Deck 20: Measuring Vital Signs

Question 1

When taking a pulse,what should you report to your supervisor?

A)force
B)rhythm
C)rate
D)all of the above

Answer 1

D

Question 2

Respiration is

A)the process of inhaling and exhaling.
B)covering over the trachea to prevent aspiration.
C)difficulty breathing.
D)small amounts of fluid taken into the air.

Answer 2

A

Question 3

Apical pulse is taken to directly measure the heartbeats at the

A)temple.
B)apex of the heart.
C)groin.
D)wrist.

Answer 3

B

Question 4

Pulse rates should be reported to your immediate supervisor if they

A)are less than 97 or greater than 100.
B)are less than 60 or more than 100.
C)are between 72 and 80.
D)are greater than 28 or less than 14.

Question 5

Stertorous respirations

A)are shallow respirations.
B)are abnormal sounds.
C)are irregular respirations (fast then slow)made with breathing.
D)none of the above

Question 6

When recording a client's pulse,three characteristics should be observed and recorded:

A)rate,force,and ability
B)rate,rhythm,and style
C)rate,force,and amount
D):rate,rhythm,and force.

Question 7

Celsius is also known as centigrade.

Question 8

Vital-sign measurement includes:

A)temperature and pulse only
B)temperature,pulse,weight and height
C)heart rate,calorie intake
D)heart rate,respiration rate,and blood pressure

Question 9

Vital signs are influenced by which of the following?

A)caffeine
B)emotions
C)medications
D)all of the above

Question 10

Which statement about thermometers is correct?

A)Glass thermometers are common today.
B)Glass thermometers are easy to use accurately.
C)There are six different types of thermometers.
D)The tympanic thermometer is used in a client's axillary.

Question 11

When counting respirations,you should

A)do this without the client being aware that you are counting respirations.
B)tell the client what you are going to do.
C)count five respirations and then check your watch.
D)have the client count respirations while you take his/her pulse.

Question 12

The area under the arms or armpits is called the axilla.

Question 13

Diastolic blood pressure is determined by

A)listening for the last sound.
B)listening for the sounds to become irregular.
C)listening for the first clear sound.
D)listening for the fifth beat before it stops.

Question 14

The average normal pulse rate for adults is

A)60 to 100 beats per minute.
B)62 to 110 beats per minute.
C)60 to 80 beats per minute.
D)80 to 100 beats per minute.

Question 15

Which of the following pain types should be reported to the nurse?

A)Client says "I have pain"
B)stabbing pain,client moaning
C)dull pain,client crying
D)all of the above

Question 16

Why should you refrain from using your thumb to check the pulse?

A)Your thumb might hurt the client.
B)Your thumb is not as sensitive as your fingers.
C)Your thumb has its own pulse.
D)all of the above

Question 17

A common method of assessing a client's pain is to use the O.P.Q.R.S.T.mnemonic:

A)onset,provocation,quality,region,severity,time
B)onset,pain,quality,region,severity,time
C)onwards,provocation,quality,region,severity,time
D)onset,provocation,quality,relation,severity,time

Question 18

In which situation would you NOT take a rectal temperature?

A)the client is alert and oriented.
B)the client is unconscious.
C)the client is an infant.
D)all of the above

Question 19

When taking oral temperatures it is best to

A)let the client know when to expect you.
B)schedule and take the temperature before meal service
C)immediately write down the key numbers and information
D)all of the above

Question 20

Systolic blood pressure is determined by

A)listening for the sound to change to a soft muffled thump.
B)waiting for the needle to stop bouncing.
C)listening for the first clear sound.
D)listening for the sound to become louder.

Question 21

When the heart muscle is contracting,the diastolic blood pressure is measured.

Question 22

The diastolic blood pressure is measured in the relaxing phase of the heartbeat.

Question 23

Average normal temperature is 98.6 degrees F or 37 degrees C.

Question 24

An aneroid sphygmomanometer has a dial-type gauge.

Question 25

The average normal pulse rate for a young adult is 80 to 160 beats per minute.

Question 26

An instrument used for measuring temperature is called a sphygmomanometer.

Question 27

The pulse rate indicates the number of times the heart beats in one minute.

Question 28

Always wash your hands between clients when using a battery thermometer.

Question 29

It is best to take the BP on an extremity that has a surgical site on it.

Question 30

Fahrenheit is a system for measuring the blood pressure.

Question 31

The force of the blood on the inner walls of the arteries,veins,and chamber of the heart is called blood pressure.

Question 32

Average normal adult respiration is 10 to 14 breaths per minute.

Question 33

Axillary temperatures are recommended for clients who cannot hold a thermometer
in their mouths.

Question 34

Oral temperatures are recommended on unconscious clients.

Question 35

Apical pulses are taken with children age 12 to 14.

Question 36

To determine a client's pulse deficit,count the apical pulse with a stethoscope over the apex of the heart and count the pulse rate at the radial pulse at the same time.

Question 37

Accurate blood pressures depend on using the correct size cuff for each client.

Question 38

When using a non-invasive blood pressure monitoring machine,place the cuff on the same arm with an intravenous infusion line,or the same arm with any impaired circulation.

Question 39

Vital signs need to be measured rarely

Question 40

Vital-sign measurement may also include other measurements such as oxygen saturation (SpO2)and pain intensity.

Question 41

As a personal care provider,you may not use a pain measurement scale to evaluate changes in a client's experience of pain.

Question 42

One respiration cycle includes one inhalation only.

Question 43

Within the O.P.Q.R.S.T.,the "T" refers to total pain

Question 44

The radial pulse is often the easiest and most common place to take a routine measurement of a client's pulse.