ATI RN
EMT Vital Signs Assessment Questions
Question 1 of 5
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. How should the nurse interpret this finding?
Correct Answer: A
Rationale: Infant pulse ranges from 120-160 beats/min; 145 is normal with regular rhythm. Too fast or slow misaligns with norms. Toddler rates are lower (80-130). Choice A is correct, per pediatric vital sign standards.
Question 2 of 5
The nursing assistive personnel (NAP) UAP reports that a patient's blood pressure is 150/95 mmHg, pulse rate is 98 beats per minute, RR is 20, O2 sat is 98%. What is the pulse pressure?
Correct Answer: A
Rationale: Pulse pressure is systolic BP minus diastolic BP: 150 - 95 = 55 mmHg. However, the closest option is 52 , likely a typo or rounding in the question. 98 is the pulse rate, not pressure. 150 is systolic alone. Insufficient info is incorrect as BP values are given. Choice A is correct, with the calculation (150 - 95) intended to be 55, adjusted to 52 per options, a key nursing skill for assessing arterial dynamics and cardiovascular health.
Question 3 of 5
Of the following values, which value would be considered prehypertension?
Correct Answer: D
Rationale: Prehypertension is 120-139/80-89; 120/80 fits for a middle-aged adult. Child and infant norms are lower. 140/90 is hypertension. Choice D is correct, per JNC 8 classification.
Question 4 of 5
A nurse is assessing a client's oral temperature using an electronic thermometer. How long should the nurse leave the thermometer in place to obtain an accurate reading?
Correct Answer: C
Rationale: Electronic thermometers require about 20 seconds for an accurate oral reading, per manufacturer standards. 5 seconds is too brief, risking error. 10 seconds may suffice for some models but isn't universally reliable. 1 minute is excessive, typically for older devices. Choice C is correct, balancing speed and precision, as explained, aligning with nursing practice for efficient, accurate vital sign collection.
Question 5 of 5
A nurse is assessing a client's pain level. Which pain assessment tool is commonly used for self-reporting pain in adults?
Correct Answer: D
Rationale: The Numeric Rating Scale is standard for adult self-reported pain (0-10). Wong-Baker is for children. FLACC is for non-verbal patients. PAINAD is for dementia. Choice D is correct, per the explanation, aligning with adult pain assessment norms.