NSG 3100: EXAM 2- VITAL SIGNS QUESTIONS AND ANSWERS
Purpose of vital signs - correct answer - To monitor the functioning of body
systems
- Allows RN to detect changes in the health status, and identify early
warning signs of life-threatening health conditions
- Evaluate the effectiveness of interventions
What does alterations in vital signs mean? - correct answer - Sudden
alterations in vital signs or values outside the normal range are
indicators of a priority situation for the nurse
- Re-assessment and emergency measures should be initiated as
indicated by the patient's status
- The primary care provider should be notified of alterations in vital
signs after a complete assessment is thoroughly completed
What are the 5 vital signs? - correct answer - Temperature (T)
,NSG 3100
- Pulse (P)
- Respirations (R)
- Blood pressure (BP)
- Pain
What is temperature? - correct answer The measurable heat of the human
body
What is pulse? - correct answer - The detectable rhythmic expansion of an
artery that occurs with the pumping action of the beating heart
- Pulse rate is the number of heartbeats per minute
What is respirations? - correct answer Breaths per minute
What is blood pressure? - correct answer The measurable pressure of
blood in the systemic arteries
What is pain? - correct answer - Subjective data
- What the patient says it is
- Scale 1-10
Situations that require vital sign assessment - correct answer - On
admission: to establish a baseline
, NSG 3100
- As part of the nursing physical head-to-toe assessment
- During inpatient stay as monitoring
- Any change in health status
- Before and after surgery or invasive procedures to establish baseline
and monitor for complications
- Before and after administration of medication or interventions that
could change health status in respiratory, cardiac, or thermal regulation
systems
- To detect improvement in patient condition
- Before discharge or transfer to another unit
Questions to ask when taking temperature - correct answer - Have you had
anything to eat, drink, or chewed gum in the last 15 minutes?
- Have you exercised in the last 30 minutes?
- Have you been sleeping?
- Do you smoke?
- Have you been feeling hot, sweaty, or cold?
Questions to ask when taking a pulse - correct answer - Have you been
exercising in the last 30 minutes?
- Are you feeling SOB?
- Are you having any chest pain?
- Does your pulse feel racing?