ATI RN
Assessing Vital Signs Questions
Question 1 of 5
The licensed practice nurse (LPN) provides you with the change-of-shift vital signs on four of your patients. Which patient do you need to assess first?
Correct Answer: A
Rationale: The 84-year-old with pneumonia, RR 28, SpO2 89% is priority due to hypoxemia and tachypnea, risking respiratory failure. BP 160/86 is elevated but stable. Temp 37.3°C is mild. RR 22, BP 148/62 is less acute. Choice A is correct, per ABC prioritization in nursing, addressing airway/breathing threats first.
Question 2 of 5
A nurse is assessing a client's radial pulse and finds it to be 50 beats per minute. What action should the nurse take?
Correct Answer: A
Rationale: A pulse of 50 can be normal, especially in fit individuals, and should be documented unless symptomatic. Monitoring is premature without distress. Tachycardia doesn't apply. Beta-blockers lower pulse, not needed here. Choice A is correct, per the explanation, reflecting nursing judgment based on context.
Question 3 of 5
A nurse is assessing a client's vital signs. Which vital sign reflects the number of times the heart beats per minute?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a patient who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would be likely?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is conducting a health assessment. How will the information collected from the patient be used?
Correct Answer: A
Rationale: Health assessment data forms the basis for the nursing process , per the answer key, guiding diagnosis, planning, and care. Illustrating competence or facilitating caring are secondary benefits, not primary uses. Medical care involves physicians, not nursing focus. Nurses rely on this systematic approach, per Taylor, to prioritize patient needs and interventions effectively.