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ATI Vital Signs Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the first step in assessing a client’s vital signs?✔✔Introduce yourself and explain the procedure to gain cooperation.
What is orthostatic hypotension?✔✔A drop in blood pressure when moving from lying to standing, causing dizziness.
Why is the dorsalis pedis pulse assessed during routine vital signs in some patients?✔✔To evaluate peripheral circulation, especially in patients with diabetes or vascular disease.
How does anxiety affect vital signs?✔✔It can cause elevated heart rate, respiratory rate, and blood pressure.
What is one condition where the axillary temperature method may be less reliable?✔✔In febrile or hypothermic patients, due to external factors affecting skin temperature.
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What should a nurse do if the client has a blood pressure of 180/110 mmHg?✔✔Recheck the reading after a few minutes and notify the provider immediately.
How is a pain scale used in vital sign assessment?✔✔It quantifies the client’s reported pain level and is documented as the "fifth vital sign."
When might a tympanic thermometer be contraindicated?✔✔If the patient has an ear infection or ear trauma.
What causes a false high reading in blood pressure?✔✔Using a cuff that is too small or wrapping it too tightly.
How does dehydration influence vital signs?✔✔It can cause increased heart rate and decreased blood pressure.
What is a potential cause of bradypnea in a hospitalized patient?✔✔Use of opioid medications, which suppress the respiratory center.
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What is the best location to assess a client’s core body temperature?✔✔The rectal site provides the most accurate reflection of core body temperature.
What should the nurse do if the client's radial pulse is irregular?✔✔Auscultate the apical pulse for one full minute.
How long should the nurse count respirations if the rate appears abnormal?✔✔Count for one full minute to ensure accuracy.
What is the normal range for adult respiratory rate?✔✔12 to 20 breaths per minute.
Why is it important to avoid using the thumb when palpating a pulse?✔✔The thumb has its own pulse and can lead to inaccurate readings.
When is the best time to assess a client’s respiratory rate?✔✔Immediately after checking the pulse while the client is unaware.
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