ATI RN
Assess Vital Signs Questions
Question 1 of 5
Which statement correctly defines hyperthermia?
Correct Answer: C
Rationale: Hyperthermia is an uncontrolled rise in body temperature when heat production exceeds dissipation , often from external factors or exertion, not set-point shifts. A downward set-point shift isn't hyperthermia. An upward shift defines fever, not hyperthermia. Reduced mechanisms may contribute but isn't the definition. Choice C is correct, distinguishing hyperthermia from fever per nursing pathophysiology, critical for appropriate interventions.
Question 2 of 5
A Normal body temperature can range from...
Correct Answer: C
Rationale: Normal body temperature ranges from 97°F to 99°F (36.1°C to 37.2°C) orally , adjusting slightly by route (e.g., rectal +1°F, axillary -1°F). 95°F to 98°F includes hypothermia. 98°F to 105°F spans fever. 95°F to 100°F is too broad. Choice C is correct, reflecting standard ranges in nursing texts (e.g., Potter & Perry), critical for identifying normothermia versus deviations like fever or hypothermia.
Question 3 of 5
As you are obtaining the oxygen saturation on a 19-year-old college student with severe asthma, you note that she has black nail polish on her nails. You remove the polish from one nail, and she asks you why her nail polish had to be removed. Your best reply is:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?
Correct Answer: A
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 8 breaths per minute. What action should the nurse take?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.