ATI RN
Assessing Vital Signs ATI Questions
Question 1 of 5
A patient has been transferred to your unit from the respiratory intensive care unit, where he has been for the past 2 weeks recovering from pneumonia. He is receiving oxygen via 4 L nasal cannula. His respiratory rate is 26 breaths/min, and his oxygen saturation is 92%. In planning his care, which information is most helpful in determining your priority nursing interventions?
Correct Answer: C
Rationale: Baseline vital signs provide a reference to assess current RR 26 and SpO2 92% against prior recovery, guiding interventions. Activity and meds inform care but not priority. Dyspnea perception is subjective, less critical than objective trends. Choice C is correct, per nursing process emphasizing baseline data for planning effective respiratory care.
Question 2 of 5
A nurse is assessing a client's pulse rate and finds it to be irregularly irregular with no discernible pattern. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
During a physical assessment, the nurse observes that a client's blood pressure is 160/100 mmHg. What action should the nurse take?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
While assessing vital signs of a patient with a head injury and increased intracranial pressure (IICP), a nurse notes that the patients respiratory rate is 8 breaths/min. How will the nurse interpret this finding?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A home health nurse is visiting a patient who recently was hospitalized for repair of a fractured hip. The patient tells the nurse, I have had a lot of pain in my abdomen. What type of assessment would the nurse conduct?
Correct Answer: C
Rationale: A focused assessment , per the answer key, targets the new abdominal pain complaint, narrowing from the hip issue. Comprehensive covers all systems, ongoing partial tracks known conditions, and emergency is for acute crises. Nurses use focused assessments, per Taylor, to address specific symptoms efficiently in home settings.