ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
Your 95-year-old client's vital signs are as follows: oral T 98.6 F: P (radial) 84 with irregularity: R 18, normal depth, & regular: BP (left arm, sitting) 140/86. Which nursing assessment(s) would be done to obtain more data at this time?
Correct Answer: D
Rationale: The correct answer is D: Apical pulse for one minute. This assessment is crucial in this scenario as the client has an irregular radial pulse. Taking the apical pulse for a full minute allows for a more accurate assessment of the heart rate and rhythm. This can help determine if the irregularity in the radial pulse is significant or not.
A: Positional BP readings - While this can be important in some cases, the priority here is to assess the heart rate and rhythm due to the irregular pulse.
B: Carotid pulse and temperature - The focus should be on obtaining a more accurate assessment of the heart rate and rhythm first.
C: Full respiratory system assessment - This is not the priority based on the vital signs provided.
E, F, G: No additional options provided, but they would likely be less relevant than assessing the heart rate and rhythm.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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