PrepU Questions

Question 1

A nurse plans to measure the temperature of a client with mild diarrhea, but the client has just had hot soup. Which action should the nurse perform to obtain the accurate temperature of the client?

Answer 1

Wait for 30 minutes before measuring the oral temperature

Question 2

A nurse is assessing an apical pulse on an older adult client who takes metropolol daily. The nurse can anticipate that the client’s medication will:

Answer 2

Decrease the apical pulse

Question 3

The nurse is preparing to assess a client’s oral temperature. The nurse should plan to place the thermometer probe in which area of the client’s mouth?

Answer 3

Deep in the posterior sublingual pocket

Question 4

The nurse is preparing discharge teaching for a client admitted for sepsis. The client asks what is included when the nurse checks vital signs. Which assessment(s) is included? Select all that apply.
Temperature
Pulse
Respiratory rate
Blood pressure
Weight
Allergies

Answer 4

Temperature
Pulse
Respiratory rate
Blood pressure

Question 5

When assessing a client’s radial pulse, the nurse notes an irregular rhythm with a rate of 62 beats per minute. What intervention should the nurse implement next?

Answer 5

Auscultate the apical pulse for 60 seconds

Question 6

A nurse is assessing an adult client’s blood pressure. How should the nurse estimate the client’s systolic blood pressure (SBP)?

Answer 6

Inflate the blood pressure cuff while palpating the client’s brachial or radial artery.

Question 7

The nurse is preparing to administer a medication that the client takes to treat a cardiac arrhythmia. Which site should the nurse use to assess pulse in this client?

Answer 7

Apical

Question 8

A nursing student is manually taking the client’s blood pressure. Which step will demonstrate the correct way of inflating the blood pressure cuff?

Answer 8

Inflate the cuff to 30 mm Hg above reading where brachial pulse disappeared

Question 9

The nurse has just measured an adult client’s oral temperature and obtained a result of 102.4ºF (39.1ºC). The client states, “I just finished my coffee right before you came in. Can I have another cup?” Which response by the nurse is most appropriate?

Answer 9

I will bring you another cup when I return in 30 minutes to reassess your temperature. Please do not drink any other beverages until I return.”