DAVIS ADVANTAGE FOR PEDIATRIC NURSING FINAL PAPER EXAM QUESTIONS ACCURATE
ANSWERS FULL SOLUTION
Question:
Which vital signs are considered normal? Select all that apply. Diastolic blood pressure of 91 mm
Hg Apical pulse of 76 beats/min Systolic blood pressure of 145 mm Hg Respiratory rate of 22
breaths/min Rectal temperature of 99.1°F (37.3°C).
Answer:
?
Question:
The nurse assists the client to the restroom. Upon returning to bed, the client says he has a throbbing
headache and feels chilled. Which priority vital signs should be evaluated? Select all that apply.
Radial pulse Respiratory rate Tympanic temperature Apical pulse Blood pressure.
Answer:
?
Question:
The nurse is documenting the vital sign assessment. Which statement would be a correct
description? "Low-grade temperature, pulse regular and unlabored, respiration shallow." "Afebrile,
radial pulse weak, respirations deep and regular." "Bounding temperature, regular pulse, unlabored
respirations." "Hyperthermia, tachycardia, bradypnea." "Temperature thready, pulse normal,
respirations irregular.".
Answer:
"Hyperthermia, tachycardia, bradypnea."
Question:
,Which statements about vital sign equipment are correct? Select all that apply. Blood pressure cuffs
come in two sizes, large and small. A stethoscope is required to take a radial pulse. An axillary
temperature is the most accurate. Vital sign equipment should be cleaned between each patient use.
Electronic blood pressure monitors can be set to monitor and record BP at timed intervals and do not
require the use of a stethoscope.
Answer:
?
Question:
What are the primary vital signs of the nursing assessment? Select all that apply. Blood pressure
Pulse Pulse oximetry Respiratory rate Temperature.
Answer:
Blood pressure Pulse Respiratory rate Temperature
Question:
While palpating Mrs. Wong's pulse, you find a rate of 40 beats/min. This finding is _________.
Tachypnea Tachycardia Bradypnea Bradycardia.
Answer:
Bradycardia
Question:
The nurse performs a vital sign assessment and obtains the following results: Temperature, 101.3°F
(38.5°C); pulse, 110 beats/min; respiratory rate, 28 breaths/minute; blood pressure, 107/66 mm Hg.
Which findings are abnormal? Select all that apply. Respiratory rate Systolic blood pressure
Temperature Diastolic blood pressure Pulse.
Answer:
Respiratory rate Temperature Pulse
Question:
,_____________ pressure is peak blood pressure against arterial walls. Brachial Mean Systolic
Radial Diastolic.
Answer:
Systolic
Question:
What information is needed when assessing the respiratory vital signs? Select all that apply. Rate
Depth Rhythm Effort Quality.
Answer:
Rate Depth Rhythm Effort
Question:
Which factors impact a client's normal body temperature? Select all that apply. Age Gender
Exercise Environment Recent intake.
Answer:
Age Gender Exercise Environment Rationale: Recent intake is suggesting hot/cold beverages
instead of food intake.
Question:
Which physiological processes occur when the hypothalamus is stimulated due to a client being
warm? Select all that apply. Epinephrine release Peripheral vasodilation Perspiration Piloerection
Shunting of blood away from the periphery.
Answer:
Peripheral vasodilation Perspiration Rationale: The other options occur when a person is cold
Question:
Which disorder can cause an increase in the basal metabolic rate (BMR) and thus raises body
temperature? Hypertension Hyperlipidemia Hypothyroidism Hyperthyroidism.
Answer:
, Hyperthyroidism
Question:
In which clients would the nurse find elevated pulse rates? Select all that apply. A 3-month-old
infant A client with hypothyroidism A client taking digoxin (Lanoxin) A client with a temperature
of 101.0°F A client with chronic obstructive pulmonary disease (COPD).
Answer:
A 3-month-old infant A client with a temperature of 101.0°F A client with chronic obstructive
pulmonary disease (COPD)
Question:
The nurse is assessing a client with congestive heart failure and notes 3+ bilateral pitting pedal
edema. The nurse is unable to palpate the pedal pulses. What would be the best intervention?
Document that the pedal pulses cannot be obtained. Ask another nurse to verify the lack of pedal
pulses. Obtain a portable Doppler and check for pedal pulses. Notify the primary health-care
provider of a lack of pedal pulses.
Answer:
Obtain a portable Doppler and check for pedal pulses.
Question:
The nurse is working at a health fair providing blood pressure and pulse screenings. The nurse finds
a young adult client has an apical pulse of 44 bpm. What would be the nurse's first action? Call 911
and notify emergency medical services (EMS). Have the client drink some water, then recheck the
apical pulse. Ask the client if he or she is an athlete or runs every day. Instruct the client to make an
appointment to see his or her health- care provider.
Answer:
Ask the client if he or she is an athlete or runs every day.
Question:
Which gases are primarily exchanged during respiration? Select all that apply. Oxygen Chloride
Nitrogen Hydrogen Carbon dioxide.
ANSWERS FULL SOLUTION
Question:
Which vital signs are considered normal? Select all that apply. Diastolic blood pressure of 91 mm
Hg Apical pulse of 76 beats/min Systolic blood pressure of 145 mm Hg Respiratory rate of 22
breaths/min Rectal temperature of 99.1°F (37.3°C).
Answer:
?
Question:
The nurse assists the client to the restroom. Upon returning to bed, the client says he has a throbbing
headache and feels chilled. Which priority vital signs should be evaluated? Select all that apply.
Radial pulse Respiratory rate Tympanic temperature Apical pulse Blood pressure.
Answer:
?
Question:
The nurse is documenting the vital sign assessment. Which statement would be a correct
description? "Low-grade temperature, pulse regular and unlabored, respiration shallow." "Afebrile,
radial pulse weak, respirations deep and regular." "Bounding temperature, regular pulse, unlabored
respirations." "Hyperthermia, tachycardia, bradypnea." "Temperature thready, pulse normal,
respirations irregular.".
Answer:
"Hyperthermia, tachycardia, bradypnea."
Question:
,Which statements about vital sign equipment are correct? Select all that apply. Blood pressure cuffs
come in two sizes, large and small. A stethoscope is required to take a radial pulse. An axillary
temperature is the most accurate. Vital sign equipment should be cleaned between each patient use.
Electronic blood pressure monitors can be set to monitor and record BP at timed intervals and do not
require the use of a stethoscope.
Answer:
?
Question:
What are the primary vital signs of the nursing assessment? Select all that apply. Blood pressure
Pulse Pulse oximetry Respiratory rate Temperature.
Answer:
Blood pressure Pulse Respiratory rate Temperature
Question:
While palpating Mrs. Wong's pulse, you find a rate of 40 beats/min. This finding is _________.
Tachypnea Tachycardia Bradypnea Bradycardia.
Answer:
Bradycardia
Question:
The nurse performs a vital sign assessment and obtains the following results: Temperature, 101.3°F
(38.5°C); pulse, 110 beats/min; respiratory rate, 28 breaths/minute; blood pressure, 107/66 mm Hg.
Which findings are abnormal? Select all that apply. Respiratory rate Systolic blood pressure
Temperature Diastolic blood pressure Pulse.
Answer:
Respiratory rate Temperature Pulse
Question:
,_____________ pressure is peak blood pressure against arterial walls. Brachial Mean Systolic
Radial Diastolic.
Answer:
Systolic
Question:
What information is needed when assessing the respiratory vital signs? Select all that apply. Rate
Depth Rhythm Effort Quality.
Answer:
Rate Depth Rhythm Effort
Question:
Which factors impact a client's normal body temperature? Select all that apply. Age Gender
Exercise Environment Recent intake.
Answer:
Age Gender Exercise Environment Rationale: Recent intake is suggesting hot/cold beverages
instead of food intake.
Question:
Which physiological processes occur when the hypothalamus is stimulated due to a client being
warm? Select all that apply. Epinephrine release Peripheral vasodilation Perspiration Piloerection
Shunting of blood away from the periphery.
Answer:
Peripheral vasodilation Perspiration Rationale: The other options occur when a person is cold
Question:
Which disorder can cause an increase in the basal metabolic rate (BMR) and thus raises body
temperature? Hypertension Hyperlipidemia Hypothyroidism Hyperthyroidism.
Answer:
, Hyperthyroidism
Question:
In which clients would the nurse find elevated pulse rates? Select all that apply. A 3-month-old
infant A client with hypothyroidism A client taking digoxin (Lanoxin) A client with a temperature
of 101.0°F A client with chronic obstructive pulmonary disease (COPD).
Answer:
A 3-month-old infant A client with a temperature of 101.0°F A client with chronic obstructive
pulmonary disease (COPD)
Question:
The nurse is assessing a client with congestive heart failure and notes 3+ bilateral pitting pedal
edema. The nurse is unable to palpate the pedal pulses. What would be the best intervention?
Document that the pedal pulses cannot be obtained. Ask another nurse to verify the lack of pedal
pulses. Obtain a portable Doppler and check for pedal pulses. Notify the primary health-care
provider of a lack of pedal pulses.
Answer:
Obtain a portable Doppler and check for pedal pulses.
Question:
The nurse is working at a health fair providing blood pressure and pulse screenings. The nurse finds
a young adult client has an apical pulse of 44 bpm. What would be the nurse's first action? Call 911
and notify emergency medical services (EMS). Have the client drink some water, then recheck the
apical pulse. Ask the client if he or she is an athlete or runs every day. Instruct the client to make an
appointment to see his or her health- care provider.
Answer:
Ask the client if he or she is an athlete or runs every day.
Question:
Which gases are primarily exchanged during respiration? Select all that apply. Oxygen Chloride
Nitrogen Hydrogen Carbon dioxide.
