Blood pressure
Temperature
Respiration
Heartrate
Nurse assessment
100

To get a good reading for a BP the nurse will inflate the cuff to what pressure after the pulse disappears.

What is 30 mm HG

100

A nurse is caring for a patient who has a lack of appetite, what is most likely to influence a patient's core temperature.

What is proteins?

100

This respiratory rate best reflects eupnea.

What is 12-18 breaths per minute?

100

When assessing an adult client's pulse at 125 BPM, the nurse should take this step first to determine intervention.

What is determine the cause?

100

A nurse is assessing a client's vital signs and observes that the client is sweating profusely, what area of the brain causes the client to sweat?

What is the hypothalamus?

200

A nurse has assessed a client's BP and obtained systolic of 138 and diastolic of 71. The systolic pressure represents.

What is the peak pressure in the arteries?

200

A nurse is caring for a patient with subnormal temperature; this can be given to patient to provide heat to internal organs.

What is warm fluids?

200

The nurse is obtaining a pulse oximetry reading on a client they can place the sensor on these anatomical positions of the body.

What is the finger, toe, or earlobe?

200

A nurse is using an electronic manometer to measure the blood pressure of a patient, what advantage does this electronic manometer provide over the aneroid manometer.

What is providers with hearing loss can use.

200

A patient reports feeling different than earlier in the day when would the nurse anticipate assessing vital signs.

What is immediately?

300

When assessing a patient's pulse, the nurse is able to palpate the pulse for some time but then loses it when exerting a little bit more pressure this is known as a 

What is a thready pulse? (weak)

300

The nurse is caring for a patient with a fever, this site provides the most accurate temperature.

What is the ear?

300

A nurse observes a patient gasping and saying " I can't catch my breath" the nurse applies oxygen and repositions the patient which alleviates these symptoms what was the patient experiencing?

What is Dyspnea?

300

The nurse is assessing the pulse of a young adult who is training for a triathlon competition, their pulse rate is 48 BPM, this is the education you would provide to them.

What is this is a normal heartrate due to their training and exercise regimen?

300

A patient presents to the ER with a temp of 100.6 and a BP of 108/60, this is the intervention the nurse would provide.

What is oral fluids?

400

The nurse is educating the patient who is 58 about their hypertension, what lifestyle modification would the nurse suggest to help control their BP.

What is reduce sodium intake?

400

A client has an axillary temp of 102.6 what clinical manifestations would the nurse expect to see.

What is increased respirations, headache, and red or flushed skin?

400

When assessing the respiration of a client the nurse observes a hissing, crowing sound. This is most likely the cause of this sound.

What is an obstruction near the glottis?

400

A nurse is assessing a client's apical heartrate and the patient is of normal healthy size the nurse should place the stethoscope here.

What is slightly below the left nipple?

400

A client admitted with dehydration reports feeling dizzy with ambulation, the nurse should provide this teaching.

What is dizziness can occur when changing positions due to a decreased volume of fluid in the body?

500

The nurse is assessing a client's blood pressure and is having difficulty hearing korotkoff sounds, this is the appropriate nurse action.

What is have them make a fist?

500

A parent of a 9 year old tells the nurse that they have not noticed a fever yet but the child is saying they feel achy and not well, This phase is known as

What is the prodromal phase?

500

What does a pulse oximetry reading of 96% indicate about the composition of the client's blood.

What is the percentage of oxygen saturation in the hemoglobin?

500

What is a heart rate over 100 in an adult referred to as.

What is tachycardia?

500

The nurse's got report on 4 patient's. One has a BP of 120/60 and has anxiety,  the next one is a post op patient with a temp of 99.9, another one has a respiratory rate of 26 and had to sleep upright during the night, and the last one has a heartrate of 88 and respirations of 20.  This is the patient the nurse would assess first.

What is the patient with the respiratory rate of 26?