ATI RN
Vital Signs in Nursing Assessment Questions
Question 1 of 5
The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which of the following techniques is correct when obtaining a patient's blood pressure?
Correct Answer: B
Rationale: Correct BP technique includes ensuring legs are uncrossed to avoid falsely elevated readings from vascular compression. Voiding first isn't required unless bladder distension affects comfort. Talking during inflation distracts and may alter pressure. Averaging readings is recommended for diagnosis, not routine checks. Choice B is correct as a single, critical technique per AHA guidelines, ensuring accuracy. Note: A and D are also valid in broader contextsvoiding reduces discomfort, averaging enhances reliabilitybut B is a fundamental, immediate step nurses must ensure during measurement to prevent common errors, making it the prioritized answer here.
Question 3 of 5
The patient is admitted with shortness of breath and chest discomfort. Which of the following laboratory values could account for the patient's symptoms?
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 body temperature using a tympanic thermometer. How should the nurse position the thermometer for accurate measurement?
Correct Answer: D
Rationale: Tympanic thermometers measure ear canal temperature , reflecting core readings via the tympanic membrane. Oral and rectal are for different devices. Forehead is for temporal thermometers. Choice D is correct, per the explanation and manufacturer guidelines, ensuring accurate placement by aligning with the eardrum for reliable, non-invasive core temperature assessment.
Question 5 of 5
A nurse is assessing a client's oxygen saturation and obtains a reading of 100%. What does this reading indicate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.