ATI RN
Assess Vital Signs Rationale Questions
Question 1 of 5
What is the primary purpose of pulse assessment?
Correct Answer: C
Rationale: Pulse assessment primarily evaluates cardiac status , reflecting heart rate and rhythm, key indicators of cardiovascular function. Blood pressure relates but requires a cuff. Temperature isn't pulse-related. Respiratory status is secondary. Choice C is correct, per nursing fundamentals, as pulse directly monitors heart performance, guiding cardiac care.
Question 2 of 5
Hypothermia is defined as ...
Correct Answer: B
Rationale: Hypothermia is a core temperature below 95°F (35°C), but 96.8°F (36°C) is a practical threshold for early detection . An increase over 96.8°F suggests normothermia or fever. Cyanosis is a symptom, not hypothermia. ‘None' is incorrect. Choice B is correct, aligning with nursing definitions (e.g., CDC) where subnormal temperature signals risk, guiding interventions like warming to prevent complications.
Question 3 of 5
Which of the following patients is most at risk for tachycardia?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The patient's blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is assessing a client's respiratory rate and finds it to be 30 breaths per minute. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.