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ATI RN · ATI Fundamentals · Vital Signs in Nursing Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is assessing a client's body temperature using a tympanic thermometer. How should the nurse position the thermometer for accurate measurement?

A. Place the thermometer in the client's mouth.

B. Insert the thermometer into the client's rectum.

C. Aim the thermometer at the client's forehead.

D. Position the thermometer in the client's ear canal.

Expert Explanatory Rationale

Correct Answer: Position the thermometer in the client's ear canal.

Question 2 of 5

Older adults have an increase in systolic pressure related to what?

A. Increased vessel flexibility

B. Decreased vessel elasticity

C. Enlarged vessel dexterity

D. Diminished vessel porosity

Expert Explanatory Rationale

Correct Answer: Decreased vessel elasticity

Question 3 of 5

The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?

A. Non-Hispanic Caucasians

B. European Americans

C. African Americans

D. Asian Americans

Expert Explanatory Rationale

Correct Answer: African Americans

Question 4 of 5

What anatomic site regulates the pulse rate and force?

A. thermoregulatory center

B. cardiac sinoatrial node

C. cardiac atria and valves

D. peripheral chemoreceptors

Expert Explanatory Rationale

Correct Answer: cardiac sinoatrial node

Question 5 of 5

Various sounds are heard when assessing a blood pressure. What does the first sound heard through the stethoscope represent?

A. systolic pressure

B. diastolic pressure

C. auscultatory gap

D. pulse pressure

Expert Explanatory Rationale

Correct Answer: systolic pressure

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