LATEST 2024 VERSION WITH VERIFIED RATIONALE GRADED A+
1. A nurse assesses an oral temperature for an adult patient. The patient's temperature is 37.5°C
(99.5°F). What term would the nurse use to report this temperature?
a. Febrile
b. Hypothermia
c. Hypertension
d. Afebrile - ansd. Afebrile
2. A nurse is assessing the vital signs of patients who presented at the emergency department. Based on
the knowledge of age-related variations in normal vital signs, which patients would the nurse document
as having a normal vital sign? Select all that apply.
a. A 4-month old infant whose temperature is 38.1°C (100.5°F)
b. A 3-year old whose blood pressure is 118/80
c. A 9-year old whose temperature is 39°C (102.2°F)
d. An adolescent whose pulse rate is 70 bpm
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm - ansa. A 4-month old infant whose temperature is 38.1°C
(100.5°F)
d. An adolescent whose pulse rate is 70 bpm
, VITAL SIGNS PRACTICE FOR NCLEX QUESTIONS AND ANSWERS
LATEST 2024 VERSION WITH VERIFIED RATIONALE GRADED A+
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm
3. A patient who is febrile may lose body heat through perspiration. The nurse recognizes that this is an
example of what mechanism of heat loss?
a. Evaporation
b. Convection
c. Radiation
d. Conduction - ansa. Evaporation
4. The rectal temperature, a core temperature, is considered to be one of the most accurate routes. In
which cases would taking a rectal temperature be contraindicated? Select all that apply.
a. A newborn who has hypothermia
b. A child who has pneumonia
c. An older patient who is post myocardial infarction (heart attack)
d. A teenager who has leukemia
e. A patient receiving erythropoietin to replace red blood cells