ATI RN
Vital Signs Health Assessment Questions
Question 1 of 4
A nurse is assessing a client's body temperature and obtains a reading of 102°F (38.9°C). What action should the nurse take?
Correct Answer: B
Rationale: A temperature of 102°F (38.9°C) indicates fever but isn't immediately critical unless accompanied by severe symptoms. Documenting and monitoring allows tracking without overreaction. Antipyretics require orders and symptom context, not just one reading. Cool compresses offer comfort but don't address the cause. Notifying the provider is premature without additional concerns. Choice B is correct, per the explanation and nursing protocol, emphasizing observation over intervention for a moderate fever in stable patients.
Question 2 of 4
Which of the following is an average normal temperature in Centigrade for a healthy adult?
Correct Answer: A
Rationale: Oral 37.0°C is the average normal adult temperature, per the answer key, aligning with 98.6°F. Rectal is typically 0.5°C higher (37.5°C), axillary 0.5°C lower (36.5°C), and tympanic varies but isn't 34.4°C (too low). Oral is standard for its balance of accuracy and convenience, a nursing benchmark for assessing normothermia.
Question 3 of 4
A nurse is assessing the blood pressure on an obese woman. What error might occur if the cuff used is too narrow?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 4
When inspecting the skin of a patient, the nurse notes a bluish tinge to the skin. What condition would the nurse document?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.