Nursing 230: Ch.4 & 6 UPDATED ACTUAL Questions
and CORRECT Answers
What are the routine vital signs? Heart rate, blood pressure, respiration rate,
temperature, and pain (some may include SpO2).
What are the general factors that Age, gender, physical activity, emotional status,
affect vital signs? medication/ substance usage, environmental
factors
Prior to obtaining vital signs what Proper equipment is intact and functioning, proper
should you ensure? lighting, comfortable and clean environment, are
you proving patient privacy, have they had
anything to ear, drink, or smoke
, What should you ensure while Patient position, use. Of appropriate BP cuff sizing,
obtaining vital signs? ask patient if they had anything to eat, drink, or
smoke, or if they were active within the last 5-10
minutes
What is a primary reason that a BP The cuff is too BIG, thus the reading is much
reading may be off or "falsely" LOWER
abnormal
What factors can affect heart rate? Sleep, stress, caffeine, drugs, etc.
What factors can affect blood Age, gender, race.
pressure?
What factors can affect respiration Anxiety/stress, drugs, environmental factors, and
rate? underlying disease.
What should be considered before Eating or drinking prior to measurement; wait at
measuring temperature? least 10 minutes.
What is general inspection in To observe data and guide further examining.
nursing?
What is the first step in achieving a Assess the patient, ask them to rate their pain,
goal of pain relief?
What is the significance of pain in Pain is referred to as the 5th vital sign.
nursing?
and CORRECT Answers
What are the routine vital signs? Heart rate, blood pressure, respiration rate,
temperature, and pain (some may include SpO2).
What are the general factors that Age, gender, physical activity, emotional status,
affect vital signs? medication/ substance usage, environmental
factors
Prior to obtaining vital signs what Proper equipment is intact and functioning, proper
should you ensure? lighting, comfortable and clean environment, are
you proving patient privacy, have they had
anything to ear, drink, or smoke
, What should you ensure while Patient position, use. Of appropriate BP cuff sizing,
obtaining vital signs? ask patient if they had anything to eat, drink, or
smoke, or if they were active within the last 5-10
minutes
What is a primary reason that a BP The cuff is too BIG, thus the reading is much
reading may be off or "falsely" LOWER
abnormal
What factors can affect heart rate? Sleep, stress, caffeine, drugs, etc.
What factors can affect blood Age, gender, race.
pressure?
What factors can affect respiration Anxiety/stress, drugs, environmental factors, and
rate? underlying disease.
What should be considered before Eating or drinking prior to measurement; wait at
measuring temperature? least 10 minutes.
What is general inspection in To observe data and guide further examining.
nursing?
What is the first step in achieving a Assess the patient, ask them to rate their pain,
goal of pain relief?
What is the significance of pain in Pain is referred to as the 5th vital sign.
nursing?
