ATI RN
Vital Signs and Pain Assessment Questions
Question 1 of 5
Tachycardia when an individual is at rest could indicate...
Correct Answer: D
Rationale: Tachycardia (pulse >100 at rest) can signal infection increasing metabolic demand, dehydration reducing volume, fever elevating heart rate, or all . Each is a physiological stressor. Choice D is correct, as nursing recognizes these common causes, requiring further assessment to pinpoint and address the underlying condition driving the elevated pulse.
Question 2 of 5
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 3 of 5
A nurse is assessing a client's blood pressure and finds it to be 140/90 mmHg on multiple visits. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
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 5 of 5
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.