Intro to NUR Module 3 Vital Signs UPDATED ACTUAL
Questions and CORRECT Answers
Which of the following patients would require follow-up? B
A. A newborn with a respiratory rate of 40 breaths per
minute.
B. An adult with a respiratory rate of 10 breaths per
minute.
C. An adolescent with a respiratory rate of 16 breaths per
minute.
D. A child with a respiratory rate of 20 breaths per minute.
Which of the following vital signs recorded for an older A
adult would be considered acceptable (within normal
limits)?
A. Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat
95%.
B. Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
C. Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat
88%.
D. Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
The NAP reports to the nurse a 65-year-old patient's A
blood pressure is 160/98. What is the appropriate initial
response of the nurse?
A. Assess the patient's blood pressure.
B. Document this as a normal finding in an elderly adult.
C. Ask the NAP if the patient is nauseous.
D. Instruct the NAP to obtain a full set of vital signs.
,Which patient would it be appropriate for the nurse to A
delegate vital signs?
A. Elderly nursing home resident.
B. Patient with recent complaint of headache.
C. New admission to the hospital.
D. Patient transferred from ICU.
The nurse has delegated the task of temperature BCD
assessment to the NAP. Which information should be
provided to the NAP? (Select all that apply.)
Select all that apply.
A. The patient's age.
B. What changes to report immediately to the nurse.
C. The type of temperature required.
D. The frequency for taking or monitoring the
temperature.
E. The patient's diagnosis.
Which of the following situations may affect a patient's BCD
vital signs? (Select all that apply.)
Select all that apply.
A. Occupation.
B. Time of day.
C. Pain rated as a 7 on 0-10 pain scale.
D. Moving from lying to standing position.
E. Isolation precautions.
, The nurse will take the patient's vital signs preoperatively AD
and record them as part of the patient's preparation for
surgery. Why is it necessary to take vital signs
preoperatively? (Select all that apply.)
Select all that apply.
A. To provide a set of vital signs to use for comparison
during and after surgery.
B. To ensure the equipment is appropriately calibrated
and functional.
C. To provide the patient with reassurance that he or she
is being cared for by a competent staff.
D To verify the patient is not experiencing any
complications that may contraindicate surgery or require
intervention.
E. To determine whether the patient is "feeling funny" or
"different".
Which person would be expected to have the lowest A
body temperature?
A. An 80-year-old who walked half a mile.
B. A child playing softball.
C. A toddler who is febrile.
D. A 16-year-old who ran 1 mile.
The NAP is preparing to measure a patient's vital signs. B
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. "Since the soup was not hot, go ahead and take the
patient's temperature."
B. "Ask the patient not to eat, drink, or smoke for 20
minutes and then assess the patient's oral temperature."
C. "Take the patient's temperature using the axillary route
and when you record the reading, add 1°F."
D. "Change to the red thermometer probe and take the
patient's temperature rectally."
Questions and CORRECT Answers
Which of the following patients would require follow-up? B
A. A newborn with a respiratory rate of 40 breaths per
minute.
B. An adult with a respiratory rate of 10 breaths per
minute.
C. An adolescent with a respiratory rate of 16 breaths per
minute.
D. A child with a respiratory rate of 20 breaths per minute.
Which of the following vital signs recorded for an older A
adult would be considered acceptable (within normal
limits)?
A. Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat
95%.
B. Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
C. Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat
88%.
D. Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
The NAP reports to the nurse a 65-year-old patient's A
blood pressure is 160/98. What is the appropriate initial
response of the nurse?
A. Assess the patient's blood pressure.
B. Document this as a normal finding in an elderly adult.
C. Ask the NAP if the patient is nauseous.
D. Instruct the NAP to obtain a full set of vital signs.
,Which patient would it be appropriate for the nurse to A
delegate vital signs?
A. Elderly nursing home resident.
B. Patient with recent complaint of headache.
C. New admission to the hospital.
D. Patient transferred from ICU.
The nurse has delegated the task of temperature BCD
assessment to the NAP. Which information should be
provided to the NAP? (Select all that apply.)
Select all that apply.
A. The patient's age.
B. What changes to report immediately to the nurse.
C. The type of temperature required.
D. The frequency for taking or monitoring the
temperature.
E. The patient's diagnosis.
Which of the following situations may affect a patient's BCD
vital signs? (Select all that apply.)
Select all that apply.
A. Occupation.
B. Time of day.
C. Pain rated as a 7 on 0-10 pain scale.
D. Moving from lying to standing position.
E. Isolation precautions.
, The nurse will take the patient's vital signs preoperatively AD
and record them as part of the patient's preparation for
surgery. Why is it necessary to take vital signs
preoperatively? (Select all that apply.)
Select all that apply.
A. To provide a set of vital signs to use for comparison
during and after surgery.
B. To ensure the equipment is appropriately calibrated
and functional.
C. To provide the patient with reassurance that he or she
is being cared for by a competent staff.
D To verify the patient is not experiencing any
complications that may contraindicate surgery or require
intervention.
E. To determine whether the patient is "feeling funny" or
"different".
Which person would be expected to have the lowest A
body temperature?
A. An 80-year-old who walked half a mile.
B. A child playing softball.
C. A toddler who is febrile.
D. A 16-year-old who ran 1 mile.
The NAP is preparing to measure a patient's vital signs. B
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. "Since the soup was not hot, go ahead and take the
patient's temperature."
B. "Ask the patient not to eat, drink, or smoke for 20
minutes and then assess the patient's oral temperature."
C. "Take the patient's temperature using the axillary route
and when you record the reading, add 1°F."
D. "Change to the red thermometer probe and take the
patient's temperature rectally."
