ATI RN
Vital Signs Physical Assessment Techniques Questions
Question 1 of 5
A patient has intravenous fluids infusing in the right arm. How should the nurse obtain the blood pressure on this patient?
Correct Answer: B
Rationale: IV fluids in the right arm interfere with accurate blood pressure measurement due to altered circulation and pressure. Taking it in the left arm avoids this, ensuring a reliable reading. Using the right arm risks inaccuracy. A small cuff doesnt address the IV issue and may overestimate pressure. Reporting inability is unnecessary when the left arm is viable. Choice B is correct, reflecting standard practice to use the unaffected limb.
Question 2 of 5
The nurse is preparing to assess the blood pressure of a 3 year old. How should the nurse proceed?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Cyanosis is ...
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep breaths. She has smoked for 35 years and recently lost over 10 pounds. Her vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8°C (98.2°F), and oxygen saturation 94%. She is receiving oxygen at 2 L/min via a nasal cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
Correct Answer: D
Rationale: Oxygen therapy aims to improve oxygenation. Oxygen saturation rising to 96% from 94% shows effectiveness. Temperature isn't oxygen-related. Pulse 112 unchanged suggests persistent tachycardia. RR 24 worsening from 22 isn't positive. Choice D is correct, per nursing focus on SpO2 as the primary indicator of oxygen therapy success in respiratory distress.
Question 5 of 5
The nurse is caring for an elderly patient and notes that his temperature is 96.8°F (36°C). She understands that this patient is
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.