ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
The nurse is caring for a newborn infant in the hospital nursery and notices that the infant is breathing rapidly but is pink, warm, and dry. Which normal respiratory rate will the nurse consider when planning care for this newborn?
Correct Answer: A
Rationale: Newborn respiratory rate is 30-60 breaths/min; rapid breathing within this is normal if pink, warm, dry. Lower ranges (B, C, D) apply to older ages. Choice A is correct, per neonatal norms, guiding care planning.
Question 2 of 5
Mark each of the following statements as therapeutic or nontherapeutic. h. "No need to cry. Let's move on to a different topic."
Correct Answer: B
Rationale: This statement dismisses the patient's emotions and is nontherapeutic.
Question 3 of 5
The nurse is performing a respiratory assessment and notes decreased tactile fremitus over the left lower lung field. What does this finding most likely indicate?
Correct Answer: B
Rationale: Decreased tactile fremitus is commonly associated with pleural effusion due to fluid accumulation.
Question 4 of 5
The nurse is assessing for clubbing of the fingernails and expects to find:
Correct Answer: D
Rationale: The normal nail is firm at its base and has an angle of 160 degrees. In clubbing, the angle straightens to 180 degrees or greater and the nail base feels spongy.
Question 5 of 5
Which of the following best describes subjective information?
Correct Answer: B
Rationale: Subjective information is based on the patient's personal experience, such as feeling short of breath.