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RN Vital Signs Assessment (ATI) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
Why is it necessary to clean the earpieces and diaphragm of a stethoscope?✔✔To prevent the spread of microorganisms between patients.
What should the nurse do if a patient has a BP reading of 168/96?✔✔Recheck after 5 minutes of rest, ensure the correct cuff size was used, and report the elevated BP.
What can deep breathing before BP measurement do to the reading?✔✔It may temporarily lower the blood pressure, leading to a falsely low result.
Why might a patient’s pulse rate be lower than expected during sleep?✔✔Because heart rate typically slows during rest and sleep due to decreased metabolic demand.
What causes a widened pulse pressure? 1 / 3
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✔✔It can occur with aging or conditions like aortic regurgitation and may indicate vascular issues.
What is orthostatic hypotension?✔✔A drop in blood pressure when changing positions from lying to standing, often causing dizziness.
What should a nurse do before taking a rectal temperature?✔✔Ensure the patient’s privacy, lubricate the probe, and insert gently to avoid injury.
Why is tympanic temperature not recommended for patients with ear infections?✔✔It may give false readings due to inflammation or fluid in the ear canal.
What does a respiratory rate of 28 breaths per minute indicate?✔✔Tachypnea, which may be due to pain, fever, anxiety, or respiratory distress.
What should a nurse document when recording vital signs?✔✔The values, method used, site of measurement, and any unusual observations. 2 / 3
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How often should vital signs be reassessed after giving IV pain medication?✔✔Within 15–30 minutes to monitor for effectiveness and adverse reactions.
Why is it important to take vital signs before administering beta blockers?✔✔To assess heart rate and blood pressure, as beta blockers may cause bradycardia or hypotension.
What’s the first step before assessing any vital signs?✔✔Verify the patient’s identity using two identifiers and explain the procedure.
What should a nurse do if a patient refuses to have vital signs taken?✔✔Document the refusal, assess the reason, and notify the provider if necessary.
What is the most accurate site for measuring core body temperature?✔✔The rectal site provides the most accurate measurement of core body temperature.
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