QUESTIONS TEST BANK WITH
ACCURATE ANSWERS.
Which of the following patients would require follow-up?
An adult with a respiratory rate of 10 breaths per minute.
Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%
The nurse has delegated the task of temperature assessment to the NAP.
Which information should be provided to the NAP?
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
Which of the following situations may affect a patient's vital signs?
Moving from lying to standing position.
Pain rated as a 7 on 0-10 pain scale.
Time of day.
, The nurse will take the patient's vital signs preoperatively and record them
as part of the patient's preparation for surgery. Why is it necessary to take
vital signs preoperatively?
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and after surgery.
The NAP reports to the nurse a 65-year-old patient s blood pressure is
160/98. What is the appropriate initial response of the nurse?
Assess the patient s blood pressure.
°
Which patient would it be appropriate for the nurse to delegate vital signs
Elderly nursing home resident
Which person would be expected to have the lowest body temperature
An 80-year-old who walked half a mile
80-year-old would have a lower starting temperature and therefore, would
most likely have the lowest body temperature although it may take longer to
return to baseline after exercise.
The NAP is preparing to measure a patient's vital signs. The patient reports
having eaten a bowl of warm soup. The NAP asks the RN what he should do.
What is the best response
Ask the patient not to eat, drink, or smoke for 20 minutes and then assess
the patient's oral temperature.