ATI RN
Assess Vital Signs Questions
Question 1 of 4
A nurse is assessing a client's respiratory rate and finds it to be 8 breaths per minute. What action should the nurse take?
Correct Answer: C
Rationale: A rate of 8 (below 12-20) suggests respiratory depression; assessing for distress is priority. It's not normal . Oxygen or bronchodilators need assessment first. Choice C is correct, per the explanation, ensuring nursing addresses potential respiratory compromise.
Question 2 of 4
What population is at greatest risk for hypertension?
Correct Answer: D
Rationale: African Americans have the highest hypertension risk, per the answer key, due to genetic and socioeconomic factors (e.g., AHA data). Other groups (A, B, C) have lower prevalence. Nurses target this population for screening and education to mitigate cardiovascular risks.
Question 3 of 4
A nurse is preparing a patient for a physical assessment. The patient appears anxious about the assessment. Which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: Explaining the process , per the answer key, reduces anxiety by informing the patient, assuring no pain. Dismissal , warning of pain , or demanding relaxation increase distress. Nurses, per Taylor, prioritize communication to ease fears during assessments.
Question 4 of 4
What is one purpose of documentation of the health assessment?
Correct Answer: B
Rationale: Identifying health problems , per the answer key, is a key documentation purpose, guiding care. Role , knowledge , or evidence are secondary. Nurses, per Taylor, document to prioritize patient needs.