ATI – Module: Vital Signs Pretest and Posttest (Skills Modules 3.0) Correct Answers, 100%

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ATI: VITAL SIGNS PRETEST Question 1: A nurse is preparing to obtain a client’s blood pressure. Which of the following actions should the nurse take to measure the blood pressure accurately? AN... SWER: Use a cuff of the appropriate size for the client. Using the wrong cuff size for the client will result in an erroneous reading. A cuff that is too small will result in a reading that is falsely high and using a cuff that is too big will record a false low. One way to select a cuff is to make sure that the width of the cuff is 40% of the arm circumference where the cuff will be wrapped. The bladder, which is inside the cuff, should surround 80% of the arm circumference. Question 2: A nurse is taking an adult client’s temperature rectally. Which of the following actions should the nurse take? Question 3: A nurse is auscultating a client’s apical pulse to listen to the S1 and S2 heart sounds. S2 heart sounds are heard when which of the following occurs? Question 4: A nurse is establishing baseline for a client’s respirations. Which of the following actions should the nurse take? Question 5: A nurse is obtaining a client’s blood pressure and notices the pressure reading on the manometer when listening to the fourth Korotkoff sound. Which of the following factors does this pressure reading correlate to? Question 6: A nurse is obtaining vital signs from a client. Which of the following findings is the priority for the nurse to report to the provider? Question 7: A nurse is collecting data about a client’s respiratory condition. Which of the following actions should the nurse take to determine the depth of the client’s respiration? Question 8: A nurse is preparing to use a tympanic thermometer to acquire a client’s temperature. Which of the following actions should the nurse take to ensure an accurate reading? Question 9: A nurse is preparing to record the difference between a client’s systolic and diastolic blood pressure. Which of the following terms defines this information when documenting? Question 10: A nurse is preparing to measure a client’s vital signs. The nurse should identify that which of the following factors will affect the methods that are used? (Select all that apply.) Question 11: A nurse is measuring a client’s temperature orally. Which of the following actions should the nurse take? Question 12: A nurse is preparing to auscultate a client’s apical pulse at the point of maximal impulse (PMI). In which of the following locations should the nurse position the stethoscope? Question 13: A nurse is obtaining a client’s vital signs. The client has a new onset of a temperature of 39 C (102 F). Which of the following other vital signs should the nurse expect? Question 14: A nurse is assessing a client’s respiration. Which of the following actions should the nurse take? [Show More]

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