ATI RN
Vital Signs Assessment Questions
Question 1 of 4
While the nurse is assessing the patient's respirations, it is important for the patient to
Correct Answer: B
Rationale: Unawareness prevents altered breathing patterns. Awareness changes rate. Estimation isn't standard. No touch is impractical. Choice B is correct, per stealth assessment technique.
Question 2 of 4
A nurse is assessing a client's oxygen saturation level using a pulse oximeter. Which oxygen saturation level indicates the need for immediate intervention?
Correct Answer: D
Rationale: 86% indicates severe hypoxemia, requiring immediate action. 95% is normal. 92% is mild, 89% significant but less urgent. Choice D is correct, per the explanation, reflecting nursing urgency for critical O2 levels.
Question 3 of 4
A middle-aged, overweight adult man has had hypertension for 15 years. What pathologic event is he most at risk for?
Correct Answer: A
Rationale: Stroke is the greatest risk with long-term hypertension, per the answer key, due to arterial damage. Anemia , cancer , and infection aren't directly linked. Nurses prioritize stroke prevention in hypertensive patients, a key chronic disease outcome.
Question 4 of 4
What would a nurse ensure before beginning a health assessment?
Correct Answer: B
Rationale: A private, quiet, warm, well-lit room , per the answer key, ensures comfort and accuracy. Scheduling , family presence , or physician orders are secondary or unnecessary. Nurses, per Taylor, create optimal environments for effective assessments.