBP 148/88
mm HgRadial Pulse: 45 beats/30 sec - ANSWER Respirations 30/min
A nurse is assessing a client's respiration. Which of the following actions should the
nurse take? - ANSWER Elevate the head of the client's bed 45-60
