ATI RN
Vital Signs Assessment Quizlet Questions
Question 1 of 5
The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?
Correct Answer: D
Rationale: A pulse of 48 (bradycardia) with normal BP suggests a cause like medications. Calcium channel blockers or digitalis slow heart rate, a common side effect. Fever increases pulse. Hemorrhage lowers BP, not seen here. COPD doesn't typically cause bradycardia. Choice D is correct, per pharmacology and nursing assessment principles.
Question 2 of 5
Cyanosis is ...
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is caring for a patient who has a pulse rate of 44. His blood pressure is within normal limits WNL. In trying to determine the cause of the patient's low heart rate, the nurse would suspect
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a client's body temperature. Which route provides the most accurate measurement of core body temperature?
Correct Answer: D
Rationale: The rectal route is the most accurate for core body temperature, reflecting blood perfusing the hypothalamus, the body's thermoregulatory center. Oral is convenient but affected by intake or breathing, reducing precision. Axillary is non-invasive but underestimates core temperature by about 1°F due to external influences. Temporal is quick yet less accurate than rectal, as it measures surface arterial flow, not deep core temp. Choice D is correct, per the explanation and nursing standards (e.g., Potter & Perry), as rectal readings closely align with internal physiology, making it the gold standard for critical assessments despite its invasiveness.
Question 5 of 5
A nurse is assessing a client's oxygen saturation and obtains a reading of 98%. What does this reading indicate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.