Vital signs ques ons and answers new! With
complete solu on RATED A+ 2025/2026 UPDATED
The nurse obtains vital signs on a 42yr old man having his annual physical examina on. He has
no medical condi ons and states that his health is excellent. Using an automated blood pressure
device, his blood pressure is measured as 62/40. Which ac on by the nurse is most
appropriate?
A. Obtain a different cuff and take the blood pressure again
B. take the blood pressure again using the ausculta on method
C. place the pa ent in a supine posi on and take the pressure on the leg
D. record the blood pressure and con nue with the examina on
B
Which set of vital signs should the nurse recognize as out of the expected range?
A. 42yr old male; BP 114/82, pulse 74 beats/min, respira on , 16 breaths/min, temperature
38.6C
B. 11yr old female; pulse 88 beats/min, respira on 22 breaths/min, temperature 36.7C
C. 3yr old male; pulse 130 beats/min, respira on 44 breaths/min, temperature 36.7C
D. 2mo old female; pulse 120 beats/min, respira on 42 breaths/min, temperature 36.7C
C
The nurse records the following general inspec on findings on a pa ent: "41-year-old Hispanic
male in no distress; very thin, skin tone slightly jaundiced, disheveled appearance, and appears
older than stated age. Pa ent with flat affect and makes minimal eye contact." What addi onal
informa on should be added to this general inspec on?
A. Body movement
B. Family history
C. Es mated size of his liver
D. Palpa on of pulses
A
A pa ent is brought to the emergency department in severe respiratory distress. Which method
of temperature measurement would be the most appropriate?
A. Oral
B. Axillary
C. Temporal
D. Rectal
, C
A 62yr old pa ent tells the nurse that he has recently had frequent fain ng spells. A=er
palpa ng the radial pulse, 13 pulsa ons are counted in 15 seconds with a regularly irregular
rhythm. What is the most appropriate ac on for the nurse to take at this me?
A. reassess the pulse rate a=er he walks around the room for several minutes
B. reassess the pulse rate for 15 seconds using the caro d artery
C. take an apical pulse for 5 full minutes, coun ng the number of skipped beats
D. palpate the pulse for 1 minute and determine the pa?ern to the irregularity
D
What is the most reliable way to assess pain in a pa ent who is cogni vely intact?
A. type the frequency of analgesic medica ons the pa ent takes
B. pa ent's most recent vital signs (e.g., blood pressure and pulse rate)
C. extent of ssue damage the pa ent has experienced
D. report by the pa ent describing the pain experienced
D
A pa ent had a knee replaced because of arthri s. He reports that he has not slept bell for
several nights. He states that he can't get comfortable. Today he is asking for pain medica on
more o=en. What could be a reason for this increase in pain?
A. Arthri s pain is variable; it can be mild one day and severe the next
B. pain tolerance decreases with sleep depriva on
C. the anesthesia from surgery is wearing off
D. the pa ent is using the pain medica on to help him sleep during the day
B
A pa ent complains of chest pain. Which ques on has the highest priority to obtain addi onal
informa on?
A. what were you doing when the pain first occurred?
B. do you have shortness of breath with the chest pain?
C. what does the pain feel like?
D. has anyone in your family ever had similar pain?
C
A pa ent complains of leg pain. Which ques on is per nent to ask to gain addi onal
informa on?
A. what were you doing when the pain first occurred?
B. how do you feel about having this pain?
complete solu on RATED A+ 2025/2026 UPDATED
The nurse obtains vital signs on a 42yr old man having his annual physical examina on. He has
no medical condi ons and states that his health is excellent. Using an automated blood pressure
device, his blood pressure is measured as 62/40. Which ac on by the nurse is most
appropriate?
A. Obtain a different cuff and take the blood pressure again
B. take the blood pressure again using the ausculta on method
C. place the pa ent in a supine posi on and take the pressure on the leg
D. record the blood pressure and con nue with the examina on
B
Which set of vital signs should the nurse recognize as out of the expected range?
A. 42yr old male; BP 114/82, pulse 74 beats/min, respira on , 16 breaths/min, temperature
38.6C
B. 11yr old female; pulse 88 beats/min, respira on 22 breaths/min, temperature 36.7C
C. 3yr old male; pulse 130 beats/min, respira on 44 breaths/min, temperature 36.7C
D. 2mo old female; pulse 120 beats/min, respira on 42 breaths/min, temperature 36.7C
C
The nurse records the following general inspec on findings on a pa ent: "41-year-old Hispanic
male in no distress; very thin, skin tone slightly jaundiced, disheveled appearance, and appears
older than stated age. Pa ent with flat affect and makes minimal eye contact." What addi onal
informa on should be added to this general inspec on?
A. Body movement
B. Family history
C. Es mated size of his liver
D. Palpa on of pulses
A
A pa ent is brought to the emergency department in severe respiratory distress. Which method
of temperature measurement would be the most appropriate?
A. Oral
B. Axillary
C. Temporal
D. Rectal
, C
A 62yr old pa ent tells the nurse that he has recently had frequent fain ng spells. A=er
palpa ng the radial pulse, 13 pulsa ons are counted in 15 seconds with a regularly irregular
rhythm. What is the most appropriate ac on for the nurse to take at this me?
A. reassess the pulse rate a=er he walks around the room for several minutes
B. reassess the pulse rate for 15 seconds using the caro d artery
C. take an apical pulse for 5 full minutes, coun ng the number of skipped beats
D. palpate the pulse for 1 minute and determine the pa?ern to the irregularity
D
What is the most reliable way to assess pain in a pa ent who is cogni vely intact?
A. type the frequency of analgesic medica ons the pa ent takes
B. pa ent's most recent vital signs (e.g., blood pressure and pulse rate)
C. extent of ssue damage the pa ent has experienced
D. report by the pa ent describing the pain experienced
D
A pa ent had a knee replaced because of arthri s. He reports that he has not slept bell for
several nights. He states that he can't get comfortable. Today he is asking for pain medica on
more o=en. What could be a reason for this increase in pain?
A. Arthri s pain is variable; it can be mild one day and severe the next
B. pain tolerance decreases with sleep depriva on
C. the anesthesia from surgery is wearing off
D. the pa ent is using the pain medica on to help him sleep during the day
B
A pa ent complains of chest pain. Which ques on has the highest priority to obtain addi onal
informa on?
A. what were you doing when the pain first occurred?
B. do you have shortness of breath with the chest pain?
C. what does the pain feel like?
D. has anyone in your family ever had similar pain?
C
A pa ent complains of leg pain. Which ques on is per nent to ask to gain addi onal
informa on?
A. what were you doing when the pain first occurred?
B. how do you feel about having this pain?
