Skills Lab #2

Question 1

Which of these are vital signs? (Select all that apply)

a. ) Pulse
b. ) Pain
c. ) Blood pressure
d. ) Blood sugar
e. ) Body temperature

Answer 1

a. ) Pulse
b. ) Pain
c. ) Blood pressure
d. ) Blood sugar

Question 2

Which of these values is the normal adult axillary temperature range?

a. ) 97.6-99.6 degrees
b. ) 96.6-98.6 degrees
c. ) 98.6-100.6 degrees
d. ) 96.4-100.4 degrees

Answer 2

b.) 96.6-98.6 degrees

Armpit is generally cooler

Question 3

Which of these values is the normal adult rectal temperature range?

a. ) 97.6-99.6 degrees
b. ) 96.6-98.6 degrees
c. ) 98.6-100.6 degrees
d. ) 96.4-100.4 degrees

Answer 3

c.) 98.6-100.6 degrees

Question 4

Which of these values is the normal adult tympanic temperature range?

a. ) 97.6-99.6 degrees
b. ) 96.6-98.6 degrees
c. ) 98.6-100.6 degrees
d. ) 96.4-100.4 degrees

Answer 4

d.) 96.4-100.4 degrees

Question 5

Which of these values is the normal adult oral temperature range?

a. ) 97.6-99.6 degrees
b. ) 96.6-98.6 degrees
c. ) 98.6-100.6 degrees
d. ) 96.4-100.4 degrees

Answer 5

a.) 97.6-99.6 degrees

Question 6

What happens to blood pressure as an adult becomes elderly?

a. ) BP lowers
b. ) Only diastolic lowers
c. ) Only systolic rises
d. ) BP rises

Answer 6

c.) Only systolic rises

Question 7

How long should the nurse wait to assess the clients VS following eating, drinking, smoking or exercising?

a. ) 10 minutes
b. ) 15 minutes
c. ) 30 minutes
d. ) 45 minutes

Answer 7

c.) 30 minutes

Question 8

Which site takes the most reliable temperature?

a. ) rectal
b. ) axillary
c. ) tympanic
d. ) oral

Answer 8

a.) rectal

Question 9

What happens to respirations, pulse and BP during a strong emotion like anger or fear?

a. ) Increase
b. ) Decrease

Answer 9

a.) Increase

Question 10

Describe how the nurse locates the apical pulse.

Answer 10

1. ) Locate the angle of Lewis
2. ) Move down mid-intercostal space
   * look up the rest*

Question 11

What happens to blood pressure when the elasticity of arterial walls decrease?

a. ) increase
b. ) decrease

Answer 11

a.) increase

Question 12

What happens when the BP cuff is wrapped too loosely?

a. ) erroneously low
b. ) erroneously high
c. ) erroneously high diastolic
d. ) erroneously low systolic and high diastolic reading

Answer 12

b.) erroneously high

Question 13

What happens when the BP cuff is deflated too fast?

a. ) erroneously low
b. ) erroneously high
c. ) erroneously high diastolic
d. ) erroneously low systolic and high diastolic reading

Answer 13

d.) erroneously low systolic and high diastolic reading

Question 14

What happens when the BP cuff is wrapped too slowly?

a. ) erroneously low
b. ) erroneously high
c. ) erroneously high diastolic
d. ) erroneously low systolic and high diastolic reading

Answer 14

c.) erroneously high diastolic

Question 15

What happens when the BP cuff is wrapped too wide?

a. ) erroneously low
b. ) erroneously high
c. ) erroneously high diastolic
d. ) erroneously low systolic and high diastolic reading

Answer 15

a.) erroneously low

Question 16

Which of these contribute to heat loss? ( Select all that apply)

a. ) Basal metabolism
b. ) Radiation
c. ) Conduction
d. ) Thyroxine and epinephrine
e. ) Evaporation

Answer 16

b. ) Radiation
c. ) Conduction
e. ) Evaporation

Question 17

What is the correct BP cuff size?

Answer 17

Correct size:

Width = 40% of arm circumference

Bladder length = 2/3 of arm circumference

Question 18

______ is the medical term for a weak volume of pulse.

Answer 18

Thready pulse

Question 19

Pulse Strength Scale

4+ = ?

3+ = ?

2+ = ?

1+ = ?

0 = ?

Answer 19

4+ = bounding

3+ = strong

2+ = weak

1+ = thready

0 = absent