ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 17 Questions
Question 1 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 2 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.
Question 3 of 5
Uncontrolled hypertension can result in permanent damage of which organs?
Correct Answer: A,D
Rationale: Hypertension damages the heart, eyes, brain, and kidneys due to increased vascular pressure.
Question 4 of 5
You must assess the temperature of an 89-year-old female who is confused, hostile, and combative. Which route would be most appropriate to use?
Correct Answer: C
Rationale: Temporal route is non-invasive, safe, and accurate for confused or combative patients.
Question 5 of 5
Upon assessing the vital signs of a 56-year-old male, you find that he has an apical pulse of 71 bpm and a radial pulse of 62 bpm. Which of the following numbers would be correct to document as the pulse deficit?
Correct Answer: D
Rationale: Pulse deficit is the difference between apical (71) and radial (62) pulses, which is 9.