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Exam (elaborations)

DAVIS Advantage FOR Pediatric Nursing EXAM Questions and Answers Verified Solutions Latest Update

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DAVIS Advantage FOR Pediatric Nursing EXAM Questions and Answers Verified Solutions Latest Update

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DAVIS Advantage FOR Pediatric Nursing
EXAM Questions and Answers
Verified Solutions Latest Update


Question:

Which vital signs are considered normal? Select all that apply. Diastolic blood pressure
of 91 mm Hg Apical pulse of 76 beats/min Systolic blood pressure of 145 mm Hg
Respiratory rate of 22 breaths/min Rectal temperature of 99.1°F (37.3°C).

Answer:
?


Question:

The nurse assists the client to the restroom. Upon returning to bed, the client says he
has a throbbing headache and feels chilled. Which priority vital signs should be
evaluated? Select all that apply. Radial pulse Respiratory rate Tympanic temperature
Apical pulse Blood pressure.

Answer:
?


Question:

The nurse is documenting the vital sign assessment. Which statement would be a
correct description? "Low-grade temperature, pulse regular and unlabored, respiration
shallow." "Afebrile, radial pulse weak, respirations deep and regular." "Bounding
temperature, regular pulse, unlabored respirations." "Hyperthermia, tachycardia,
bradypnea." "Temperature thready, pulse normal, respirations irregular.".

Answer:
"Hyperthermia, tachycardia, bradypnea."

,Question:

Which statements about vital sign equipment are correct? Select all that apply. Blood
pressure cuffs come in two sizes, large and small. A stethoscope is required to take a
radial pulse. An axillary temperature is the most accurate. Vital sign equipment should
be cleaned between each patient use. Electronic blood pressure monitors can be set to
monitor and record BP at timed intervals and do not require the use of a stethoscope..

Answer:
?


Question:

What are the primary vital signs of the nursing assessment? Select all that apply. Blood
pressure Pulse Pulse oximetry Respiratory rate Temperature.

Answer:
Blood pressure Pulse Respiratory rate Temperature


Question:

While palpating Mrs. Wong's pulse, you find a rate of 40 beats/min. This finding is
_________. Tachypnea Tachycardia Bradypnea Bradycardia.

Answer:
Bradycardia


Question:

The nurse performs a vital sign assessment and obtains the following results:
Temperature, 101.3°F (38.5°C); pulse, 110 beats/min; respiratory rate, 28
breaths/minute; blood pressure, 107/66 mm Hg. Which findings are abnormal? Select
all that apply. Respiratory rate Systolic blood pressure Temperature Diastolic blood
pressure Pulse.

Answer:
Respiratory rate Temperature Pulse


Question:

_____________ pressure is peak blood pressure against arterial walls. Brachial Mean
Systolic Radial Diastolic.

Answer:
Systolic

,Question:

What information is needed when assessing the respiratory vital signs? Select all that
apply. Rate Depth Rhythm Effort Quality.

Answer:
Rate Depth Rhythm Effort


Question:

Which factors impact a client's normal body temperature? Select all that apply. Age
Gender Exercise Environment Recent intake.

Answer:
Age Gender Exercise Environment Recent intake is suggesting hot/cold beverages
instead of food intake.


Question:

Which physiological processes occur when the hypothalamus is stimulated due to a
client being warm? Select all that apply. Epinephrine release Peripheral vasodilation
Perspiration Piloerection Shunting of blood away from the periphery.

Answer:
Peripheral vasodilation Perspiration The other options occur when a person is cold


Question:

Which disorder can cause an increase in the basal metabolic rate (BMR) and thus raises
body temperature? Hypertension Hyperlipidemia Hypothyroidism Hyperthyroidism.

Answer:
Hyperthyroidism


Question:

In which clients would the nurse find elevated pulse rates? Select all that apply. A
3-month-old infant A client with hypothyroidism A client taking digoxin (Lanoxin) A
client with a temperature of 101.0°F A client with chronic obstructive pulmonary
disease (COPD).

Answer:
A 3-month-old infant A client with a temperature of 101.0°F A client with chronic
obstructive pulmonary disease (COPD)

, Question:

The nurse is assessing a client with congestive heart failure and notes 3+ bilateral
pitting pedal edema. The nurse is unable to palpate the pedal pulses. What would be
the best intervention? Document that the pedal pulses cannot be obtained. Ask
another nurse to verify the lack of pedal pulses. Obtain a portable Doppler and check
for pedal pulses. Notify the primary health-care provider of a lack of pedal pulses..

Answer:
Obtain a portable Doppler and check for pedal pulses.


Question:

The nurse is working at a health fair providing blood pressure and pulse screenings.
The nurse finds a young adult client has an apical pulse of 44 bpm. What would be the
nurse's first action? Call 911 and notify emergency medical services (EMS). Have the
client drink some water, then recheck the apical pulse. Ask the client if he or she is an
athlete or runs every day. Instruct the client to make an appointment to see his or her
health-care provider..

Answer:
Ask the client if he or she is an athlete or runs every day.


Question:

Which gases are primarily exchanged during respiration? Select all that apply. Oxygen
Chloride Nitrogen Hydrogen Carbon dioxide.

Answer:
Oxygen Carbon dioxide Tip: Special respiratory centers in the medulla oblongata and
pons of the brain, along with nerve fibers of the autonomic nervous system, regulated
breathing in response to minute changes in the concentration of oxygen (O2) and
carbon dioxide (CO2) in the arterial blood.


Question:

Which factors affect respiration? Select all that apply. Decreased serum potassium
levels Level of carbon dioxide tension in the blood Changes in pressure within the
thoracic cavity Central chemoreceptors in the medulla and pons Peripheral
chemoreceptors located in the carotid and aortic bodies.

Answer:
Level of carbon dioxide tension in the blood Central chemoreceptors in the medulla and
pons Peripheral chemoreceptors located in the carotid and aortic bodies

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