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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
What is the best approach to take in exploring cultural considerations for patients in pain?
Correct Answer: C
Rationale: Individual assessment is best, as pain perception varies uniquely by culture, not stereotypes . Diversity doesn't negate cultural impact . Social workers assist but nurses primarily assess. Choice C is correct, per holistic nursing practice (e.g., ANA standards), ensuring patient-centered care by understanding personal cultural influences on pain expression and management.
Question 3 of 5
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. The nurse realizes that his rate is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a client's pulse rate and observes an irregular rhythm with skipped beats. What action should the nurse take?
Correct Answer: C
Rationale: Irregular rhythm with skipped beats suggests a potential arrhythmia, requiring provider notification for evaluation. It's not normal . Waiting an hour delays care. Deep breathing doesn't address cardiac issues. Choice C is correct, per the explanation, reflecting nursing's duty to escalate abnormal findings promptly for patient safety.
Question 5 of 5
A nurse is assessing a client's pain and decides to use the FLACC Pain Assessment Scale. Which population is this scale primarily designed for?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.