ATI RN
PN Vital Signs Assessment Questions
Question 1 of 5
A heart rate measurement, or pulse, can be taken at which pulse point?
Correct Answer: D
Rationale: Pulse can be palpated at radial , brachial , dorsalis pedis , and other sites , depending on accessibility and need. All are valid, with radial most common, brachial for infants, and dorsalis pedis for circulation checks. Choice D is correct, per nursing assessment flexibility, allowing pulse detection across peripheral sites to monitor cardiac function.
Question 2 of 5
The nurse is caring for a patient who complains of feeling light-headed and 'woozy.' The nurse checks the patient's pulse and finds that it is irregular. The patient's blood pressure is 100/72. It was 113/80 an hour earlier. What should the nurse do?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is assessing a client's blood pressure and finds it to be different in the two arms. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which of the following patients should have their vital signs monitored at least every 4 hours?
Correct Answer: B
Rationale: A patient hospitalized for high blood pressure requires vital signs every 4 hours to monitor hypertension's impact and treatment efficacy, per acute care protocols. Critical care patients need more frequent checks (e.g., hourly). Long-term care residents (C, D) typically have stable conditions, requiring less frequent monitoring unless specified. The answer key selects B, reflecting nursing prioritization of acute conditions like hypertension over chronic or critical states, ensuring timely intervention for potential complications.
Question 5 of 5
A student nurse assesses a blood pressure on an adult and finds it to be 140/86. What term is used for the top number (140)?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.