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ATI Vital Signs Test Questions and Answers (2022/2023) | Verified Answers
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ATI Vital Signs Test Questions and Answers (2022/2023) | VerifiedAnswers
1. A nurse is planning care for a client who is experiencing
tachycardia. Which of the following interventions should the nurse
plan to make?
a) instruct the client to increase exercise
b) instruct the client to consume no more than four caffeinated
beverages per day
c) encourage the client to practice relaxation techniques each day
d) encourage the client to engage in pattern paced breathing by panting:
Answer- c) encourage the client to practice relaxation techniques each
day
2. A nurse is teaching a group of 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?
a) a client who has a BP lower than the expected reference range
b) a school-age client
c) a client recovering from extensive abdominal surgery
d) a client who has stabilized BP measurements: Answer- d) a client who
has stabilized BP measurements
3. A nurse is observing an AP obtain vital signs from an adult client.
Which of the following actions by the AP requires follow up by the nurse?
a) the AP pulls the pinna up and back when obtaining a tympanic
, temperature
b) the AP informs the client when they are counting the respirations
c) the AP gently presses down with the pads of two or three fingers over
the radial pulse site
d) the AP selects a blood pressure cuff that is 40% the circumference of
the client's arm: Answer- b) the AP informs the client when they are
counting the respirations
4. 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 should the nurse include?
a) A client diagnosed with an elevated BP when the measurement is
greater than 130/80 mm Hg
b) A client us experiencing a hypertensive crisis when their BP is
greater than 150/90 mm Hg
c) A client who has a BP of 128/86 mm Hg has stage I hypertension
d) A client who has a blood pressure of 162/102 mm Hg has stage II
hyper- tension: Answer- d) A client who has a blood pressure of
162/102 mm Hg has stage II hypertension
5. A charge nurse is reviewing documentation of vital signs by a newly
licensed nurse. Which of the following pieces of documentation is
correct?
a) pulse 52/min
, b) RR 24
c) SaO2 97% right index finger, room air
d) BP 132/86 mm Hg: c) SaO2 97% right index finger, room air
6. A nurse is assessing a three month old infant during a well-child
visit. Which of the following actions should the nurse take when
assessing the apical pulse?
a) count the number of beats heard in 15 seconds and multiply by 4
b) notify the provider if the apical pulse rate is greater than 110/min
c) place the stethoscope over the 4th intercostal space to the left of
the sternum
d) auscultate the apical pulse for an S4 heart sound: c) place the
stethoscope over the 4th intercostal space to the left of the sternum
7. A nurse is caring for a group of clients. Which of the following clients
is experiencing an alteration in their RR that requires intervention?
a) an adolescent who has a RR of 20/min
b) an older adult with RR of 16/min
c) an infant with RR of 52/min
d) a school-age child who has a RR of 14/min: d) a school-age child who
has a RR of 14/min
8. A nurse is planning care for a group of clients. For which of the
following clients should the nurse direct an AP to obtain a rectal
temperature?
a) a toddler who has diarrhea
b) a client who is 1 day post op from hemorrhoid surgery
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