NURS Chapter 27 Flashcards
Which statement is false?
a. The vital signs are temperature, pulse, respirations, and blood pressure
b. Vital signs detect changes in body function
c. Vital signs change only during illness
d. Sleep, exercise, medications, emotions, and noise affect vital signs
C
Which should you report at once?
a. An oral temperature of 98.4°F
b. A rectal temperature of 101.6°F
c. An axillary temperature of 97.6°F
d. An oral temperature of 99.0°F
B
A rectal temperature is taken when the person
a. Is unconscious
b. Has heart disease
c. Is confused
d. Has diarrhea
A
Which gives the least accurate measurement of body temperature?
a. Oral site
b. Rectal site
c. Axillary site
d. Tympanic membrane site
C
Your center uses tympanic membrane thermometers. Mrs. Yee wears a hearing aid in her left ear. How should you proceed?
a. Ask the nurse to take her temperature
b. Ask Mrs. Yee if she can remove her hearing aid
c. Take her temperature in her right ear
d. Write unavailable on the vital sign sheet
C
As you enter Mr. Cooper’s room to check his temperature, he is drinking a cup of ice water. You have an oral electronic thermometer. What should you do?
a. Go ahead and check his temperature
b. Come back in 5minutes
c. Tell him you will come back in 15 to 20minutes and ask him to refrain from drinking until you return
d. Ask another nursing assistant to take his temperature
C
Which is usually used to take an adult’s pulse?
a. Radial pulse
b. Apical pulse
c. Apical-radial pulse
d. Brachial pulse
A
Which is reported to the nurse at once?
a. An adult has a pulse of 124 beats per minute
b. An adult has a pulse of 90 beats per minute
c. An adult has a pulse of 86 beats per minute
d. An adult has a pulse of 64 beats per minute
A
Which statement about the apical-radial pulse is true?
a. The radial pulse can be greater than the apical pulse.
b. The apical pulse can be greater than the radial pulse.
c. The apical and radial pulses are always equal.
d. The pulse deficit is always 0.
B
In an adult, normal respirations are
a. 10 to 18 per minute
b. 12 to 20 per minute
c. Less than 20 per minute
d. More than 20 per minute
B
Normal respirations
a. Are heard as the person inhales
b. Are heard as the person exhales
c. Are quiet
d. Sound like wheezing with inhalation and exhalation
C
Respirations are usually counted
a. After taking the temperature
b. After taking the pulse
c. Before taking the pulse
d. After taking the blood pressure
B
Which blood pressure is normal for an adult?
a. 88/54mm Hg
b. 140/90mm Hg
c. 100/48mm Hg
d. 112/78mm Hg
D
When measuring BP, you should do the following except
a. Use the arm with an intravenous infusion
b. Apply the cuff to a bare upper arm
c. Turn off the TV
d. Locate the brachial artery
A
The systolic pressure is the point
a. Where the pulse is no longer felt
b. Where the first sound is heard
c. Where the last sound is heard
d. 30mm Hg above where the pulse was felt
B
You are not sure of hearing an accurate BP measurement. What should you do?
a. Record what you think you heard
b. Measure the BP again after 60 seconds
c. Use the bell part of the stethoscope
d. Ask another nursing assistant to take the BP
B
Which of the following does not cause an increase in the person’s BP?
a. Smoking
b. High sodium intake
c. Excessive alcohol intake
d. Sudden change from lying position to standing
D
You are measuring a person’s blood pressure while they are sitting in a chair? Which is false?
a. The person can rest the arm on a table
b. The person can cross the legs
c. You may mute the person’s TV temporarily while measuring the BP
d. You may tell the person the BP reading
B
Where should the person’s arm be positioned when measuring BP?
a. Resting on the bed or table at the level of the heart
b. Above the head
c. Hanging at the side
d. Any position will work
A
What is the correct order for recording vital signs?
a. BP-P-T-R
b. R-P-T-BP
c. T-P-R-BP
d. P-T-R-BP
C
