Nursing 125- Vital Signs UPDATED
ACTUAL Questions and CORRECT
Answers
General Survey in Nursing - CORRECT ANSWER - A quick visual/verbal assessment with client
- ex: Patient had a good gate, well-nourished, remembered what they had for breakfast, looked me in the
eye, etc.
Gender / Race
Age
Signs of distress
Body type
Posture
Gait
Body Movements
Hygiene / grooming
Dress
Body odor
Affect/mood
Speech
Client abuse
Substance abuse
Vital Signs - CORRECT ANSWER - Measurements of the body's most basic functions and useful
in detecting or monitoring medical problems.
Body Temperature
Pulse
Respiration/Oxygen Saturation
Blood Pressure
, Pain (The 5th Vital Sign)
Guidelines for Measuring Vital Signs - CORRECT ANSWER - Be familiar with the normal ranges
for all vital signs, ensure that all equipment for measuring vital signs is in proper working condition,
attempt to eliminate or minimize factors that may affect the vital signs, and use an organized approach
when measuring the sign.
Body Temperature - CORRECT ANSWER - Body temperature
- Heat produced
- Heat lost
Temperature range
- 96.8* F to 100.4* F or 36* C to 38* C
Temperature sites
- Oral, skin, axillary, rectal*, tympanic*, temporal artery*, esophageal*, pulmonary artery*, bladder* (the
ones with asterisks reflect the core temperatures. The ones without are the axillary/surface temps)
Body Temperature Regulation (5) - CORRECT ANSWER - 1. Neural and Vascular Control
2. Heat Production
3. Heat Loss
4. Skin
5. Behavior
Factors Affecting Body Temperature (6) - CORRECT ANSWER - 1. Age
2. Exercise
3. Hormonal level
4. Circadian rhythm
5. Environment
6. Temperature alterations
- Fever/Pyrexia/FUO (Fever of Unknown Origin)
- Heatstroke (hot dry skin - cannot regulate the core temp - the most severe)
- Heat Exhaustion (volume loss like over sweating)
ACTUAL Questions and CORRECT
Answers
General Survey in Nursing - CORRECT ANSWER - A quick visual/verbal assessment with client
- ex: Patient had a good gate, well-nourished, remembered what they had for breakfast, looked me in the
eye, etc.
Gender / Race
Age
Signs of distress
Body type
Posture
Gait
Body Movements
Hygiene / grooming
Dress
Body odor
Affect/mood
Speech
Client abuse
Substance abuse
Vital Signs - CORRECT ANSWER - Measurements of the body's most basic functions and useful
in detecting or monitoring medical problems.
Body Temperature
Pulse
Respiration/Oxygen Saturation
Blood Pressure
, Pain (The 5th Vital Sign)
Guidelines for Measuring Vital Signs - CORRECT ANSWER - Be familiar with the normal ranges
for all vital signs, ensure that all equipment for measuring vital signs is in proper working condition,
attempt to eliminate or minimize factors that may affect the vital signs, and use an organized approach
when measuring the sign.
Body Temperature - CORRECT ANSWER - Body temperature
- Heat produced
- Heat lost
Temperature range
- 96.8* F to 100.4* F or 36* C to 38* C
Temperature sites
- Oral, skin, axillary, rectal*, tympanic*, temporal artery*, esophageal*, pulmonary artery*, bladder* (the
ones with asterisks reflect the core temperatures. The ones without are the axillary/surface temps)
Body Temperature Regulation (5) - CORRECT ANSWER - 1. Neural and Vascular Control
2. Heat Production
3. Heat Loss
4. Skin
5. Behavior
Factors Affecting Body Temperature (6) - CORRECT ANSWER - 1. Age
2. Exercise
3. Hormonal level
4. Circadian rhythm
5. Environment
6. Temperature alterations
- Fever/Pyrexia/FUO (Fever of Unknown Origin)
- Heatstroke (hot dry skin - cannot regulate the core temp - the most severe)
- Heat Exhaustion (volume loss like over sweating)
