Vital Signs

Question 1

When you go to take VS

Answer 1

Identify self and identify the client with 2 identifiers

Question 2

Order of VS checklist

Answer 2

Temp, pulse, respirations, BP

Question 3

Check pt’s armband to

Answer 3

Corroborate name and DOB

Question 4

Explain to pt

Answer 4

The purpose of what you are doing and time to complete

Question 5

Normal adult temp range

Answer 5

96.8-99.5

Question 6

When taking oral temp instruct pt to:

Answer 6

Close lips around the probe without biting it

Question 7

How long must you wait to take an oral temp if client has just eaten, smoked, or drank anything

Answer 7

15-30 mins

Question 8

When taking an oral temp you need to ask client when was the last time they

Answer 8

ate or drank anything

Question 9

Pulse scale 0

Answer 9

No pulse

Question 10

Pulse scale 1

Answer 10

Very weak

Question 11

Pulse scale 2

Answer 11

Normal

Question 12

Pulse scale 3

Answer 12

Stronger than expected

Question 13

Pulse scale 4

Answer 13

Bounding

Question 14

Tachycardia

Answer 14

Above normal pulse range

Question 15

Bradycardia

Answer 15

Below normal pulse range

Question 16

Why should you never use your thumb to check someone else’s pulse

Answer 16

Your thumb has its own pulse (yours)

Question 17

Conditions where another pulse site is needed

Answer 17

Amputation, or pain where you were planning on taking the pulse

Question 18

Count pulse for first assessment how long

Answer 18

1 full minute

Question 19

Typical adult pulse range

Answer 19

60-100 BPM

Question 20

Pulse rhythm’s

Answer 20

Regular and Irregular

Question 21

When do you count respirations

Answer 21

While fingers are still in place for a radial pulse

Question 22

How long should you count respirations

Answer 22

1 minute

Question 23

What to identify when counting respirations

Answer 23

Rate and regular or irregular

Question 24

Quality of respirations is called

Answer 24

Labored or Unlabored

Question 25

Normal adult respiratory range

Answer 25

12-18 ( up to 20) RR

Question 26

Use for appr. BP cuff sizes

Answer 26

In order to get an accurate reading the BP cuff must be the correct size. The width of the bladder should be 40% of the arm circumference and the length should cover 60-80% of the limb circumference.

Question 27

Where do you wrap the BP cuff

Answer 27

Around the upper arm with the cuff’s lower edge 1 inch above the antecubital fossa

Question 28

When taking BP forearm should be at

Answer 28

Level of heart with palm facing up. Make sure legs and ankles are not crossed.

Question 29

Which artery should you palpate for BP

Answer 29

Brachial or Radial Artery

Question 30

When taking BP lightly press the stethoscope

Answer 30

Over brachial artery just below the cuff’s artery

Question 31

When taking BP rapidly inflate the cuff to

Answer 31

180mmHg

Question 32

Normal adult BP

Answer 32

Systolic less than 120 and Diastolic less than 80

Question 33

Elevated Blood Pressure

Answer 33

Systolic 120-129 and Diastolic less than 80

Question 34

Stage 1 High BP

Answer 34

Systolic 130-139 and Diastolic 80-89

Question 35

Release the BP cuff at a rate of

Answer 35

2-3mmHg per second

Question 36

When done taking a BP

Answer 36

Deflate the cuff completely

Question 37

How many mmHg can you be off for both systolic and diastolic BP reading

Answer 37

4mmHg

Question 38

When should you preform hand hygiene

Answer 38

Before and after taking vital signs