NURS 1000 EXAM 1 REVIEW 131 QUESTIONS &
ANSWERS RATED 100% CORRECT.
Which of the following patients would require follow-up?
a) A child with a respiratory rate of 24 breaths per minute
b) An adolescent with a respiratory rate of 16 breaths per minute
c) An adult with a respiratory rate of 10 breaths per minute
d) A newborn with a respiratory rate of 50 breaths per minute Answer - C
Which of the following vital signs recorded for an older adult would be
considered acceptable
(i.e., within normal limits)?
a) Temp 96.8° F, P 60, R 18, BP 160/90, O2 sat 93%
b) Temp 97.0° F, P 60, R 16, BP 116/78, O2 sat 95%
c) Temp 98.6° F, P 56, R 20, BP 120/80, O2 sat 91%
d) Temp 98.0° F, P 76, R 22, BP 110/70, O2 sat 88% Answer - B
A 56-year-old female patient has been admitted with a diagnosis of
pneumonia. Which information should be provided to the NAP delegated to
take her temperature? (Select all that apply.)
a) The patient's age
b) The type of temperature required
c) The patient's diagnosis
,d) The frequency for taking or monitoring the temperature
e) What changes to report immediately to you, the physician, or their delegate
Answer - B, D, E
Which of the following situations may affect a patient's vital signs?
a)Time of day
b) Occupation
c) Moving from a lying to a standing position
d) Pain rated
as a 7 on a 1 to 10 pain scale
e) Isolation precaution Answer - A, C, D
You are supposed to take your patient's vital signs preoperatively and record
them on the patient's record as part of the patient's preparation for surgery.
Why is it necessary to take vital
signs preoperatively? (Select all that apply.)
a) To see if the patient is "feeling funny"
b) To provide a set of vital signs to use for comparison during and after surgery
c) To make sure the patient is not experiencing any complications such as a
high fever that may contraindicate surgery or require intervention at this time
d) To provide the patient with reassurance that he or she is being cared for by a
competent staff Answer - B, C
Who would you expect to have the lowest body temperature?
a) A 16 year old who ran 1 mile
b) An 80 year old who walked half a mile
c) A toddler who is febrile
d) A child who is playing softbal Answer - B
,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?
a) "Ask the patient not to eat, drink, or smoke for 15 minutes, and then assess
the patient's oral temperature."
b) "Since the soup was not hot, go ahead and take the patient's temperature."
c) "Change to the red thermometer probe, and take the patient's temperature
rectally."
d) "Take the patient's temperature using the axillary route, and when you
record the reading, add 1° F. Answer - A
For which patient would a tympanic thermometer be the preferred
thermometer to use?
a) A marathon runner who developed weakness during the race
b) A newborn in the intensive care unit who requires continuous temperature
monitoring
c) A child who had tubes surgically placed in the ears
d) A tachypneic patient who is receiving oxygen by nasal cannula Answer - D
Which of the following patients would you expect to need to monitor their
temperature more frequently? (Select all that apply)
a) A patient receiving a blood transfusion for chronic anemia
b) An elderly patient who needs assistance with feeding and dressing
c) A 43-year-old female who has undergone a hysterectomy
d) A child who is small for his age
e) A 19 year old with a white blood cell count of 15,00 Answer - A, C, E
, A NAP reports that a patient's temperature is 39° C. Which of the following are
appropriate nursing actions? (Select all that apply)
a) Place the patient's feet in a tub of cool water with ice.
b) Apply a hyperthermia blanket as ordered.
c) Remove the patient's blankets.
d) Limit the patient's fluid intake.
e) Administer antipyretic to the patient as order Answer - C, E
Which of the following actions, if made by the NAP would require intervention
and further instruction by the nurse? (Select all that apply)
a) The NAP inserts the red-tipped electronic thermometer probe into the
patient's mouth after applying a probe cover.
b) The NAP wipes the single-use chemical dot thermometer and places it back
in the patient's drawer for future use.
c) The NAP waits until a tone sounds to read the tympanic thermometer.
d) The NAP uses a blue-tipped electronic probe for assessing a patient's axillary
temperature.
e) The NAP pulls the pinna up, back, and out for an adult when inserting the
tympanic thermometer. Answer - A, B
Identify the factors that may have an effect on an 82-year-old patient's
temperature: (Select all that apply)
a) Drinking a cold glass of water
b) Participating in strenuous physical therapy exercises
c) Infection
d) Room temperature
e) Patient's body weigh Answer - A, B, C, D
ANSWERS RATED 100% CORRECT.
Which of the following patients would require follow-up?
a) A child with a respiratory rate of 24 breaths per minute
b) An adolescent with a respiratory rate of 16 breaths per minute
c) An adult with a respiratory rate of 10 breaths per minute
d) A newborn with a respiratory rate of 50 breaths per minute Answer - C
Which of the following vital signs recorded for an older adult would be
considered acceptable
(i.e., within normal limits)?
a) Temp 96.8° F, P 60, R 18, BP 160/90, O2 sat 93%
b) Temp 97.0° F, P 60, R 16, BP 116/78, O2 sat 95%
c) Temp 98.6° F, P 56, R 20, BP 120/80, O2 sat 91%
d) Temp 98.0° F, P 76, R 22, BP 110/70, O2 sat 88% Answer - B
A 56-year-old female patient has been admitted with a diagnosis of
pneumonia. Which information should be provided to the NAP delegated to
take her temperature? (Select all that apply.)
a) The patient's age
b) The type of temperature required
c) The patient's diagnosis
,d) The frequency for taking or monitoring the temperature
e) What changes to report immediately to you, the physician, or their delegate
Answer - B, D, E
Which of the following situations may affect a patient's vital signs?
a)Time of day
b) Occupation
c) Moving from a lying to a standing position
d) Pain rated
as a 7 on a 1 to 10 pain scale
e) Isolation precaution Answer - A, C, D
You are supposed to take your patient's vital signs preoperatively and record
them on the patient's record as part of the patient's preparation for surgery.
Why is it necessary to take vital
signs preoperatively? (Select all that apply.)
a) To see if the patient is "feeling funny"
b) To provide a set of vital signs to use for comparison during and after surgery
c) To make sure the patient is not experiencing any complications such as a
high fever that may contraindicate surgery or require intervention at this time
d) To provide the patient with reassurance that he or she is being cared for by a
competent staff Answer - B, C
Who would you expect to have the lowest body temperature?
a) A 16 year old who ran 1 mile
b) An 80 year old who walked half a mile
c) A toddler who is febrile
d) A child who is playing softbal Answer - B
,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?
a) "Ask the patient not to eat, drink, or smoke for 15 minutes, and then assess
the patient's oral temperature."
b) "Since the soup was not hot, go ahead and take the patient's temperature."
c) "Change to the red thermometer probe, and take the patient's temperature
rectally."
d) "Take the patient's temperature using the axillary route, and when you
record the reading, add 1° F. Answer - A
For which patient would a tympanic thermometer be the preferred
thermometer to use?
a) A marathon runner who developed weakness during the race
b) A newborn in the intensive care unit who requires continuous temperature
monitoring
c) A child who had tubes surgically placed in the ears
d) A tachypneic patient who is receiving oxygen by nasal cannula Answer - D
Which of the following patients would you expect to need to monitor their
temperature more frequently? (Select all that apply)
a) A patient receiving a blood transfusion for chronic anemia
b) An elderly patient who needs assistance with feeding and dressing
c) A 43-year-old female who has undergone a hysterectomy
d) A child who is small for his age
e) A 19 year old with a white blood cell count of 15,00 Answer - A, C, E
, A NAP reports that a patient's temperature is 39° C. Which of the following are
appropriate nursing actions? (Select all that apply)
a) Place the patient's feet in a tub of cool water with ice.
b) Apply a hyperthermia blanket as ordered.
c) Remove the patient's blankets.
d) Limit the patient's fluid intake.
e) Administer antipyretic to the patient as order Answer - C, E
Which of the following actions, if made by the NAP would require intervention
and further instruction by the nurse? (Select all that apply)
a) The NAP inserts the red-tipped electronic thermometer probe into the
patient's mouth after applying a probe cover.
b) The NAP wipes the single-use chemical dot thermometer and places it back
in the patient's drawer for future use.
c) The NAP waits until a tone sounds to read the tympanic thermometer.
d) The NAP uses a blue-tipped electronic probe for assessing a patient's axillary
temperature.
e) The NAP pulls the pinna up, back, and out for an adult when inserting the
tympanic thermometer. Answer - A, B
Identify the factors that may have an effect on an 82-year-old patient's
temperature: (Select all that apply)
a) Drinking a cold glass of water
b) Participating in strenuous physical therapy exercises
c) Infection
d) Room temperature
e) Patient's body weigh Answer - A, B, C, D
