ATI RN
Vital Signs Assessment Nursing Questions
Question 1 of 5
The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?
Correct Answer: B
Rationale: Chronic lung disease (e.g., COPD) with smoking risks CO2 retention; cautious oxygen use prevents suppressing hypoxic drive while addressing shortness of breath. Paper bag is for hyperventilation. High oxygen risks respiratory depression. CO2 worsens hypoxia. Choice B is correct, per respiratory nursing guidelines.
Question 2 of 5
Some of the signs of respiratory distress are...
Correct Answer: D
Rationale: Respiratory distress includes grunting and nasal flaring as effort signs, raspy breathing from obstruction, and panicked look/sweating from stressall are indicators. Choice D is correct, as nurses identify these clinical signs per respiratory assessment protocols (e.g., PALS), prompting urgent intervention for airway or oxygenation problems.
Question 3 of 5
Which artery is the most appropriate for assessing the pulse of a small child?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. Why is this done?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is assessing a client's oxygen saturation and obtains a reading of 85%. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.