NSG 200 FINAL EXAM 4 WITH 217 QUESTIONS AND
ANSWERS
You have assessed a 45 yr old patient's vital signs. Which of the following
assessment values requires immediate attention?
A. an oral temperature of 100 F (37.8 C)
B. a blood pressure of 148/88 mm Hg
C. respiratory rate of 30/min
D. a radial pulse rate of 45 beats per 30 seconds - ANSWER C. respiratory rate of
30/min
The difference between a patient's systolic and diastolic blood pressure is called
A. an auscultatory gap
B. the pulse pressure
C. the diurnal variation
D. the pulse deficit - ANSWER B. the pulse pressure
To auscultate a patient's apical pulse accurately, you position the bell or the
diaphragm of your stethoscope over the patient of maximal impulse, which is
located
A. at the right midclavicular line
B. over the Angle of Louis
C. at the 5th intercostal space at the left midclavicular line
D. over the suprasternal notch - ANSWER C. at the 5th intercostal space at the
left midclavicular line
When assessing a patient's respiration, it is recommended that the patient
A. lie flat in the bed his/her head on a pillow
B. have the head of the bed elevated 45 to 60 degrees
,C. continue to go about his/her usual activities
D. take several deep breaths prior to the assessment - ANSWER B. have the head
of the bed elevated 45 to 60 degrees
The most important factor in measuring blood pressure is
A. obtaining the reading in the early morning
B. using a cuff of the appropriate size of the patient
C. making sure the patient is comfortable and relaxed
D. removing clothing from the arm before applying the cuff - ANSWER B. using a
cuff of the appropriate size of the patient
When auscultating a patient's apical pulse, you listen until you hear the S1 and S2
heart sounds clearly and regularly. S2 is produced when the
A. atria contract vigorously
B. ventricular walls vibrate
C. semilunar valves close
D. mitral valve snaps open - ANSWER C. semilunar valves close
You are preparing to use a tympanic thermometer. Which of the following steps
has the highest priority in the accurate use of this piece of equipment for
measuring body temperature?
A. attaching the disposable probe cover
B. assessing the external ear for redness
C. gently pulling the pinna back and upward
D. replacing the thermometer in its charger - ANSWER C. gently pulling the
pinna back and upward
When preparing to measure the vital signs of a patient, you should recognize that
which of the following will affect the methods that you will use?
A. the patient is 60 pounds overweight
B. the patient has been nauseated for 2 days
, C. the patient is reporting a "stuffy" nose
D. the patient has been fasting for blood tests
E. the patient is taking digoxin (Lanoxin)
F. the patient had a mastectomy 2 years ago - ANSWER A. the patient is 60
pounds overweight
C. the patient is reporting a "stuffy" nose
E. the patient is taking digoxin (Lanoxin)
F. the patient had a mastectomy 2 years ago
You are assessing the vital signs of a newly admitted patient. To establish an
accurate baseline of the patient's respiration, you
A. instruct the patient to breath in and to exhale out as he would normally
B. make the patient physically comfortable before beginning the assessment
C. determine if the patient has a history of any chronic respiratory problems
D. observe the patient's chest movements while appearing to assess his pulse -
ANSWER D. observe the patient's chest movements while appearing to assess his
pulse
The best way to determine the depth of a patient's respiration is to
A. observe the degree of chest-wall movement during inspiration and expiration
B. count how many breathing cycles you observe per minute
C. notice whether or not expiration takes longer than inspiration
D. measure the precise amount of air the patient takes in and breathes out -
ANSWER A. observe the degree of chest-wall movement during inspiration and
expiration
When taking an adult patient's temperature rectally, it is important to
A. rotate the probe gently if you encounter any resistance
B. insert the probe so that you are aiming at the patient's pelvic area
C. dip the probe about an inch to an inch and a half into a tube of lubricant
ANSWERS
You have assessed a 45 yr old patient's vital signs. Which of the following
assessment values requires immediate attention?
A. an oral temperature of 100 F (37.8 C)
B. a blood pressure of 148/88 mm Hg
C. respiratory rate of 30/min
D. a radial pulse rate of 45 beats per 30 seconds - ANSWER C. respiratory rate of
30/min
The difference between a patient's systolic and diastolic blood pressure is called
A. an auscultatory gap
B. the pulse pressure
C. the diurnal variation
D. the pulse deficit - ANSWER B. the pulse pressure
To auscultate a patient's apical pulse accurately, you position the bell or the
diaphragm of your stethoscope over the patient of maximal impulse, which is
located
A. at the right midclavicular line
B. over the Angle of Louis
C. at the 5th intercostal space at the left midclavicular line
D. over the suprasternal notch - ANSWER C. at the 5th intercostal space at the
left midclavicular line
When assessing a patient's respiration, it is recommended that the patient
A. lie flat in the bed his/her head on a pillow
B. have the head of the bed elevated 45 to 60 degrees
,C. continue to go about his/her usual activities
D. take several deep breaths prior to the assessment - ANSWER B. have the head
of the bed elevated 45 to 60 degrees
The most important factor in measuring blood pressure is
A. obtaining the reading in the early morning
B. using a cuff of the appropriate size of the patient
C. making sure the patient is comfortable and relaxed
D. removing clothing from the arm before applying the cuff - ANSWER B. using a
cuff of the appropriate size of the patient
When auscultating a patient's apical pulse, you listen until you hear the S1 and S2
heart sounds clearly and regularly. S2 is produced when the
A. atria contract vigorously
B. ventricular walls vibrate
C. semilunar valves close
D. mitral valve snaps open - ANSWER C. semilunar valves close
You are preparing to use a tympanic thermometer. Which of the following steps
has the highest priority in the accurate use of this piece of equipment for
measuring body temperature?
A. attaching the disposable probe cover
B. assessing the external ear for redness
C. gently pulling the pinna back and upward
D. replacing the thermometer in its charger - ANSWER C. gently pulling the
pinna back and upward
When preparing to measure the vital signs of a patient, you should recognize that
which of the following will affect the methods that you will use?
A. the patient is 60 pounds overweight
B. the patient has been nauseated for 2 days
, C. the patient is reporting a "stuffy" nose
D. the patient has been fasting for blood tests
E. the patient is taking digoxin (Lanoxin)
F. the patient had a mastectomy 2 years ago - ANSWER A. the patient is 60
pounds overweight
C. the patient is reporting a "stuffy" nose
E. the patient is taking digoxin (Lanoxin)
F. the patient had a mastectomy 2 years ago
You are assessing the vital signs of a newly admitted patient. To establish an
accurate baseline of the patient's respiration, you
A. instruct the patient to breath in and to exhale out as he would normally
B. make the patient physically comfortable before beginning the assessment
C. determine if the patient has a history of any chronic respiratory problems
D. observe the patient's chest movements while appearing to assess his pulse -
ANSWER D. observe the patient's chest movements while appearing to assess his
pulse
The best way to determine the depth of a patient's respiration is to
A. observe the degree of chest-wall movement during inspiration and expiration
B. count how many breathing cycles you observe per minute
C. notice whether or not expiration takes longer than inspiration
D. measure the precise amount of air the patient takes in and breathes out -
ANSWER A. observe the degree of chest-wall movement during inspiration and
expiration
When taking an adult patient's temperature rectally, it is important to
A. rotate the probe gently if you encounter any resistance
B. insert the probe so that you are aiming at the patient's pelvic area
C. dip the probe about an inch to an inch and a half into a tube of lubricant
