ATI RN
Vital Signs Assessment ATI Quizlet Questions
Question 1 of 5
A nurse is caring for a patient who smokes and drinks caffeine. Which point is important for the nurse to understand before she assesses the patient's blood pressure?
Correct Answer: D
Rationale: Caffeine and smoking elevate BP temporarily; assessing post-exposure skews results. Both affect BP (A incorrect). Three-hour delay is impractical. Exercise raises BP. Choice D is correct, per nursing timing considerations.
Question 2 of 5
A nurse is assessing a client's pain and determines that the pain is neuropathic in nature. Which medication would be most appropriate for the nurse to administer?
Correct Answer: D
Rationale: Gabapentin targets neuropathic pain by modulating nerve activity. Acetaminophen and ibuprofen treat general pain, not nerve-specific. Morphine is for severe pain, not first-line for neuropathy. Choice D is correct, per the rationale, aligning with neuropathic pain management.
Question 3 of 5
A nurse walks into a patients room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
Correct Answer: D
Rationale: Immediate reporting is critical for dyspnea, chest pain, bradycardia, and hypotension, per the answer key, signaling potential cardiac or respiratory emergency. Waiting , delaying , or questioning anxiety risks patient safety. Nurses prioritize rapid escalation per ABC protocol to ensure timely intervention.
Question 4 of 5
All of the following patients have a body temperature of 38 C (100.4 F). About which patient would a nurse be most concerned?
Correct Answer: D
Rationale: A 2-month-old with 38°C raises most concern, per the answer key, due to immature immunity and fever's risk in infants. Older adults , pregnant teens , and athletes better tolerate this. Nurses prioritize infants for urgent evaluation.
Question 5 of 5
While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate blowing sounds with equal inspiration and expiration. What type of breath sounds are these?
Correct Answer: B
Rationale: Bronchovesicular , per the answer key, are moderate blowing sounds with equal phases, heard over main bronchi. Bronchial are louder, vesicular softer, adventitious abnormal. Nurses, per Taylor, identify these for lung assessment.