RN VITAL SIGNS ASSESSMENT (ATI)
A nurse is planning care for a client who is experiencing tachycardia. Which of the
following interventions should the nurse plan to include? - correct answer Encourage the
client to practice relaxation techniques each day.
A nurse is teaching a group of assistive personnel (AP) about techniques used to obtain
BP. For which of the following clients should the nurse to instruct the AP to obtain an
electronic BP measurement? - correct answer A client who has stabilized BP
measurements.
A nurse is observing an assistive personnel (AP) obtain vital signs from an adult client.
Which of the following actions by the AP requires follow up by the nurse? - correct
answer The AP informs the client when they are counting the respirations.
A charge nurse in a clinic is preparing an in-service about blood pressure measurements
for a group of staff members. Which of the following information should the nurse
include? - correct answer A client who has a blood pressure of 162/102 mm Hg has stage
II hypertension.
A charge nurse is reviewing documentation of vital signs by a newly licensed nurse.
Which of the following pieces of documentation is correct? - correct answer SaO2 97%,
Right Index Finger, Room Air
A nurse is assessing a 3-month old infant during a well-child visit. Which of the following
actions should the nurse take when assessing the apical pulse? - correct answer Place
the stethoscope over the 4th intercostal space to the left of the sternum.
A nurse is caring for a group of clients. Which of the following clients is experiencing an
alteration in their respiratory rate that requires intervention? - correct answer A school-
age child who has a respiratory rate of 14/min.
A nurse is planning care for a group of clients. For which of the following clients should
the nurse direct an assistive personnel (AP) to obtain a rectal temperature. - correct
answer A client who is diaphoretic an frequently chewing ice to relieve dry mouth.
