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ATI RN · ATI Fundamentals · Vital Signs Assessment for Nurses

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?

A. Reassess the client in 15 minutes.

B. Administer the prescribed analgesic.

C. Inform the nurse manager.

D. Call the physician immediately.

Expert Explanatory Rationale

Correct Answer: Call the physician immediately.

Question 2 of 5

A patient referred to physical therapy with chronic low back pain has failed to make any progress toward meeting established goals in over three weeks of treatment. The physical therapist has employed a variety of treatment techniques but has yet to observe improvement. What is the most appropriate next step?

A. Transfer the patient to another therapist's schedule.

B. Re-examine the patient and establish new goals.

C. Continue to modify the patient's treatment plan.

D. Alert the referring physician to the patient's status.

Expert Explanatory Rationale

Correct Answer: Re-examine the patient and establish new goals.

Question 3 of 5

Scoliosis can be classified as structural or functional. Which one of the following is NOT a characteristic of structural scoliosis?

A. Most cases are idiopathic

B. It is reversible

C. Subtype of structural scoliosis includes idiopathic

D. Subtypes of structural scoliosis include congenital or acquired

Expert Explanatory Rationale

Correct Answer: It is reversible

Question 4 of 5

The nurse is preparing to assess a patient's blood pressure. Which action is essential for obtaining an accurate reading?

A. Positioning the patient's arm above the level of the heart.

B. Using a cuff that covers two-thirds of the patient's upper arm.

C. Deflating the cuff at a rate of 5-10 mm Hg per second.

D. Having the patient stand during the measurement.

Expert Explanatory Rationale

Correct Answer: Using a cuff that covers two-thirds of the patient's upper arm.

Question 5 of 5

Which of these statements is true regarding the vertebra prominens? The vertebra prominens is:

A. The spinous process of C7.

B. Usually nonpalpable in most individuals.

C. Opposite the interior border of the scapula.

D. Located next to the manubrium of the sternum.

Expert Explanatory Rationale

Correct Answer: The spinous process of C7.

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