ATI RN
Assess Vital Signs Questions
Question 1 of 5
The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?
Correct Answer: A
Rationale: Radial pulse requires two fingers on the thumb-side groove for accuracy. Thumb distorts. Light touch may miss weak pulses; strong pressure obliterates. Choice A is correct, per nursing technique.
Question 2 of 5
A nurse is assessing a client's pain using a pain scale. Which pain scale is commonly used for children who are too young to verbalize their pain intensity?
Correct Answer: C
Rationale: FPS-R uses faces for non-verbal children to indicate pain. NRS and VAS need verbal skills. Wong-Baker is similar but less revised. Choice C is correct, per the explanation, suiting young children's needs.
Question 3 of 5
What population is at greatest risk for hypertension?
Correct Answer: D
Rationale: African Americans have the highest hypertension risk, per the answer key, due to genetic and socioeconomic factors (e.g., AHA data). Other groups (A, B, C) have lower prevalence. Nurses target this population for screening and education to mitigate cardiovascular risks.
Question 4 of 5
A nurse is preparing a patient for a physical assessment. The patient appears anxious about the assessment. Which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: Explaining the process , per the answer key, reduces anxiety by informing the patient, assuring no pain. Dismissal , warning of pain , or demanding relaxation increase distress. Nurses, per Taylor, prioritize communication to ease fears during assessments.
Question 5 of 5
What is one purpose of documentation of the health assessment?
Correct Answer: B
Rationale: Identifying health problems , per the answer key, is a key documentation purpose, guiding care. Role , knowledge , or evidence are secondary. Nurses, per Taylor, document to prioritize patient needs.