Normal Ranges
Vital Sign Red Flags
Pain
What is the diagnosis?
Category 4: First Action
100

Normal adult HR

What is 60–100 bpm?

100

A regular HR of 48bpm is referred to as what rhythm?

What is bradycardia?

100

On the numeric scale, a pain level of 2 is considered to be what?

What is Mild?

100

A blood pressure of 174/94 is considered to be what?

What is hyptertensive?

100

Vitals: BP 82/48, HR 124, RR 26, T 97.9°F, SpO₂ 94%
Patient: 65-year-old, 2 hours post-abdominal surgery
First Action?

Alert nurse. Check the surgical site and assess for bleeding

200

Normal BP range for an adult

What is between 100/60 - 140/90

200

If the pulse oximeter is less than (?%) you need to alert the nurse

What is 92%?

200

What does MAUPG stand for?

What is Mutually Agreed Upon Pain Goal?

200

What is the medical term for fast respiratory rate?

What is tachypnea?

200

SpO₂ reads 47% on monitor

What is recheck and assess the patient?

300

Normal oxygen saturation (SpO₂)

What is >95%?

300

Temperatures less than _______ C

or more than _______ C

should be reported to the nurse.

less than 36    &     more than 38

300

On the numeric scale, a pain level of 8 is considered to be what?

What is severe?

300

Patient: John, 60, started on beta-blockers
Vitals: HR 48, BP 100/62, RR 18, T 98.2°F, SpO₂ 98%
Question: What is your concern?

What is a medication side effect?

300

How do you call a code blue?

X8888 Code blue, floor X, room X. 

400

Normal respirations per minute for an adult?

What is 12-22?

400

A regular heart rate of 120bpm is referred to as what rhythm? 

What is Tachycardia

400

Name a non-pharmacologic alternative to pain medication? (both teams can answer - must have different answers to receive points) 

What is 

1.Repositioning

2.Guided imagery

3.Music

4.Massage/integrative medicine

5.Decrease Stimuli

6. Heat or Cold

400

Patient: Juan, 30, post-appendectomy
Vitals: T 99.0°F, HR 102, RR 22, BP 130/84, SpO₂ 98%, Pain 8/10
Question: What could be causing the elevated HR?

What is elevated BP, possibly pain or anxiety?

400

Vitals: SpO₂ monitor shows “--” (no reading)
Patient: Restless, COPD history
First Action?

Check the O₂ tubing and pulse ox connection

500

What is the "top" number of a blood pressure called?

What is systolic?

500

A blood pressure of 80/44 is considered to be what?

What is hypotension?

500

How can pain impact vital signs? (both teams can answer - must have different answers to receive points) 

Tachycardia

Tachypnea

Hypetension

500

T 102.5°F, HR 115, RR 26, BP 88/60, SpO₂ 93%

What is sepsis?

500

Vitals: T 98.7°F, HR 88, BP 130/80, RR 18, SpO₂ 98%
Patient: 78-year-old, suddenly confused
First Action?
 

What is Alert Nurse?