ATI RN
Rn Vital Signs Assessment ATI Questions
Question 1 of 5
The nurse is performing a cardiovascular assessment and hears a murmur during diastole. What condition is most likely associated with this finding?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B, Mitral stenosis, is correct: 1. Mitral stenosis causes narrowing of the mitral valve, leading to turbulent blood flow during diastole, resulting in a diastolic murmur. 2. Aortic regurgitation (choice A) involves regurgitation of blood back into the left ventricle during diastole, causing a systolic murmur. 3. Tricuspid regurgitation (choice C) and pulmonary hypertension (choice D) also present with systolic murmurs, not diastolic as in the scenario described. In summary, the diastolic murmur heard during the cardiovascular assessment is most likely associated with mitral stenosis due to the narrowed mitral valve causing turbulent blood flow during diastole, differentiating it from the other choices.
Question 2 of 5
A patient has a blood pressure reading of 130/90 mm Hg when visiting a clinic. What would the nurse recommend to the patient?
Correct Answer: A
Rationale: A blood pressure of 130/90 mmHg is mildly elevated (prehypertension or Stage 1 hypertension). Follow-up measurements are recommended to confirm if its persistent, as a single reading isnt diagnostic. Immediate treatment is premature without trends. Assuming anxiety dismisses the need for monitoring, which is risky. Dietary changes may help long-term but arent the first step. Choice A aligns with guidelines (e.g., AHA) for tracking blood pressure over time to establish a pattern, ensuring proper management.
Question 3 of 5
Which of the following is an accurate guideline to follow when assessing blood pressure using a Doppler ultrasound?
Correct Answer: B
Rationale: Doppler ultrasound enhances BP measurement in low-flow states. Standing isn't required. Centering the cuff over the artery ensures accuracy, a key guideline. Mercury manometers aren't Doppler-specific. Doppler tip placement is technique, not a guideline. Choice B is correct, aligning with proper cuff positioning per Doppler protocols.
Question 4 of 5
The nurse is caring for an older-adult patient and notes that the temperature is 96.8°F (36°C). How will the nurse interpret this?
Correct Answer: A
Rationale: Older adults often have lower baseline temperatures (e.g., 96.8°F) due to slower metabolism; is normal. Too high or infection doesn't fit without symptoms. Intervention is unnecessary. Choice A is correct, per geriatric nursing norms.
Question 5 of 5
Tachycardia when an individual is at rest could indicate...
Correct Answer: D
Rationale: Tachycardia (pulse >100 at rest) can signal infection increasing metabolic demand, dehydration reducing volume, fever elevating heart rate, or all . Each is a physiological stressor. Choice D is correct, as nursing recognizes these common causes, requiring further assessment to pinpoint and address the underlying condition driving the elevated pulse.