ATI RN
RN Vital Signs Assessment ATI Questions
Question 1 of 5
Which of the following is an accurate guideline to follow when assessing blood pressure using a Doppler ultrasound?
Correct Answer: B
Rationale: Doppler ultrasound enhances BP measurement in low-flow states. Standing isn't required. Centering the cuff over the artery ensures accuracy, a key guideline. Mercury manometers aren't Doppler-specific. Doppler tip placement is technique, not a guideline. Choice B is correct, aligning with proper cuff positioning per Doppler protocols.
Question 2 of 5
Tachycardia when an individual is at rest could indicate...
Correct Answer: D
Rationale: Tachycardia (pulse >100 at rest) can signal infection increasing metabolic demand, dehydration reducing volume, fever elevating heart rate, or all . Each is a physiological stressor. Choice D is correct, as nursing recognizes these common causes, requiring further assessment to pinpoint and address the underlying condition driving the elevated pulse.
Question 3 of 5
A patient has just returned from a liver biopsy and is ordered to lie on her right side for 1 hour. An IV is in the left basilic vein. What site do you instruct the nursing assistive personnel (NAP) to use to obtain a blood pressure reading?
Correct Answer: D
Rationale: Post-liver biopsy, lying on the right side compresses the site, so right arm BP risks inaccuracy or disruption. The IV in the left arm contraindicates that site due to flow interference. Right leg is viable but less common. Left leg avoids both issues, ensuring accuracy. Choice D is correct, per nursing standards prioritizing unaffected limbs for BP in procedural patients, balancing safety and reliability.
Question 4 of 5
The incidence of hypertension is greater in which of the following?
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 body temperature and notices shivering and goosebumps. What action should the nurse take?
Correct Answer: A
Rationale: Shivering and goosebumps indicate the body is raising its temperature, likely due to cold. Warm blankets prevent heat loss and enhance comfort. Antipyretics treat fever, not applicable here. Cool compresses worsen heat loss. Notifying the provider is unnecessary for a normal response. Choice A is correct, per the explanation, reflecting nursing's role in supporting thermoregulation during hypothermia or chills.