answers
Nurses should measure the patient's vital signs:
A. When transferred to a new nursing unit.
B. When the patient is incontinent.
C. When the patient comes to the nurses station.
D. At least three times a day. Correct Answer-A. When transferred to a
new nursing unit.
When assessing a patient's radial pulse, a nurse is unable to feel
pulsations. What should the nurse do first?
A. Release the pressure of the fingers slightly when compressing the
artery.
B. Apply more pressure with the index finger when palpating the artery.
C. Use a Doppler to assess the artery.
D. Assess an artery in the other arm. Correct Answer-A. Release the
pressure of the fingers slightly when compressing the artery.
A nurse has assigned the vital signs of the elderly patients residing in the
facility's assisted living unit to the nursing assistant. Which of the
following statements made by the UAP requires immediate correction by
the RN?
, A. "If anyone's oral temperature is over 100° F, I'll let you know right
away since that means they have a fever."
B. "As you age your blood pressure may go up, but it doesn't have to if
your vessels are healthy."
C. "I always wait a good 30 minutes after assisting the older patients
back to bed before I count their pulses."
D. "I watch the elderly client's abdomen and count the number of times
it rises when I am counting respirations." Correct Answer-A. "If
anyone's oral temperature is over 100° F, I'll let you know right away
since that means they have a fever."
The nurse is performing an assessment of the patient's thorax and lungs.
In which order will the nurse perform the following assessment
techniques? 1. Percussion 2. Auscultation 3. Inspection 4. Palpation
A.3, 1, 4, 2
B. 3, 4, 1, 2
C.2, 4, 3, 1
D.2, 3, 4, 1
E.3, 2, 4, 1 Correct Answer-B. 3, 4, 1, 2
Which of the following are normal breath sounds? Select all that apply.