ATI RN
Health Assessment Vital Signs Quizlet Questions
Question 1 of 5
Upon admission, the most appropriate person to check on a patients vital signs would be:
Correct Answer: A
Rationale: RN (Registered Nurse), is correct because upon admission, a comprehensive assessment, including vital signs, is typically performed by an RN due to their advanced training and scope of practice. RNs interpret data, identify abnormalities, and develop care plans, making them the most appropriate initial evaluator. LPN (Licensed Practical Nurse), assists with care but often works under RN supervision with a narrower scope. PCT (Patient Care Technician), and CNA (Certified Nursing Assistant), perform basic tasks like taking vital signs but lack the RNs authority to assess and act on findings independently upon admission. Hospital protocols prioritize RNs for initial assessments to ensure accuracy and timely intervention, especially in critical cases. Thus, A is the best choice, reflecting professional standards and patient safety priorities.
Question 2 of 5
A nurse is using a cooling blanket on an adult patient with an uncontrolled fever. Which of the following statements accurately describes a recommended guideline for using this type of equipment?
Correct Answer: A
Rationale: Cooling blankets manage fever effectively with proper use. Positioning with the top edge at the neck ensures full-body coverage, maximizing cooling, making it correct. A rectal probe for comatose patients is accurate but context-specific. Covering with a thick blanket insulates, counteracting cooling. Avoiding lanolin prevents interference but isn't a primary guideline. Choice A is best as it addresses placement, a fundamental step in hypothermia blanket protocols, ensuring efficient heat exchange per nursing standards.
Question 3 of 5
The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?
Correct Answer: B
Rationale: In infants, the brachial artery is preferred for pulse due to accessibility and strength; radial is weak and hard to palpate. Femoral and popliteal are less practical. Choice B is correct, per pediatric norms, ensuring accurate infant pulse assessment.
Question 4 of 5
Vital signs are based on....
Correct Answer: C
Rationale: Vital signs reflect homeostasis , the body's ability to maintain internal stability (e.g., temperature, heart rate). Food processing affects digestion, not vital signs directly. Weight and height inform growth or BMI, not homeostasis monitoring. ‘None of the above' dismisses the correct link. Choice C is correct, as vital signs are physiological markers of homeostatic balance, a principle nurses use to assess health and guide care, per basic pathophysiology.
Question 5 of 5
According to the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, high blood pressure for adults is defined as...
Correct Answer: D
Rationale: NHLBI defines hypertension as 140 mmHg systolic or 90 mmHg diastolic , aligning with clinical standards (e.g., JNC 8). 120/80 is normal/prehypertension. 100/50 is low. 150/100 exceeds but isn't the threshold. Choice D is correct, reflecting NHLBI criteria nurses use to identify and manage high BP, a major cardiovascular risk factor.