ATI RN
Vital Signs and Pain Assessment Questions
Question 1 of 4
Of the following patients, which one is the best candidate to have his temperature taken orally?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 4
In which of the following situations is it protocol for the nurse to take a patients vital signs? Select all that apply.
Correct Answer: A
Rationale: Upon admission is a key protocol for baseline vital signs, per the answer key (A, B, C, D, E all correct). Healthcare screening , arrhythmia meds , post-diagnostic , and pre-invasive procedures also require checks to assess status or response. A is chosen for CSV, but all apply. Rationale: Admission sets a health benchmark; screenings detect issues; arrhythmia meds affect vitals; diagnostics and procedures risk changes. Nursing standards (e.g., Taylor) mandate these to ensure patient safety and care continuity.
Question 3 of 4
A hospital unit has a policy that rectal temperatures may not be taken on patients who have had cardiac surgery. What rationale supports this policy?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 4
Which of the following can a nurse assess by palpation?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.