Deck 26: Measuring Vital Signs

Question 1

The number of pulses felt in 1 minute is the

A)Pulse
B)Pulse deficit
C)Pulse rate
D)Heartbeat

Answer 1

Pulse rate

Question 2

The heart muscle relaxes during

A)Bradycardia
B)Tachycardia
C)Systole
D)Diastole

Answer 2

Diastole

Question 3

The period of heart muscle contraction is

A)Bradycardia
B)Tachycardia
C)Systole
D)Diastole

Answer 3

Systole

Question 4

Which instrument is used to listen to sounds produced by the body?

A)Thermometer
B)Sphygmomanometer
C)Stethoscope
D)Cuff

Question 5

The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is

A)Fahrenheit
B)Centigrade
C)Celsius
D)Body temperature

Question 6

Vital signs do the following except

A)Detect changes in body function
B)Signal life-threatening events
C)Diagnose illness
D)Tell about treatment responses

Question 7

The pressure in the arteries when the heart is at rest is

A)Blood pressure
B)Pulse deficit
C)Diastolic pressure
D)Systolic pressure

Question 8

The act of inhalation and exhalation is

A)Respiration
B)Respiratory rate
C)Breathing
D)Basic need

Question 9

A systolic blood pressure that is 140 mm Hg or a diastolic pressure that is 90 mm Hg is or higher is:

A)Hypertension
B)Hypotension
C)Bradycardia
D)Tachycardia

Question 10

A heart rate over 100 beats per minute is

A)Bradycardia
B)Tachycardia
C)Hypotension
D)Hypertension

Question 11

A heart rate less than 60 beats per minute is

A)Bradycardia
B)Tachycardia
C)Hypotension
D)Hypertension

Question 12

A resident is 83 years old.You measure the person's vital signs

A)Several times a day
B)Before and after surgery
C)After giving care
D)According to the person's care plan

Question 13

A systolic blood pressure below 90 mm Hg and a diastolic pressure below 60 mm Hg is

A)Hypertension
B)Hypotension
C)Bradycardia
D)Tachycardia

Question 14

The difference between the apical and radial pulse rates is the

A)Apical-radial pulse
B)Pulse deficit
C)Bradycardia
D)Tachycardia

Question 15

An apical-radial pulse means that

A)The apical pulse is taken first.
B)The radial pulse is taken after the apical pulse.
C)The apical and radial pulses are taken at the same time.
D)You can take the apical pulse or the radial pulse.

Question 16

Temperature,pulse,respirations,and blood pressure are

A)Basic needs
B)Vital signs
C)Measurements
D)Observations

Question 17

Which of the following is used to measure blood pressure?

A)Thermometer
B)Sphygmomanometer
C)Stethoscope
D)Cuff

Question 18

The amount of force exerted against the walls of an artery by the blood is the

A)Blood pressure
B)Pulse deficit
C)Diastolic pressure
D)Systolic pressure

Question 19

The beat of the heart felt at an artery as a wave of blood passes through the artery is the

A)Pulse
B)Pulse deficit
C)Pulse rate
D)Heartbeat

Question 20

The amount of force exerted against the walls of an artery by the blood is

A)Blood pressure
B)Pulse deficit
C)Diastolic pressure
D)Systolic pressure

Question 21

Body temperature is measured at the following sites except

A)The mouth
B)The tympanic membrane
C)Under the breasts
D)The rectum

Question 22

Vital signs are normally taken with the person

A)Sitting or standing
B)Sitting or lying down
C)Lying down only
D)Sitting only

Question 23

The short lines of a Fahrenheit thermometer are marked in

A)0.1 of a degree
B)0.2 of a degree
C)0.5 of a degree
D)1.0 of a degree

Question 24

Vital signs are immediately reported to the nurse at the following times except

A)Whenever they are taken
B)If there is a change from a previous measurement
C)If above the normal range
D)If below the normal range

Question 25

A resident is 55 years old.The person needs rehabilitation after hip replacement surgery.You take the person's tympanic membrane temperature.Which measurement is normal?

A)98.6°F
B)99.0°F
C)98.0°F
D)97.6°F

Question 26

Taking temperatures is delegated to you.The nurse and care plan tell you the following except

A)The normal range for the site used
B)What site to use
C)What thermometer to use
D)When to take temperatures

Question 27

You are taking a temperature with a temporal artery thermometer.How long does it normally take to obtain a temperature using this device?

A)3 to 4 seconds
B)1 minute
C)2 to 3 minutes
D)5 to 10 minutes

Question 28

Body temperature is usually lower

A)In the morning
B)In the afternoon
C)In the evening
D)At bedtime

Question 29

A female resident is 40 years old.The following will affect her body temperature except

A)Weather and exercise
B)Her menstrual cycle
C)Talking
D)Illness

Question 30

The long lines of a centigrade thermometer are marked in

A)Even numbers
B)Odd numbers
C)Consecutive numbers
D)Fractions

Question 31

You are taking a rectal temperature with a glass thermometer.How long do you typically leave the thermometer in place?

A)1 minute
B)2 minutes
C)3 minutes
D)10 minutes

Question 32

A glass thermometer for rectal temperatures has a

A)Stubby tip
B)Long tip
C)Pear-shaped tip
D)Slender tip

Question 33

The short lines of a centigrade thermometer are marked in

A)0.1 of a degree
B)0.2 of a degree
C)0.5 of a degree
D)1.0 of a degree

Question 34

A rectal thermometer is color-coded in

A)Blue
B)Red
C)Green
D)Yellow

Question 35

A mercury glass thermometer breaks.Which action is incorrect?

A)Follow procedures for handling hazardous substances.
B)Follow the Bloodborne Pathogen Standard.
C)Complete an incident report.
D)Call the doctor.

Question 36

Body temperature is measured at the following sites except

A)The mouth
B)The axilla
C)The rectum
D)Behind the knee

Question 37

To read a glass thermometer,you need to hold it

A)At eye level
B)At the tip
C)With tissues
D)With gloved hands

Question 38

You are taking an axillary temperature with a glass thermometer.How long do you leave the thermometer in place?

A)1 minute
B)2 minutes
C)2 to 3 minutes
D)5 to 10 minutes

Question 39

The long lines of a Fahrenheit thermometer are marked in

A)Even numbers
B)Odd numbers
C)Consecutive numbers
D)Fractions

Question 40

A resident is 55 years old.The person needs rehabilitation after hip replacement surgery.You take the person's temperature orally.Which measurement is abnormal?

A)98.1°F
B)99.8°F
C)98.2°F
D)98.0°F

Question 41

A person is receiving oxygen.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Axillary site
D)Tympanic membrane site

Question 42

Temperature-sensitive tape is usually applied to the

A)Forehead
B)Axilla
C)Mouth
D)Buttock or thigh

Question 43

Which is the most often used site for taking a pulse?

A)The radial site
B)The apical site
C)The carotid site
D)The brachial site

Question 44

To measure a temporal artery temperature,you need to

A)Insert the device gently into the ear
B)Gently slide the device across the forehead
C)Place the device behind the knee
D)Gently insert the device between the toes

Question 45

A person has dementia and is confused.Which site should you use to measure temperature for a reliable reading?

A)Oral
B)Rectal
C)Axillary
D)Tympanic membrane

Question 46

To take a rectal temperature,the person needs to be

A)Lying down
B)In Sims' position
C)In the right side-lying position
D)In the prone position

Question 47

A person has ear drainage.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Axillary site
D)Tympanic membrane site

Question 48

Which pulse site requires the use of a stethoscope?

A)The radial site
B)The apical site
C)The carotid site
D)The brachial site

Question 49

The tympanic membrane thermometer is inserted

A)Into the mouth
B)Into the rectum
C)Under the arm
D)Into the ear

Question 50

A person has heart disease.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Axillary site
D)Tympanic membrane site

Question 51

The apical pulse is found

A)On the thumb side of the wrist
B)Just below the left nipple
C)Just below the right nipple
D)At the inner aspect of the elbow

Question 52

A person has a convulsive disorder.When measuring temperature,you cannot use the

A)Oral site
B)Temporal artery site
C)Axillary site
D)Tympanic membrane site

Question 53

A resident smokes.The person just had a cigarette.How long do you need to wait before taking the person's temperature orally?

A)5 to 10 minutes
B)10 to 15 minutes
C)15 to 20 minutes
D)You do not need to wait

Question 54

A person has diarrhea.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Temporal artery site
D)Tympanic membrane site

Question 55

Before inserting a rectal thermometer,you need to

A)Clean it with hot water
B)Lubricate the end of the covered probe
C)Place it in a probe cover
D)Clean it with a disinfectant

Question 56

To rinse a glass thermometer,you need to use

A)Cold water
B)Warm water
C)Hot water
D)A disinfectant solution

Question 57

A person is unconscious.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Axillary site
D)Tympanic membrane site

Question 58

For an accurate measurement,the axillary site needs to be

A)Wet
B)Dry
C)Lubricated
D)Cleaned

Question 59

A person is paralyzed on the right side.When measuring temperature,you cannot use the

A)Oral site
B)Rectal site
C)Temporal artery site
D)Tympanic membrane site

Question 60

What do you need to do before storing a glass thermometer?

A)Clean it following agency policy
B)Clean it with hot water
C)Clean it with soap and water
D)Soak it in a basin of warm water

Question 61

When taking a radial pulse,you need to use

A)Your thumb
B)Your 2 or 3 fingertips
C)Your ring and little fingertips
D)A stethoscope

Question 62

For an adult,which pulse rate is reported to the nurse at once?

A)66
B)74
C)88
D)110

Question 63

You are taking a resident's pulse.The beats are not spaced evenly.How would you describe the person's pulse when reporting to the nurse?

A)Irregular
B)Weak and feeble
C)Strong and full
D)Thready and bounding

Question 64

For an adult,which pulse rate is reported to the nurse at once?

A)50
B)62
C)75
D)98

Question 65

These statements are about apical-radial pulses.Which is correct?

A)The rates should be the same.
B)The apical rate should be greater than the radial rate.
C)The radial rate should be greater than the apical rate.
D)The radial rate can be higher than the apical rate.

Question 66

When taking an apical pulse,you need to use

A)Your thumb
B)The middle 3 fingers
C)Your ring and little fingers
D)A stethoscope

Question 67

When taking an apical-radial pulse,the pulses are counted for

A)15 seconds
B)30 seconds
C)45 seconds
D)60 seconds

Question 68

Apical pulses are taken on the following persons except

A)Persons who have heart disease
B)Persons who have dementia
C)Persons who have irregular heart rhythms
D)Persons who take drugs that affect the heart

Question 69

An apical pulse is usually counted for

A)15 seconds
B)30 seconds
C)45 seconds
D)60 seconds

Question 70

Unless agency policy states a different length of time,a radial pulse is usually counted for

A)15 seconds
B)30 seconds
C)45 seconds
D)60 seconds

Question 71

Your agency uses electronic blood pressure equipment.Why do you still need to feel pulses?

A)The equipment may not be accurate
B)The rate is given but not the rhythm or force
C)To measure the pulse deficit
D)To measure systole and diastole

Question 72

What should you use to clean a stethoscope?

A)Antiseptic wipes
B)Disinfectant solution
C)Cold water
D)Hot water

Question 73

How many staff members are needed to take an apical-radial pulse?

A)1
B)2
C)3
D)4

Question 74

You are taking an apical pulse.Which statement is correct?

A)The lub sound is counted as one beat.
B)The dub sound is counted as one beat.
C)The lub-dub is counted as one beat.
D)The pulse deficit is counted.

Question 75

To obtain the pulse deficit,you need to

A)Add the apical and radial pulse rates
B)Subtract the apical pulse rate from the radial pulse rate
C)Subtract the radial pulse rate from the apical pulse rate
D)Multiply the pulse rates by 2

Question 76

The healthy adult has

A)10 to 14 respirations per minute
B)12 to 18 respirations per minute
C)12 to 20 respirations per minute
D)15 to 30 respirations per minute

Question 77

Which pulse site is used for children under 2 years old?

A)The radial site
B)The apical site
C)The carotid site
D)The brachial site

Question 78

Respirations usually are counted

A)After taking the temperature
B)After taking the pulse
C)Before measuring blood pressure
D)After measuring blood pressure

Question 79

Before placing the stethoscope on the person,you need to warm the diaphragm

A)In warm water
B)In hot water
C)In your hand
D)Under the person's arm

Question 80

You are counting a patient's respirations.Which is incorrect?

A)You need to tell the person what you are doing.
B)Each rise and fall of the chest is counted as 1 respiration.
C)Both sides of the person's chest should rise and fall equally.
D)Respirations are usually counted for 30 seconds.