Vital Signs ATI Test Questions and

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Vital Signs ATI Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which vital sign is most important to assess immediately after a client has a seizure?

• Temperature

✔✔B. Respiratory rate

• Pulse pressure
• Oxygen saturation

Which factor may falsely elevate a blood pressure reading?

• Client lying flat

✔✔B. Using a cuff that is too small

• Arm positioned at heart level
• Client resting for 5 minutes

When should an oral temperature not be used?

• When the client is 16 years old

✔✔B. When the client just consumed iced water 1 / 4

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• When the client is alert and oriented
• When the client is febrile

Which site provides the most accurate core temperature reading?

• Axillary

✔✔B. Rectal

• Oral
• Tympanic

What action should the nurse take when the client has an irregular radial pulse?

• Repeat the pulse on the opposite arm

✔✔B. Assess the apical pulse for a full minute

• Document it as normal variation
• Ask another nurse to verify

Which pulse site is best for assessing circulation to the foot?

• Brachial

✔✔B. Dorsalis pedis 2 / 4

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• Temporal
• Apical

What is a normal respiratory rate for a healthy adult?

• 10–16 breaths/min

✔✔B. 12–20 breaths/min

• 20–30 breaths/min
• 8–14 breaths/min

Which condition would likely cause a decrease in pulse oximetry accuracy?✔✔A. Poor peripheral circulation

• Elevated temperature
• Regular heart rate
• Oral breathing

Which position best facilitates accurate blood pressure measurement?

• Lying flat on their back

✔✔B. Sitting with feet flat and arm supported at heart level 3 / 4

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• Standing with arm hanging down
• Sitting with legs crossed

Which vital sign alteration should the nurse report immediately?

• Pulse of 102 bpm
• Respiratory rate of 22

✔✔C. Blood pressure of 84/50

• Temperature of 100.4°F (38°C)

What is the priority action if a client has a tympanic temperature of 103°F (39.4°C)?✔✔A. Initiate cooling measures and notify the provider

• Wait 30 minutes and recheck
• Give cold water to drink
• Document and continue care

Which factor increases the risk for inaccurate oxygen saturation readings?✔✔A. Dark nail polish

• High blood pressure
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