1
ATI Module Vital Signs Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
How does the nurse assess a client's pain level during a vital sign check?✔✔Ask the client to rate their pain on a scale from 0 to 10, with 0 being no pain and 10 being the worst possible pain.
What can cause a false low blood pressure reading?✔✔Using a cuff that is too large for the patient’s arm.
How should the nurse assess a client’s radial pulse if it is irregular?✔✔Count the pulse at the apical site for a full minute to get an accurate measurement.
What is the normal range for a healthy adult's temperature?✔✔97°F to 99°F (36.1°C to 37.2°C).
What is the priority action if a client's blood pressure reading is 180/120 mmHg?✔✔Recheck the blood pressure in both arms and notify the healthcare provider immediately. 1 / 2
2
Why should a nurse assess both the systolic and diastolic pressure when measuring blood pressure?✔✔Both values provide critical information about the heart’s ability to pump blood and the resistance in the arteries.
What vital sign is most sensitive to changes in fluid status?✔✔Heart rate, which typically increases with dehydration or fluid loss.
What is the proper technique for measuring a temperature with an electronic thermometer?✔✔Place the thermometer probe in the oral cavity under the tongue and leave it in place until the reading is complete.
How should the nurse interpret a respiratory rate of 22 breaths per minute in an adult?✔✔This is slightly above the normal range and may indicate mild tachypnea, which should be monitored.
What does a pulse oximeter reading of 94% indicate in a healthy adult?
- / 2