ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
A physical therapist measures a patient's resting blood pressure as 138/88 mm Hg. How should the therapist classify this blood pressure reading?
Correct Answer: C
Rationale: A blood pressure of 138/88 mm Hg is classified as stage 1 hypertension according to current guidelines.
Question 2 of 5
After striking their head on a tree while falling from a ladder, the patient is admitted unconscious with nonreactive pupils. Which intervention would be the most dangerous for the client?
Correct Answer: D
Rationale: A lumbar puncture in the presence of increased ICP can cause brain herniation.
Question 3 of 5
The nurse is preparing to assess a hospitalized patient with significant shortness of breath. How should the nurse proceed?
Correct Answer: D
Rationale: In emergencies, a focused assessment is prioritized to address immediate concerns, with the rest done later.
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
The nurse is assessing a patient's mental status and notes that the patient is unable to remember recent events. Which aspect of memory is impaired?
Correct Answer: C
Rationale: Recent memory is the ability to recall information from the past few minutes to a few hours, which is impaired in this case.