ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 17 : Vital Signs Questions
Question 1 of 5
A 68-year-old African American female is admitted for hypertension. She is at risk for hypertension based on which of the following?
Correct Answer: A,B,D
Rationale: Smoking, obesity, and alcohol consumption are modifiable risk factors for hypertension.
Question 2 of 5
The nurse would refrain from taking a BP on which of the following areas?
Correct Answer: A,B,C,D
Rationale: BP measurement is contraindicated in areas with amputation, mastectomy, IV infusion, or shunts to avoid injury or inaccurate readings.
Question 3 of 5
The disadvantages of the oral and skin temperatures assessment routes for an adult patient include which of the following?
Correct Answer: A,B,D
Rationale: Oral and skin routes risk fluid exposure, are affected by environmental temperatures, and are unsuitable for confused or unconscious patients.
Question 4 of 5
In which situations would it be inappropriate to delegate the vital sign assessment?
Correct Answer: B,D,E
Rationale: Vital signs require nursing assessment in unstable conditions like altered consciousness, confusion, or acute chest pain.
Question 5 of 5
Which of the following objective vital signs, all taken on adults, have one or more components that fall outside of typical normal ranges?
Correct Answer: B,C,D
Rationale: Normal ranges: BP 100-130/60-80, T 97.8-99°F, P 60-100, R 12-20. Options B (low BP), C (high BP), and D (high T, R) are abnormal.