ATI RN
Neurological Vital Signs Assessment Questions
Question 1 of 5
When taking a blood pressure, it is best practice to...
Correct Answer: C
Rationale: Best practice places the BP cuff on bare skin, upper arm above the elbow , ensuring accurate artery compression. Thick clothing muffles sounds. Crossed legs may elevate readings. Forearm is less reliable. Choice C is correct, per AHA guidelines, critical for nurses to obtain precise BP measurements avoiding common errors.
Question 2 of 5
While attempting to obtain oxygen saturation readings on a toddler, what should the nurse do?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is assessing a client's blood pressure and finds it to be 90/60 mmHg. What action should the nurse take?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse takes a patients vital signs. Which of the following is considered a vital sign?
Correct Answer: C
Rationale: Blood pressure is a core vital sign, alongside temperature, pulse, and respiration, reflecting cardiovascular health by measuring arterial force. Mental status is assessed separately, often via neurological exams, not as a vital sign. Visual acuity evaluates eyesight, unrelated to immediate physiological stability. Urinary output monitors kidney function but isn't a standard vital sign, though it's tracked in critical care. The answer key confirms C, aligning with nursing fundamentals (e.g., Taylor's text), where vital signs are immediate indicators of life-sustaining functions, distinguishing BP's role in routine assessments from other metrics.
Question 5 of 5
A nurse is taking a patients temperature and wants the most accurate measurement, based on core body temperature. What site should be used?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.