Deck 31: Measuring Vital Signs

Question 1

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

Answer 1

Body temperature

Question 2

The pressure in the arteries when the heart contracts is known as

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

Answer 2

Systolic pressure

Question 3

Vital signs do all of the following except

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

Answer 3

Diagnose illness

Question 4

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 5

The heart muscle relaxes during

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

Question 6

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

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

Question 7

The period of heart muscle contraction is

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

Question 8

A systolic blood pressure that remains above 140 mm Hg and a diastolic pressure that remains above 90 mm Hg is

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

Question 9

The difference between the apical and radial pulses is the

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

Question 10

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 11

A heart rate over 100 beats per minute is

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

Question 12

A heart rate less than 60 beats per minute is

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

Question 13

The nurse asks you to take an apical-radial pulse.Which is correct?

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 14

Temperature,pulse,respirations,and blood pressure are

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

Question 15

Which of the following is used to measure blood pressure?

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

Question 16

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

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

Question 17

The act of inhalation and exhalation is

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

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 number of pulses felt in 1 minute is the

A)Pulse
B)Pulse deficit
C)Pulse rate
D)Heart beat

Question 20

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)Heart beat

Question 21

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 22

Taking temperatures is delegated to you.The nurse and care plan tell you all of 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 23

A glass thermometer for rectal temperatures has a _____ tip.

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

Question 24

The short lines of a centigrade thermometer are marked in _____ of a degree.

A)0.1
B)0.2
C)0.5
D)1.0

Question 25

Body temperature is usually the lowest

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

Question 26

A mercury-glass thermometer breaks.Which action is incorrect?

A)Follow procedures for handling hazardous substances.
B)Tell the nurse at once.
C)Do not touch the mercury.
D)Call the doctor.

Question 27

Body temperature is measured at all of the following sites except

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

Question 28

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 29

A rectal thermometer is color-coded in

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

Question 30

The short lines of a Fahrenheit thermometer are marked in _____ of a degree.

A)0.1
B)0.2
C)0.5
D)1.0

Question 31

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 32

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 33

Body temperature is measured at all of the following sites except

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

Question 34

You are taking an oral 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 35

A female resident is 83 years old.All of the following will affect her body temperature except

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

Question 36

The long lines of a Fahrenheit thermometer are marked in

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

Question 37

You are taking a rectal 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 38

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 39

The long lines of a centigrade thermometer are marked in

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

Question 40

Vital signs are immediately reported to the nurse at all of 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 41

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 42

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

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

Question 43

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

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

Question 44

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

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

Question 45

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 46

Temperature-sensitive tape is usually applied to the

A)Forehead
B)Axilla
C)Mouth
D)Buttocks

Question 47

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 48

Which is the most common site for taking a pulse?

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

To rinse a glass thermometer,you need to use

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

Question 51

A person has a nasogastric tube.When measuring temperature,you cannot use the _____ site.

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

Question 52

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

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

Question 53

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

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

Question 54

A person has dementia.Which site should you use to measure temperature?

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

Question 55

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 56

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

A)Check it for breaks and chips.
B)Clean it with hot water.
C)Clean it with a disinfectant.
D)Wipe it to remove mucus,feces,or sweat.

Question 57

To measure a temporal artery temperature,which is correct?

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

Question 58

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

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

Question 59

For an accurate measurement,the axillary site needs to be

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

Question 60

Before inserting a rectal thermometer,you need to

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

Question 61

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 62

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 63

To obtain the pulse deficit,which is correct?

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 64

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

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

Question 65

You are counting a resident's respirations.Which statement 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.

Question 66

The healthy adult has _____ respirations per minute.

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

Question 67

Which statement about apical-radial pulses is correct?

A)The rates should be equal.
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 68

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

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

Question 69

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 70

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

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

Question 71

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

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

Question 72

An apical pulse is usually counted for _____ seconds.

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

Question 73

You measured a resident's blood pressure.His diastolic pressure was 78 mm Hg.His systolic pressure was 144 mm Hg.How do you record these measurements?

A)78 mm Hg/144 mm Hg
B)78/144 mm Hg
C)144 mm Hg/78 mm Hg
D)144/78 mm Hg

Question 74

Your center 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 75

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 76

When taking a radial pulse,you need to use

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

Question 77

All of the following factors tend to increase blood pressure except

A)Being a female
B)Stress
C)Pain
D)Exercise

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

A radial pulse is usually counted for _____ seconds.

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

Question 80

What should you use to clean a stethoscope?

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