ATI RN
Chapter 12 Vital Signs Assessment Questions
Question 1 of 5
The nurse is caring for a patient who reports feeling light-headed and 'woozy.' The nurse checks the patient's pulse and finds that it is irregular. The patient's blood pressure is 100/72. It was 113/80 an hour earlier. What should the nurse do?
Correct Answer: B
Rationale: Light-headedness, irregular pulse, and a BP drop (100/72 from 113/80) suggest instability (e.g., arrhythmia). Notifying the provider ensures prompt evaluation. More pressure won't clarify irregularity. Dismissing symptoms or delaying risks deterioration. Choice B is correct, per nursing escalation protocols.
Question 2 of 5
You observe a nursing student taking a blood pressure (BP) on a patient. The patient's BP range over the past 24 hours is 132/64 to 126/72 mm Hg. The student used a BP cuff that was too narrow for the patient. Which of the following BP readings made by the student is most likely caused by the incorrect choice of BP cuff?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The patient is found to be unresponsive and not breathing. To determine the presence of central blood circulation and circulation of blood to the brain, the nurse checks the patient's pulse.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing a client's respiratory rate. Which technique should the nurse use to accurately measure the respiratory rate?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is assessing a client's respiratory rate and finds it to be 8 breaths per minute. What action should the nurse take first?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.