ATI RN
Vital Signs Health Assessment Questions
Question 1 of 5
According to the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, high blood pressure for adults is defined as...
Correct Answer: D
Rationale: NHLBI defines hypertension as 140 mmHg systolic or 90 mmHg diastolic , aligning with clinical standards (e.g., JNC 8). 120/80 is normal/prehypertension. 100/50 is low. 150/100 exceeds but isn't the threshold. Choice D is correct, reflecting NHLBI criteria nurses use to identify and manage high BP, a major cardiovascular risk factor.
Question 2 of 5
The patient was found unresponsive in her apartment and is being brought to the emergency department. She has arm, hand, and leg edema, her temperature is 95.6°F, and her hands are cold secondary to her history of peripheral vascular disease. It is reported that she has a latex allergy. To quickly measure the patient's oxygen saturation, what should the nurse do?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is assessing a client's body temperature and obtains a reading of 102°F (38.9°C). What action should the nurse take?
Correct Answer: B
Rationale: A temperature of 102°F (38.9°C) indicates fever but isn't immediately critical unless accompanied by severe symptoms. Documenting and monitoring allows tracking without overreaction. Antipyretics require orders and symptom context, not just one reading. Cool compresses offer comfort but don't address the cause. Notifying the provider is premature without additional concerns. Choice B is correct, per the explanation and nursing protocol, emphasizing observation over intervention for a moderate fever in stable patients.
Question 4 of 5
A nurse is assessing a client's oxygen saturation and obtains a reading of 92%. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following is an average normal temperature in Centigrade for a healthy adult?
Correct Answer: A
Rationale: Oral 37.0°C is the average normal adult temperature, per the answer key, aligning with 98.6°F. Rectal is typically 0.5°C higher (37.5°C), axillary 0.5°C lower (36.5°C), and tympanic varies but isn't 34.4°C (too low). Oral is standard for its balance of accuracy and convenience, a nursing benchmark for assessing normothermia.