VITAL SIGNS TEST QUESTIONS WITH ACCURATE
ANSWERS
A charge nurse in a clinic is preparing an in-service about blood pressure
measurements for a group of staff members. Which of the following information
should the nurse include?
a) A client is diagnosed with an elevated blood pressure when the measurement
is greater than 130/80 mm Hg.
b) A client is experiencing a hypertensive crisis when their blood pressure is
greater than 150/90 mm Hg.
c) A client who has a blood pressure of 128/86 mm Hg has stage I hypertension.
d) A client who has a blood pressure of 162/102 mm Hg has stage II hypertension.
correct answer d) A client who has a blood pressure of 162/102 mm Hg has stage
II hypertension.
A charge nurse is discussing a client's respiratory data with a newly licensed
nurse. Which of the following statements should the nurse include?
a) "Clients will exhibit an increase in their respiratory rate after using a
bronchodilator."
b) "Count the respiratory rate for 1 minute for clients who have a respiratory
infection."
c) "Expect clients who have a brainstem injury to exhibit rapid respirations."
d) "Clients who are experiencing acute pain will have slow, deep respirations."
correct answer b) "Count the respiratory rate for 1 minute for clients who have a
respiratory infection."
,A charge nurse is discussing mechanisms of loss of body heat with a newly
licensed nurse. Which of the following statements should the nurse include?
a) "Convection is the loss of body heat when a client is in contact with a cooler
surface."
b) "Conduction is the loss of body heat when sweat dries from a client's skin."
c) "Evaporation is the loss of body heat when a client is near a current of cool air."
d) "Radiation is the loss of body heat when client is in close proximity to a cooler
surface." correct answer d) "Radiation is the loss of body heat when client is in
close proximity to a cooler surface."
A charge nurse is discussing the physiology of the heart with a newly licensed
nurse. Which of the following anatomical sites should the newly licensed nurse
identify as the pacemaker of the heart?
a) Atrioventricular (AV) node
b) Left ventricle
c) Sinoatrial (SA) node
d) Right ventricle correct answer c) Sinoatrial (SA) node
A charge nurse is evaluating a newly licensed nurse's documentation of vital signs
for several clients. Which of the following documentation should the charge nurse
identify as being incomplete?
a) Radial pulse regular at 84/min
b) Respirations observed as even, non labored at 20/min with client in supine
position
, c) BP 124/82 mm Hg, lying in bed
d) Temporal temperature 36.9 (98.4) correct answer c) BP 124/82 mm Hg, lying in
bed
A charge nurse is reviewing orthostatic hypotension with a group of newly
licensed nurses. Which of the following statements should the charge nurse
make?
a) "The first step in checking for orthostatic hypotension is obtaining a client's
blood pressure while they are standing."
b) "An increase of 5 millimeters of mercury in the diastolic pressure with a
position change indicates orthostatic hypotension."
c) "A decrease of 20 millimeters of mercury in the systolic pressure with a position
change indicates orthostatic hypotension."
d) "Wait 5 minute to check the client's blood pressure after each position
change." correct answer c) "A decrease of 20 millimeters of mercury in the
systolic pressure with a position change indicates orthostatic hypotension."
A charge nurse is reviewing the expected reference range of blood pressure in
adult clients with a newly licensed nurse. Which of the following statements
should the charge nurse include?
a) "Hypertension is diagnosed with two elevated measurements on two separate
occasions."
b) "Successive blood pressure measurements of 126 over 78 is classified as stage I
hypertension."
c) "Stage II hypertension is diagnosed when the blood pressure measurement is
132 over 86."
ANSWERS
A charge nurse in a clinic is preparing an in-service about blood pressure
measurements for a group of staff members. Which of the following information
should the nurse include?
a) A client is diagnosed with an elevated blood pressure when the measurement
is greater than 130/80 mm Hg.
b) A client is experiencing a hypertensive crisis when their blood pressure is
greater than 150/90 mm Hg.
c) A client who has a blood pressure of 128/86 mm Hg has stage I hypertension.
d) A client who has a blood pressure of 162/102 mm Hg has stage II hypertension.
correct answer d) A client who has a blood pressure of 162/102 mm Hg has stage
II hypertension.
A charge nurse is discussing a client's respiratory data with a newly licensed
nurse. Which of the following statements should the nurse include?
a) "Clients will exhibit an increase in their respiratory rate after using a
bronchodilator."
b) "Count the respiratory rate for 1 minute for clients who have a respiratory
infection."
c) "Expect clients who have a brainstem injury to exhibit rapid respirations."
d) "Clients who are experiencing acute pain will have slow, deep respirations."
correct answer b) "Count the respiratory rate for 1 minute for clients who have a
respiratory infection."
,A charge nurse is discussing mechanisms of loss of body heat with a newly
licensed nurse. Which of the following statements should the nurse include?
a) "Convection is the loss of body heat when a client is in contact with a cooler
surface."
b) "Conduction is the loss of body heat when sweat dries from a client's skin."
c) "Evaporation is the loss of body heat when a client is near a current of cool air."
d) "Radiation is the loss of body heat when client is in close proximity to a cooler
surface." correct answer d) "Radiation is the loss of body heat when client is in
close proximity to a cooler surface."
A charge nurse is discussing the physiology of the heart with a newly licensed
nurse. Which of the following anatomical sites should the newly licensed nurse
identify as the pacemaker of the heart?
a) Atrioventricular (AV) node
b) Left ventricle
c) Sinoatrial (SA) node
d) Right ventricle correct answer c) Sinoatrial (SA) node
A charge nurse is evaluating a newly licensed nurse's documentation of vital signs
for several clients. Which of the following documentation should the charge nurse
identify as being incomplete?
a) Radial pulse regular at 84/min
b) Respirations observed as even, non labored at 20/min with client in supine
position
, c) BP 124/82 mm Hg, lying in bed
d) Temporal temperature 36.9 (98.4) correct answer c) BP 124/82 mm Hg, lying in
bed
A charge nurse is reviewing orthostatic hypotension with a group of newly
licensed nurses. Which of the following statements should the charge nurse
make?
a) "The first step in checking for orthostatic hypotension is obtaining a client's
blood pressure while they are standing."
b) "An increase of 5 millimeters of mercury in the diastolic pressure with a
position change indicates orthostatic hypotension."
c) "A decrease of 20 millimeters of mercury in the systolic pressure with a position
change indicates orthostatic hypotension."
d) "Wait 5 minute to check the client's blood pressure after each position
change." correct answer c) "A decrease of 20 millimeters of mercury in the
systolic pressure with a position change indicates orthostatic hypotension."
A charge nurse is reviewing the expected reference range of blood pressure in
adult clients with a newly licensed nurse. Which of the following statements
should the charge nurse include?
a) "Hypertension is diagnosed with two elevated measurements on two separate
occasions."
b) "Successive blood pressure measurements of 126 over 78 is classified as stage I
hypertension."
c) "Stage II hypertension is diagnosed when the blood pressure measurement is
132 over 86."
