1. A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep
breaths. She has smoked for 35 years and recently lost over 10 lbs. Her vital signs on
admission are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C (98.2° F), and
oxygen saturation 94%. She is receiving oxygen at 2 L via a nasal cannula. Which vital sign
reflects a positive outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 - 4
2. The licensed practical nurse (LPN) provides you with the change-of-shift vital signs on
four of your patients. Which patient do you need to assess first?
1. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
2. 54-year-old woman admitted after surgery for fractured arm, BP 160/86 mm Hg, HR 72
3. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1° F), HR 84
4. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 - 1
3. A 55-year-old female patient was in a motor vehicle accident and is admitted to a surgical
unit after repair of a fractured left arm and left leg. She also has a laceration on her forehead.
An intravenous (IV) line is infusing in the right antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is receiving oxygen via a simple face mask. Which
sites do you instruct the nursing assistant to use for obtaining the patient's blood pressure and
temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery - 1
4. The nurse observes a nursing student taking a blood pressure (BP) on a patient. The nurse
notes that the student very slowly deflates the cuff in an attempt to hear the sounds. The
patient's BP range over the past 24 hours is 132/64 to 126/72 mm Hg. Which of the following
BP readings made by the student is most likely caused by an incorrect technique?