Deck 6: Vital Signs and Pain Assessment

Question 1

During expiration, the internal intercostals:

A) increase the force of muscular contraction.
B) decrease the lateral diameter during expiration.
C) decrease the intrathoracic space.
D) increase elastic recoil during expiration.

Answer 1

decrease the lateral diameter during expiration.

Question 2

The most frequent cause of serious hypertension in children is:

A) heart disease.
B) liver failure.
C) renal disease.
D) rheumatic fever.

Answer 2

renal disease.

Question 3

The perception of pain:

A) is the same across cultures.
B) can be easily assessed in neonates.
C) is predictable with the same circumstances.
D) is affected by emotions and quality of sleep.

Answer 3

is affected by emotions and quality of sleep.

Question 4

Which pulse characteristic in the neonate may indicate infection?

A) Bounding pulse rate
B) Regular pulse rate
C) Sustained high pulse rate
D) Intermittent slow pulse rate

Question 5

In a syndrome in which regional pain extends beyond this specific peripheral nerve injury, you would notice which of the following? (Select all that apply.)

A) Allodynia
B) Sleep disturbance
C) Blood flow changes
D) Numbness
E) Edema

Question 6

Which occurs with malignant hypertension? (Select all that apply.)

A) Blurred vision
B) Sleep disturbance
C) Tachycardia
D) Dyspnea
E) Encephalopathy

Question 7

The pyrexia response is triggered by the production and release of:

A) prostaglandins.
B) endogenous pyrogens.
C) hypothalamic enzymes.
D) thyroid hormones.

Question 8

Infants delivered by Cesarean section demonstrate which respiratory characteristic in comparison to infants delivered vaginally?

A) Slower respiratory rate
B) Faster respiratory rate
C) Shallower respirations
D) Deeper respirations

Question 9

Underestimation of blood pressure will occur if the cuff's width covers:

A) less than half of the upper arm.
B) less than 5 inches of the lower arm.
C) more than two-thirds of the upper arm.
D) more than 4 inches of the lower arm.

Question 10

The fifth vital sign is:

A) pain.
B) orientation.
C) waist-to-hip ratio.
D) body mass index (BMI).

Question 11

The Joint Commission (TJC) requires that:

A) pain be assessed on all discharges.
B) repeated assessment of pain be limited to those patients who complain of pain.
C) repeated intensity documentation be made of the course of pain relief for all patients.
D) pain be assessed on surgical patients.