Vital Signs Questions and Answers Rated A
A nurse is taking an adult client's temperature pressure. Which of the following terms defines
rectally. Which of the following actions should the this information when documenting? - -
nurse take? - -Insert the probe about 2.5 Pulse pressure
cm (1 in) into the client's anus.
A nurse is auscultating a client's apical pulse to
A nurse is obtaining a client's blood pressure and listen to the S1 and S2 heart sounds. S2 heart
notices the pressure reading on the manometer sounds are heard when which of the following
when listening to the fourth Korotkoff sound. occurs? - -When the semilunar valve
Which of the following factors does this pressure closes
reading correlate to? - -It might not follow
with a 5th Korotkoff sound
A nurse is preparing to obtain a client's blood
pressure. Which of the following actions should
A nurse is preparing to auscultate a client's the nurse take to measure the blood pressure
apical pulse at the point of maximal impulse accurately? - -Use of cuff of the appropriate
(PMI). In which of the following locations should size for the client
the nurse position the stethoscope? - -
Over the 5th intercostal space on the left
midclavicular line A nurse is assessing a client's respiration. Which
of the following actions should the nurse take? -
-Elevate the head of the client's bed 45° to
A nurse is obtaining a client's vital signs. The 60°
client has a new onset of a temperature of 39° C
(102° F). Which of the following other vital signs
should the nurse expect? - -An elevated A nurse is measuring a client's temperature
pulse rate orally. Which of the following actions should the
nurse take? - -Place probe in the posterior
lingual pocket lateral to the midline
A nurse is collecting data about a client's
respiratory condition. Which of the following
actions should the nurse take to determine the A nurse is establishing baseline for a client's
depth of the client's respiration? - -Observe respirations. Which of the following actions
the degree of chest-wall movements during should the nurse take? - -Observe the
inspiration and expiration client's chest movements while appearing to
assess their pulse
A nurse is obtaining vital signs from a client.
Which of the following findings is the priority for A nurse is preparing to use a tympanic
the nurse to report to the provider? - - thermometer to acquire a client's temperature.
Respirations 30/min Which of the following actions should the nurse
take to ensure an accurate reading? - -Pull
the pinna back and upward gently
A nurse is preparing to record the difference
between a client's systolic and diastolic blood
1/2
A nurse is taking an adult client's temperature pressure. Which of the following terms defines
rectally. Which of the following actions should the this information when documenting? - -
nurse take? - -Insert the probe about 2.5 Pulse pressure
cm (1 in) into the client's anus.
A nurse is auscultating a client's apical pulse to
A nurse is obtaining a client's blood pressure and listen to the S1 and S2 heart sounds. S2 heart
notices the pressure reading on the manometer sounds are heard when which of the following
when listening to the fourth Korotkoff sound. occurs? - -When the semilunar valve
Which of the following factors does this pressure closes
reading correlate to? - -It might not follow
with a 5th Korotkoff sound
A nurse is preparing to obtain a client's blood
pressure. Which of the following actions should
A nurse is preparing to auscultate a client's the nurse take to measure the blood pressure
apical pulse at the point of maximal impulse accurately? - -Use of cuff of the appropriate
(PMI). In which of the following locations should size for the client
the nurse position the stethoscope? - -
Over the 5th intercostal space on the left
midclavicular line A nurse is assessing a client's respiration. Which
of the following actions should the nurse take? -
-Elevate the head of the client's bed 45° to
A nurse is obtaining a client's vital signs. The 60°
client has a new onset of a temperature of 39° C
(102° F). Which of the following other vital signs
should the nurse expect? - -An elevated A nurse is measuring a client's temperature
pulse rate orally. Which of the following actions should the
nurse take? - -Place probe in the posterior
lingual pocket lateral to the midline
A nurse is collecting data about a client's
respiratory condition. Which of the following
actions should the nurse take to determine the A nurse is establishing baseline for a client's
depth of the client's respiration? - -Observe respirations. Which of the following actions
the degree of chest-wall movements during should the nurse take? - -Observe the
inspiration and expiration client's chest movements while appearing to
assess their pulse
A nurse is obtaining vital signs from a client.
Which of the following findings is the priority for A nurse is preparing to use a tympanic
the nurse to report to the provider? - - thermometer to acquire a client's temperature.
Respirations 30/min Which of the following actions should the nurse
take to ensure an accurate reading? - -Pull
the pinna back and upward gently
A nurse is preparing to record the difference
between a client's systolic and diastolic blood
1/2
