ATI RN
Chapter 12 Vital Signs Assessment Questions
Question 1 of 4
A nurse is assessing a client's respiratory rate. Which technique should the nurse use to accurately measure the respiratory rate?
Correct Answer: A
Rationale: Visual chest observation is the standard, counting breaths per minute accurately. Auscultation assesses sound quality, not rate. Palpation isn't primary. Monitors are less common. Choice A is correct, per the explanation, reflecting nursing's practical approach to respiratory assessment.
Question 2 of 4
A nurse is conducting a health history for a patient with a chronic respiratory problem. What question might the nurse ask to assess for orthopnea?
Correct Answer: C
Rationale: Asking about pillows assesses orthopneadyspnea when lying flatper the answer key. Stairs tests exertion, meds efficacy, and smoking historynot orthopnea. Nurses use this to identify positional breathing issues in respiratory patients.
Question 3 of 4
An adolescent comes to a community health clinic with complaints of vaginal itching and discharge. She believes it is from having sex with her boyfriend. Which of the following responses should the nurse use during the health history to elicit information?
Correct Answer: A
Rationale: Tell me about sexual activity' , per the answer key, is open-ended, encouraging detail without judgment. Choices B, C, and D are accusatory or closed, hindering trust. Nurses, per Taylor, use neutral questions to gather sensitive health history effectively and respectfully.
Question 4 of 4
When assessing the abdomen, which assessment technique is used last?
Correct Answer: D
Rationale: Palpation , per the answer key, is last to avoid altering bowel sounds. Inspection , auscultation , then percussion precede it. Nurses, per Taylor, follow this sequence for accurate abdominal assessment.