Vital Signs

This question bank verified by Studydeets

Questions Bank

Nursing Today
The Health Care Delivery System
Community-Based Nursing Practice
Theoretical Foundations of Nursing Practice
Evidence-Based Practice
Health and Wellness
Caring in Nursing Practice
Caring for the Cancer Survivor
Cultural Awareness
Caring for Families
Developmental Theories
Conception Through Adolescence
Young and Middle Adults
Older Adult
Critical Thinking in Nursing Practice
Nursing Assessment
Nursing Diagnosis
Planning Nursing Care
Implementing Nursing Care
Evaluation
Managing Patient Care
Ethics and Values
Legal Implications in Nursing Practice
Communication
Patient Education
Documentation and Informatics
Patient Safety and Quality
Immobility
Infection Prevention and Control
Vital Signs
Health Assessment and Physical Examination
Medication Administration
Complementary and Alternative Therapies
Self-Concept
Sexuality
Spiritual Health
The Experience of Loss, Death, and Grief
Stress and Coping
Activity and Exercise
Hygiene
Oxygenation
Fluid, Electrolyte, and Acid-Base Balance
Sleep
Pain Management
Nutrition
Urinary Elimination
Bowel Elimination
Skin Integrity and Wound Care
Sensory Alterations
Care of Surgical Patients

All Questions

Question 1

Free

Multiple Choice

A patient has a head injury and damages the hypothalamus. Which vital sign will the nurse monitor most closely?

Choose correct answer/s

Pulse

Respirations

Temperature

Blood pressure

Check answer

Question 2

Free

Multiple Choice

A patient presents with heatstroke. The nurse uses cool packs, cooling blanket, and a fan. Which technique is the nurse using when the fan produces heat loss?

Choose correct answer/s

Radiation

Conduction

Convection

Evaporation

Check answer

Question 3

Free

Multiple Choice

The patient has a temperature of 105.2° F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient's temperature?

Choose correct answer/s

Radiation

Conduction

Convection

Evaporation

Check answer

Question 4

Free

Multiple Choice

A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?

Choose correct answer/s

Apply just a diaper.

Double the clothing.

Place a cap on their heads.

Increase room temperature to 90 degrees.

Check answer

Question 5

Free

Multiple Choice

The nurse is working the night shift on a surgical unit and is making 4:00 AM rounds. The nurse notices that the patient's temperature is 96.8° F (36° C), whereas at 4:00 PM the preceding day, it was 98.6° F (37° C). What should the nurse do?

Choose correct answer/s

Call the health care provider immediately to report a possible infection.

Administer medication to lower the temperature further.

Provide another blanket to conserve body temperature.

Realize that this is a normal temperature variation.

Check answer

Question 6

Multiple Choice

The nurse is caring for a patient who has a temperature reading of 100.4° F (38° C). The patient's last two temperature readings were 98.6° F (37° C) and 96.8° F (36° C). Which action will the nurse take?

Choose correct answer/s

Wait 30 minutes and recheck the patient's temperature.

Assume that the patient has an infection and order blood cultures.

Encourage the patient to move around to increase muscular activity.

Be aware that temperatures this high are harmful and affect patient safety.

To unlock the question

Question 7

Multiple Choice

A patient is pyrexic. Which piece of equipment will the nurse obtain to monitor this condition?

Choose correct answer/s

Stethoscope

Thermometer

Blood pressure cuff

Sphygmomanometer

To unlock the question

Question 8

Multiple Choice

The nurse is caring for a patient who has an elevated temperature. Which principle will the nurse consider when planning care for this patient?

Choose correct answer/s

Hyperthermia and fever are the same thing.

Hyperthermia is an upward shift in the set point.

Hyperthermia occurs when the body cannot reduce heat production.

Hyperthermia results from a reduction in thermoregulatory mechanisms.

To unlock the question

Question 9

Multiple Choice

The patient with heart failure is restless with a temperature of 102.2° F (39° C). Which action will the nurse take?

Choose correct answer/s

Place the patient on oxygen.

Encourage the patient to cough.

Restrict the patient's fluid intake.

Increase the patient's metabolic rate.

To unlock the question

Question 10

Multiple Choice

The patient requires temperatures to be taken every 2 hours. Which task will the nurse assign to an RN?

Choose correct answer/s

Using appropriate route and device

Assessing changes in body temperature

Being aware of the usual values for the patient

Obtaining temperature measurement at ordered frequency

To unlock the question

Question 11

Multiple Choice

The patient requires routine temperature assessment but is confused, easily agitated, and has a history of seizures. Which route will the nurse use to obtain the patient's temperature?

Choose correct answer/s

Oral

Rectal

Axillary

Tympanic

To unlock the question

Question 12

Multiple Choice

The patient is being admitted to the emergency department following a motor vehicle accident. The patient's jaw is broken with several broken teeth. The patient is ashen, has cool skin, and is diaphoretic. Which route will the nurse use to obtain an accurate temperature reading?

Choose correct answer/s

Oral

Axillary

Tympanic

Temporal

To unlock the question

Question 13

Multiple Choice

The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?

Choose correct answer/s

Radial

Brachial

Femoral

Popliteal

To unlock the question

Question 14

Multiple Choice

The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

Choose correct answer/s

Radial

Apical

Carotid

Brachial

To unlock the question

Question 15

Multiple Choice

The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct measurement?

Choose correct answer/s

Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.

Place the tips of the first two fingers over the groove along the little finger side of the patient's wrist.

Place the thumb over the groove along the little finger side of the patient's wrist.

Place the thumb over the groove along the thumb side of the patient's wrist.

To unlock the question

Question 16

Multiple Choice

The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?

Choose correct answer/s

Inform the patient that she is counting respirations.

Do not touch the patient until completed.

Obtain without the patient knowing.

Estimate respirations.

To unlock the question

Question 17

Multiple Choice

The patient's blood pressure is 140/60. Which value will the nurse record for the pulse pressure?

Choose correct answer/s

140

200

To unlock the question

Question 18

Multiple Choice

The nurse reviews the laboratory results for a patient and determines the viscosity of the blood is thick. Which laboratory result did the nurse check?

Choose correct answer/s

Arterial blood gas

Blood culture

Hematocrit

Potassium

To unlock the question

Question 19

Multiple Choice

The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?

Choose correct answer/s

Allow the patient to breathe into a paper bag.

Use oxygen cautiously in this patient.

Administer high levels of oxygen.

Give CO2 via mask.

To unlock the question

Question 20

Multiple Choice

A nurse is reviewing capnography results for adult patients. Which value will cause the nurse to follow up?

Choose correct answer/s

35 mm Hg

40 mm Hg

45 mm Hg

50 mm Hg

To unlock the question