Temperature
Which of the following temperatures is within the normal range for adults and is documented correctly?
A. 98.6
B. 99.6
C. 101.0
A. 98.6
Normal Adult Pulse Rate?
A. 70-110/ min
B. 50-90/ min
C. 60-100/min
60-100/min
The most important factor in measuring blood pressure accurately is:
A. Using a cuff of the appropriate size for the client
B. The age of the client
C. What the patient had to drink today
A. Using a cuff of the appropriate size for the client
When assessing a client's respiration, it is recommended that the patient:
A. Have the head of the bed elevated 45 to 60 degrees.
B. Have the clients head flat on the bed
C. It doesn't matter if the head is up or down
A. have the head of the bed elevated 45 to 60 degrees.
what does a pulse oximetry measure SpO2 ?
A. venous oxygen saturation
B. arterial oxygen saturation
C. peripheral capillary oxygen saturation
SpO2: peripheral capillary oxygen saturation
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?
A. Gently pulling the pinna down and back
B. Gently pulling the pinna back and upward
C. Gently insert it into the ear canal
Gently pulling the pinna back and upward
You prepare to assess the patient's pulse and respiratory rate. You support her arm and palpate her wrist to locate the radial pulse along a groove located
A. on the lateral aspect of the wrist.
B. down the center of the wrist.
C. on the thumb side of the wrist.
C. on the thumb side of the wrist.
What is normal Blood pressure
A. 120/90
B. 140/80
C. 120/80
120/80
The best way to determine the depth of a client's respiration is to:
A. Tell them you are taking their respirations so not to scare them
B. Observe the degree of chest-wall movement during inspiration and expiration
C. Put your hand on their chest and feel the respirations
observe the degree of chest-wall movement during inspiration and expiration
What is normal SpO2
A.95-100%
B. 92-100%
C. 98-100%
95-100%
What temperature is considered a fever
A.100.4
B.99.0
C.98.6
100.4
HR < 60 bpm (athletes, cardiac medications)
A. Tachycardia
B. Bradycardia
C. Normal
Bradycardia
Your patient's blood pressure exceeds the upper limit of the normal range for an adult, so you measure it again.
Which of the following questions would be appropriate to ask your patient before you reassess her blood pressure?
select all that apply
A. What is your usual blood-pressure reading?
B. Did you drink any tea, coffee, or soda within the last half hour?
C. Have you smoked within the last 15 to 30 minutes?
D. Have you eaten anything within the last hour
A. What is your usual blood-pressure reading?
B. Did you drink any tea, coffee, or soda within the last half hour?
C. Have you smoked within the last 15 to 30 minutes?
You have assessed a 45 yr old client's vital signs. Which of the following assessment values requires immediate attention?
A. A respiratory rate of 20/ minute
B. A respiratory rate of 30/ minute
C. A respiratory rate of 16/ minute
A respiratory rate of 30/ minute
What can cause inaccurate reading of a pulse ox? (Select all that apply)
A. poor capillary refill
B. acrylic nails
C. finger nail polish
D. moisture (Sweating)
E. cold finger tips (Reynaud's, frostbite )
F. all of the above
all of the above
What if your client drinks something before taking their temperature
A. wait 15 minutes
B. Take the temperature
C. Use another method for temperature taking
wait 15 minutes if client has had anything to eat, drink, has smoked, or chewed gum
Causes of Tachycardia HR>100 (select all that apply)
A. Emotions and stress
B. Exercise increases metabolic and oxygen needs
C. Fever increases metabolic and oxygen needs
D. Anemia decreases hemoglobin and oxygen
E. Diseases: dehydration, shock, hemorrhage, hypoxia
F. Caffeine and medications.
G. All of them
all of them
Diastolic blood pressure occurs when
A. during ventricular diastole of the heart
when the ventricles relax and exert minimal pressure against the arterial walls
represents the minimum amount of pressure exerted on the arteries
B. conduction, convection, evaporation, radiation, diaphoresis
C. The difference between heat produced by and lost from the body
during ventricular diastole of the heart
when the ventricles relax and exert minimal pressure against the arterial walls
represents the minimum amount of pressure exerted on the arteries
Positioning and supporting the patient's arm at heart level is important because
A. an unsupported arm can cause a falsely high reading.
B. an arm positioned below heart level can cause a falsely high reading.
C. an arm positioned above heart level can cause a falsely low reading.
D. it ensures a good blood flow conducive to an accurate reading.
D. it ensures a good blood flow conducive to an accurate reading.
What signs would I see in a client with a low pulse ox? select all that apply
A. headache
B. dyspnea
C. confusion
D. cyanosis
E.
all the above
What are the ways to take a temperature? (Select all that apply)
A. mouth
B. ear
C. rectal
D. axillary
E. Select all that apply
Select all that apply
Causes of Bradycardia HR <60
A. Vagal/valsalva response (stimulation of vagus nerve)
B. Medications (Digitalis & Beta-blockers)
C. Hypothermia (slows BMR)
D. All of them
all of them
Systolic blood pressure occurs when
A. during ventricular systole of the heart when ventricles force blood into the aorta & pulmonary artery represents the maximum amount of pressure exerted on the artier when ejection occurs
B. called blood pressure
C. Patients will contract the arm muscles instinctively to support the arm, thus resulting in as much as a 10% increase in diastolic pressure
during ventricular systole of the heart when ventricles force blood into the aorta & pulmonary artery represents the maximum amount of pressure exerted on the artier when ejection occurs
a temporary cessation of breathing is called?
A. Dyspnea
B. Apnea
C. Tachypnea
Apnea
Which finger is best for pulse ox reading?
A. thumb
B. right Index finger
C. right middle finger
right middle finger