Vital Signs Test Questions and Answers Rated A
A nurse is planning care for a client who is
experiencing tachycardia. Which of the following
interventions should the nurse plan to include? - A nurse is caring for a group of clients. Which of
ANSWER -Encourage the client to practice the following clients is experiencing an alteration
relaxation techniques each day. in their respiratory rate that requires intervention?
- ANSWER -A school-age child who has a
respiratory rate of 14/min
A nurse is teaching a group of assistive
personnel (AP) about techniques used to obtain
BP. For which of the following clients should the A nurse is planning care for a group of clients.
nurse to instruct the AP to obtain an electronic For which of the following clients should the
BP measurement? - ANSWER -A client nurse direct an assistive personnel (AP) to obtain
who has stabilized BP measurements a rectal temperature? - ANSWER -A client
who is diaphoretic and frequently chewing ice to
relieve dry mouth
A nurse is observing an assistive personnel (AP)
obtain vital signs from an adult client. Which of
the following actions by the AP requires follow up A nurse is reviewing the vital signs for a group of
by the nurse? - ANSWER -The AP informs clients obtained by an assistive personnel. The
the client when they are counting the nurse should identify that which of the following
respirations. clients requires a follow-up assessment due to
bradycardia? - ANSWER -A young adult
who has a radial pulse rate of 56/min
A charge nurse in a clinic is preparing an in-
service about blood pressure measurements for
a group of staff members. Which of the following A nurse is teaching a group of newly licensed
information should the nurse include? - nurses about vital sign measurements. Which of
ANSWER -A client who has a blood the following factors should the nurse include in
pressure of 162/102 mm Hg has stage II the teaching? - ANSWER -Body
hypertension. temperature is typically lower in older adults.
A charge nurse is reviewing documentation of A nurse is obtaining vital signs for a group of
vital signs by a newly licensed nurse. Which of clients. Which of the following findings requires
the following pieces of documentation is correct? intervention? - ANSWER -An 11-year-old
- ANSWER -SaO2 97% right index finger, child who has a respiratory rate of 34/min
room air
A nurse is reviewing the vital signs for a group of
A nurse is assessing a 3-month-old infant during clients. Which of the following clients should the
a well-child visit. Which of the following actions nurse identify as exhibiting tachycardia? -
should the nurse take when assessing the apical ANSWER -A young adult who has an apical
pulse? - ANSWER -Place the stethoscope pulse rate of 104/min
over the 4th intercostal space to the left of the
sternum.
1/6
, Vital Signs Test Questions and Answers Rated A
A charge nurse is teaching a group of assistive hypertension. Which of the following interventions
personnel (AP) about the importance of should the nurse include in the plan? (Select all
documenting accurate vital signs. Which of the that apply.) - ANSWER -Provide the client
following information should the charge nurse with low-sodium meals and snacks.
include in the teaching? - ANSWER - Encourage the client to participate in physical
Recording vital signs provides critical information activity each day.
regarding a client's condition. Instruct the client in the use of relaxation
techniques.
Inform the client of the importance of abstaining
A nurse is preparing to obtain a young adult from using products that contain nicotine.
client's apical pulse. In which of the following
locations should the nurse place their
stethoscope to auscultate the client's pulse? - A nurse is reviewing the vital signs obtained by
ANSWER -Apex of the heart an assistive personnel at 1200. For which of the
following clients should the nurse plan to
intervene? - ANSWER -Toddler who has a
A charge nurse is discussing mechanisms of loss respiratory rate of 44/min
of body heat with a newly licensed nurse. Which
of the following statements should the nurse
include? - ANSWER -"Radiation is the loss A nurse is discussing oxygen saturation with a
of body heat when a client is in close proximity to client. Which of the following information should
a cooler surface." the nurse include? - ANSWER -Oxygen
saturation reflects the amount of oxygen being
delivered to body tissues.
A nurse is caring for a client who has a heart rate
of 120/min. Which of the following actions should
the nurse take? - ANSWER -Instruct the A charge nurse is discussing a client's respiratory
client to bear down like they are having a bowel data with a newly licensed nurse. Which of the
movement. following statements should the nurse include? -
ANSWER -"Count the respiratory rate for 1
minute for clients who have a respiratory
A nurse is preparing an in-service about factors infection."
affecting respiratory rate for a group of assistive
personnel. Which of the following information
should the nurse include? - ANSWER - A charge nurse is reviewing the technique for
Fever can increase a client's respiratory rate. obtaining SaO2 with a group of newly hired
nurses. Identify the order of the steps the nurse
should include. (Move the steps into the box on
A nurse is caring for a client who has an increase the right, placing them in the order of
in cardiac afterload. Which of the following performance. Use all the steps.) -
findings should the nurse expect - ANSWER -Select the site for obtaining the
ANSWER -Increase in blood pressure measurement is the first step.
Apply the sensor probe on the chosen site is the
second step.
A nurse is planning care for a client who has Confirm the pulse rate displayed on the oximeter
by palpating the radial pulse is the third step.
2/6
A nurse is planning care for a client who is
experiencing tachycardia. Which of the following
interventions should the nurse plan to include? - A nurse is caring for a group of clients. Which of
ANSWER -Encourage the client to practice the following clients is experiencing an alteration
relaxation techniques each day. in their respiratory rate that requires intervention?
- ANSWER -A school-age child who has a
respiratory rate of 14/min
A nurse is teaching a group of assistive
personnel (AP) about techniques used to obtain
BP. For which of the following clients should the A nurse is planning care for a group of clients.
nurse to instruct the AP to obtain an electronic For which of the following clients should the
BP measurement? - ANSWER -A client nurse direct an assistive personnel (AP) to obtain
who has stabilized BP measurements a rectal temperature? - ANSWER -A client
who is diaphoretic and frequently chewing ice to
relieve dry mouth
A nurse is observing an assistive personnel (AP)
obtain vital signs from an adult client. Which of
the following actions by the AP requires follow up A nurse is reviewing the vital signs for a group of
by the nurse? - ANSWER -The AP informs clients obtained by an assistive personnel. The
the client when they are counting the nurse should identify that which of the following
respirations. clients requires a follow-up assessment due to
bradycardia? - ANSWER -A young adult
who has a radial pulse rate of 56/min
A charge nurse in a clinic is preparing an in-
service about blood pressure measurements for
a group of staff members. Which of the following A nurse is teaching a group of newly licensed
information should the nurse include? - nurses about vital sign measurements. Which of
ANSWER -A client who has a blood the following factors should the nurse include in
pressure of 162/102 mm Hg has stage II the teaching? - ANSWER -Body
hypertension. temperature is typically lower in older adults.
A charge nurse is reviewing documentation of A nurse is obtaining vital signs for a group of
vital signs by a newly licensed nurse. Which of clients. Which of the following findings requires
the following pieces of documentation is correct? intervention? - ANSWER -An 11-year-old
- ANSWER -SaO2 97% right index finger, child who has a respiratory rate of 34/min
room air
A nurse is reviewing the vital signs for a group of
A nurse is assessing a 3-month-old infant during clients. Which of the following clients should the
a well-child visit. Which of the following actions nurse identify as exhibiting tachycardia? -
should the nurse take when assessing the apical ANSWER -A young adult who has an apical
pulse? - ANSWER -Place the stethoscope pulse rate of 104/min
over the 4th intercostal space to the left of the
sternum.
1/6
, Vital Signs Test Questions and Answers Rated A
A charge nurse is teaching a group of assistive hypertension. Which of the following interventions
personnel (AP) about the importance of should the nurse include in the plan? (Select all
documenting accurate vital signs. Which of the that apply.) - ANSWER -Provide the client
following information should the charge nurse with low-sodium meals and snacks.
include in the teaching? - ANSWER - Encourage the client to participate in physical
Recording vital signs provides critical information activity each day.
regarding a client's condition. Instruct the client in the use of relaxation
techniques.
Inform the client of the importance of abstaining
A nurse is preparing to obtain a young adult from using products that contain nicotine.
client's apical pulse. In which of the following
locations should the nurse place their
stethoscope to auscultate the client's pulse? - A nurse is reviewing the vital signs obtained by
ANSWER -Apex of the heart an assistive personnel at 1200. For which of the
following clients should the nurse plan to
intervene? - ANSWER -Toddler who has a
A charge nurse is discussing mechanisms of loss respiratory rate of 44/min
of body heat with a newly licensed nurse. Which
of the following statements should the nurse
include? - ANSWER -"Radiation is the loss A nurse is discussing oxygen saturation with a
of body heat when a client is in close proximity to client. Which of the following information should
a cooler surface." the nurse include? - ANSWER -Oxygen
saturation reflects the amount of oxygen being
delivered to body tissues.
A nurse is caring for a client who has a heart rate
of 120/min. Which of the following actions should
the nurse take? - ANSWER -Instruct the A charge nurse is discussing a client's respiratory
client to bear down like they are having a bowel data with a newly licensed nurse. Which of the
movement. following statements should the nurse include? -
ANSWER -"Count the respiratory rate for 1
minute for clients who have a respiratory
A nurse is preparing an in-service about factors infection."
affecting respiratory rate for a group of assistive
personnel. Which of the following information
should the nurse include? - ANSWER - A charge nurse is reviewing the technique for
Fever can increase a client's respiratory rate. obtaining SaO2 with a group of newly hired
nurses. Identify the order of the steps the nurse
should include. (Move the steps into the box on
A nurse is caring for a client who has an increase the right, placing them in the order of
in cardiac afterload. Which of the following performance. Use all the steps.) -
findings should the nurse expect - ANSWER -Select the site for obtaining the
ANSWER -Increase in blood pressure measurement is the first step.
Apply the sensor probe on the chosen site is the
second step.
A nurse is planning care for a client who has Confirm the pulse rate displayed on the oximeter
by palpating the radial pulse is the third step.
2/6
