Vital Signs

Question 1

Normal range for RR

Answer 1

12-20 respirations per minute (inspiration and expiration count as 1 respiration)

Question 2

Normal range for HR

Answer 2

60-100 BPM

Question 3

Normal range for BP

Answer 3

<120/80

Question 4

Pre-Hypertension

Answer 4

120-139/80-89

Question 5

Hypertension (Stage 1)

Answer 5

140-159/90-99

Question 6

Hypertension (Stage 2)

Answer 6

> 160/100

Question 7

Normal range for Sp02

Answer 7

95% - 100%

Question 8

Hyperventilation

Answer 8

> 20 RR (exercise, anxiety)

Question 9

Hypo-ventilation

Answer 9

<12 RR (Drug overdose, pneumonia)

Question 10

Temperature Range (normal)

Answer 10

96. 7-100.5 (F)

35. 9-38 (C)

Question 11

Routes to obtain pulse (HR)

Answer 11

• Coratid (2)
• Brachial (2)
• Radial (2)
• Apical
• Femoral (2)
• Popliteal (2)
• Dorsalis Pedialis (2)
• Posterior Tibial

Question 12

Routes to obtain temp

Answer 12

• temporal
• tempanic
• oral (sublingual)
• axillary
• rectal

Question 13

Pulse/HR (clinical setting)

Answer 13

check for 1 full min!
measure in beats per min (bpm)
clinical abbrev - p (i.e - p 80)

0+ absent
1+ diminished
2+ brisk
3+ bounding

Question 14

Pulse Deficit

Answer 14

=Apical - periph

should not exceed 4 bpm

Question 15

Respiration Rate (Clinical)

Answer 15

Rhythm - regular or irregular
Depth - deep or shallow
clinical abbrev - (r, rr , rpm)

Dyspnea - difficulty breathing , shortness of breath (SOB)

Apnea - cessation of breathing

Question 16

Pulse Oximetry

Answer 16

measure of oxygen saturation in the peripheral arterial blood (SpO2)

clinical abbrev - pulse ox
clinical verbal - ‘sats’

Question 17

Cheyne Stokes

Answer 17

Abnormal respiration rate (rr); Deep rapid breathing alternating with periods of apnea

Question 18

BP assessment sites

Answer 18

1) Brachial artery

2) Thigh, auscultate popliteal artery

Question 19

Pain assessment

Answer 19

P rovocation - ‘What causes the pain?’
Q uality - ‘What does it feel like?’
R egion - ‘Where is it located?’
S everity - ‘How bad, on a 0 - 10 scale?’
T ime - ‘How long does it last/occur?’

Pain is SUBJECTIVE