ATI: VITAL SIGNS
The most important factor in measuring blood pressure accurately is: - correct answer
using a cuff of the appropriate size for the patient
When assessing a patient's respiration, it is recommended that the patient: - correct
answer have the head of the bed elevated 45 to 60 degrees.
When auscultating a patient's apical pulse, you listen until you hear the S1 and S2 heart
sounds clearly and regularly. S2 is produced when the: - correct answer semilunar valves
close
To auscultating a patient's apical pulse accurately, you position the bell of the diaphragm
of your stethoscope over the point of maximal impulse, which is located: - correct
answer at the fifth intercostal space at the left midclavicular line.
You are assessing a patient's vital signs. The patient has a temperature of 102F (39C).
Which of the following do you expect to find? - correct answer An elevated pulse rate
The best way to determine the depth of a patient's respiration is to: - correct answer
observe the degree of chest-wall movement during inspiration and expiration
When preparing to measure the vital signs of a patient, you should recognize that which
of the following will affect the methods that you will use? (Select all that apply) - correct
answer the patient is 60 pounds overweight, the patient is reporting a stuffy nose, the
patient is taking digoxin, the patient had a mastectomy 2 years ago
You have assessed a 45 yr old patient's vital signs. Which of the following assessment
values requires immediate attention? - correct answer a respiratory rate of 30/min
You are preparing to use a tympanic thermometer. Which of the following steps has the
highest priority in the accurate use of the piece of equipment for measuring body
temperature? - correct answer Gently pulling the pinna back and upward
