ATI: VITAL SIGNS
The most important factor in measuring blood pressure accurately is:
using a cuff of the appropriate size for the patient
When assessing a patient's respiration, it is recommended that the patient:
have the head of the bed elevated 45 to 60 degrees.
When auscultating a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds
clearly and regularly. S2 is produced when the:
semilunar valves close
To auscultating a patient's apical pulse accurately, you position the bell of the diaphragm of your
stethoscope over the point of maximal impulse, which is located:
at the fifth intercostal space at the left midclavicular line.
You are assessing a patient's vital signs. The patient has a temperature of 102F (39C). Which of
the following do you expect to find?
An elevated pulse rate
The best way to determine the depth of a patient's respiration is to:
observe the degree of chest-wall movement during inspiration and expiration
When preparing to measure the vital signs of a patient, you should recognize that which of the
following will affect the methods that you will use? (Select all that apply)
the patient is 60 pounds overweight, the patient is reporting a stuffy nose, the patient is taking
digoxin, the patient had a mastectomy 2 years ago
You have assessed a 45 yr old patient's vital signs. Which of the following assessment values
requires immediate attention?
a respiratory rate of 30/min
You are preparing to use a tympanic thermometer. Which of the following steps has the highest
priority in the accurate use of the piece of equipment for measuring body temperature?
Gently pulling the pinna back and upward
You are measuring a patient's temperature orally. You place the covered
probe: in the posterior lingual pocket lateral to the midline
You are assessing the vital signs of a newly admitted patient. To establish an accurate baseline
of the patient's respiration, you:
observe the patient's chest movements while appearing to assess his pulse
When taking a patient's blood pressure, why is it important to notice the pressure on the
manometer when you hear the fourth Korotkoff sound or phase?
You might not hear a fifth korotkoff sound
When taking an adult patient's temperature rectally, it is important to:
insert the probe about an inch and a half into the patient's anus
The most important factor in measuring blood pressure accurately is:
using a cuff of the appropriate size for the patient
When assessing a patient's respiration, it is recommended that the patient:
have the head of the bed elevated 45 to 60 degrees.
When auscultating a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds
clearly and regularly. S2 is produced when the:
semilunar valves close
To auscultating a patient's apical pulse accurately, you position the bell of the diaphragm of your
stethoscope over the point of maximal impulse, which is located:
at the fifth intercostal space at the left midclavicular line.
You are assessing a patient's vital signs. The patient has a temperature of 102F (39C). Which of
the following do you expect to find?
An elevated pulse rate
The best way to determine the depth of a patient's respiration is to:
observe the degree of chest-wall movement during inspiration and expiration
When preparing to measure the vital signs of a patient, you should recognize that which of the
following will affect the methods that you will use? (Select all that apply)
the patient is 60 pounds overweight, the patient is reporting a stuffy nose, the patient is taking
digoxin, the patient had a mastectomy 2 years ago
You have assessed a 45 yr old patient's vital signs. Which of the following assessment values
requires immediate attention?
a respiratory rate of 30/min
You are preparing to use a tympanic thermometer. Which of the following steps has the highest
priority in the accurate use of the piece of equipment for measuring body temperature?
Gently pulling the pinna back and upward
You are measuring a patient's temperature orally. You place the covered
probe: in the posterior lingual pocket lateral to the midline
You are assessing the vital signs of a newly admitted patient. To establish an accurate baseline
of the patient's respiration, you:
observe the patient's chest movements while appearing to assess his pulse
When taking a patient's blood pressure, why is it important to notice the pressure on the
manometer when you hear the fourth Korotkoff sound or phase?
You might not hear a fifth korotkoff sound
When taking an adult patient's temperature rectally, it is important to:
insert the probe about an inch and a half into the patient's anus
