ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?
Correct Answer: B
Rationale: According to JNC 7 guidelines, prehypertension is defined as systolic readings of 120-139 mm Hg or diastolic readings of 80-89 mm Hg.
Question 2 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located at the back of the knee?
Correct Answer: B
Rationale: The popliteal pulse is located behind the knee, where the femoral artery passes through the popliteal fossa.
Question 3 of 5
The patient's record, laboratory studies, objective data, and subjective data combine to form the:
Correct Answer: A
Rationale: The data base includes all collected information, such as records and study results.
Question 4 of 5
Which of these would be formulated by a nurse using diagnostic reasoning?
Correct Answer: C
Rationale: Diagnostic reasoning involves formulating a diagnostic hypothesis based on collected data.
Question 5 of 5
Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It sounds like a triplet rather than the usual "lub dup." How would you document your examination?
Correct Answer: C
Rationale: A regularly irregular rhythm, such as every fourth beat sounding different, is consistent with a pattern like a ventricular bigeminy or trigeminy.