Vital Signs

Question 1

Apical

Answer 1

Over the heart

Question 2

Brachial

Answer 2

In the elbow bend (most common site for palpation in children under 1)

Question 3

Carotid

Answer 3

In the neck (for pulse checks in unconscious patients, be sure to only palpate one side at a time to maintain perfusion to the brain)

Question 4

Dorsalis pedis

Answer 4

On top of the foot

Question 5

Facial

Answer 5

On the jaw under the mouth

Question 6

Femoral

Answer 6

In the groin (for pulse checks in unconscious patients)

Question 7

Popliteral

Answer 7

On the back of the knee

Question 8

Radial

Answer 8

On the anterior wrist below the thumb ( most common site for palpation in patients older than 1 yr old)

Question 9

Temporal

Answer 9

On the temple

Question 10

Ulnar

Answer 10

On the anterior wrist below the little finger

Question 11

Normal resting pulse rate for adult

Answer 11

60-100 beats per minute

Question 12

Normal resting pulse rate for child

Answer 12

80-100 beats per minute

Question 13

Normal resting pulse rate for toddler

Answer 13

100 beats per minute

Question 14

Normal resting pulse rate for infant under 1 yr

Answer 14

100-140 beats per minute

Question 15

Normal resting pulse rate for Newborns (neonate)

Answer 15

Up to 150 beats per minute

Question 16

Pulse deficit

Answer 16

Occurs when the radial pulse in the wrist is slower than the social pulse in the chest.

Question 17

Distal pulse

Question 18

Tachycardia

Answer 18

Is a pulse rate over 100 beats per minute

Question 19

Bradycardia

Answer 19

Is a resting heart rate less than 60 beats per minute

Question 20

What may cause Tachycardia?

Answer 20

Anxiety, fear, stress, pneumonia, anemia, low blood pressure, dehydration, fever, infection, hyperthyroidism, and heart conditions

Question 21

What may cause bradycardia?

Answer 21

Heart attack (MI), hypothermia, heat exhaustion, obstructive jaundice, skull fracture, malnutrition, hypothyroidism, and many adverse drug reactions

Question 22

Why is Measuring respiration done?

Answer 22

To assess the number of times per minute the patient breathes

Question 23

Should you let the patient know you are going to take their respiration?

Answer 23

No

Question 24

When should you take the reputation of a patient?

Answer 24

After checking patients pulse

Question 25

Normal range for respiratory rate for adults

Answer 25

12-20 breaths per minute

Question 26

What would cause a patient to have a slow respiration rate?

Answer 26

If patient is resting, on their back, being on narcotics

Question 27

What would cause a patient to have a rapid respiration rate?

Answer 27

Increased activity, pain, stress, elevated temperature, guild overload, heart attack, infection

Question 28

Increased blood pressure contributes to what?

Answer 28

Stroke and heart disease

Question 29

Low blood pressure contributes to what?

Answer 29

Shock, trauma, or severe infection

Question 30

Normal adult blood pressure

Answer 30

Systole < 120 mmHg
Diastole < 80 mmHg

Question 31

Prehypertension

Answer 31

Systole 120-129
Diastole < 80

Question 32

Hypertension stage 1

Answer 32

Systole 130-139
Diastole 80-89

Question 33

Hypertension stage 2

Answer 33

Systole greater than 140
Diastole greater than 90

Question 34

Hypotension (low blood pressure)

Answer 34

90/50 or less

Question 35

False BP reading can occur from the following

Answer 35

Incorrect cuff size
Deflating the cuff more rapidly
Venous congestion
Loud environment noises
Operator error

Question 36

What is an android sphygmomanometer?

Answer 36

Portable blood pressure cuff

Question 37

How is blood pressure measure?

Answer 37

As systolic and diastolic pressure by means of a stethoscope and an android sphygmomanometer

Question 38

What is the first Korotkoff sound the MA hears?

Answer 38

Systole

Question 39

What is the last Korotkoff sounds the MA hears?

Answer 39

Diastole

Question 40

What does pulse oximetry non-invasive Ku measures?

Answer 40

Measures a patient’s oxyhemoglobin (oxygen saturation) level using a small clip-like device with a light that measures the oxygen saturation of the site it is attached to

Question 41

Which fingers can you attach to the oximeter sensor?

Answer 41

Index, middle or ring finger

Toe or earlobe for damaged hands

Forehead, nose and other parts (consider using as last resulte)

Question 42

Normal range for oxygen saturation?

Answer 42

95% to 100%