NURS 1000 EXAM 1 REVIEW QUESTIONS
WITH CORRECT ANSWERS
Which of the following patients would require follow-up?
| | | | | | |
a) A child with a respiratory rate of 24 breaths per minute
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b) An adolescent with a respiratory rate of 16 breaths per minute
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c) An adult with a respiratory rate of 10 breaths per minute
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d) A newborn with a respiratory rate of 50 breaths per minute -
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CORRECT ANSWER✔✔-C |
Which of the following vital signs recorded for an older adult would be
| | | | | | | | | | | | |
considered acceptable |
(i.e., within normal limits)?
| | |
a) Temp 96.8° F, P 60, R 18, BP 160/90, O2 sat 93%
| | | | | | | | | | | |
b) Temp 97.0° F, P 60, R 16, BP 116/78, O2 sat 95%
| | | | | | | | | | | |
c) Temp 98.6° F, P 56, R 20, BP 120/80, O2 sat 91%
| | | | | | | | | | | |
d) Temp 98.0° F, P 76, R 22, BP 110/70, O2 sat 88% - CORRECT
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ANSWER✔✔-B
,A 56-year-old female patient has been admitted with a diagnosis of
| | | | | | | | | | |
pneumonia. Which information should be provided to the NAP | | | | | | | | |
delegated to take her temperature? (Select all that apply.) | | | | | | | |
a) The patient's age
| | | |
b) The type of temperature required
| | | | | |
c) The patient's diagnosis
| | | |
d) The frequency for taking or monitoring the temperature
| | | | | | | | |
e) What changes to report immediately to you, the physician, or their
| | | | | | | | | | | |
delegate - CORRECT ANSWER✔✔-B, D, E | | | | |
Which of the following situations may affect a patient's vital signs?
| | | | | | | | | |
a)Time of day | |
b) Occupation
|
c) Moving from a lying to a standing position
| | | | | | | | |
d) Pain rated
| |
as a 7 on a 1 to 10 pain scale
| | | | | | | | | |
e) Isolation precaution - CORRECT ANSWER✔✔-A, C, D
| | | | | | |
You are supposed to take your patient's vital signs preoperatively and
| | | | | | | | | | |
record them on the patient's record as part of the patient's preparation
| | | | | | | | | | | |
for surgery. Why is it necessary to take vital
| | | | | | | |
signs preoperatively? (Select all that apply.)
| | | | |
,a) To see if the patient is "feeling funny"
| | | | | | | |
b) To provide a set of vital signs to use for comparison during and after
| | | | | | | | | | | | | | |
surgery |
c) To make sure the patient is not experiencing any complications such
| | | | | | | | | | | |
as a high fever that may contraindicate surgery or require intervention
| | | | | | | | | | |
at this time
| | |
d) To provide the patient with reassurance that he or she is being cared
| | | | | | | | | | | | | |
for by a competent staff - CORRECT ANSWER✔✔-B, C
| | | | | | | |
Who would you expect to have the lowest body temperature?
| | | | | | | | |
a) A 16 year old who ran 1 mile
| | | | | | | |
b) An 80 year old who walked half a mile
| | | | | | | | |
c) A toddler who is febrile
| | | | |
d) A child who is playing softbal - CORRECT ANSWER✔✔-B
| | | | | | | | |
The NAP is preparing to measure a patient's vital signs. 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) "Ask the patient not to eat, drink, or smoke for 15 minutes, and then
| | | | | | | | | | | | | | |
assess the patient's oral temperature."
| | | |
b) "Since the soup was not hot, go ahead and take the patient's
| | | | | | | | | | | | |
temperature."
c) "Change to the red thermometer probe, and take the patient's
| | | | | | | | | | |
temperature rectally." |
, d) "Take the patient's temperature using the axillary route, and when
| | | | | | | | | | |
you record the reading, add 1° F. - CORRECT ANSWER✔✔-A
| | | | | | | | |
For which patient would a tympanic thermometer be the preferred
| | | | | | | | | |
thermometer to use? | |
a) A marathon runner who developed weakness during the race
| | | | | | | | |
b) A newborn in the intensive care unit who requires continuous
| | | | | | | | | | |
temperature monitoring |
c) A child who had tubes surgically placed in the ears
| | | | | | | | | |
d) A tachypneic patient who is receiving oxygen by nasal cannula -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-D |
Which of the following patients would you expect to need to monitor
| | | | | | | | | | | |
their temperature more frequently? (Select all that apply)
| | | | | | |
a) A patient receiving a blood transfusion for chronic anemia
| | | | | | | | |
b) An elderly patient who needs assistance with feeding and dressing
| | | | | | | | | | |
c) A 43-year-old female who has undergone a hysterectomy
| | | | | | | |
d) A child who is small for his age
| | | | | | | |
e) A 19 year old with a white blood cell count of 15,00 - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-A, C, E | |
A NAP reports that a patient's temperature is 39° C. Which of the
| | | | | | | | | | | | |
following are appropriate nursing actions? (Select all that apply)
| | | | | | | |
WITH CORRECT ANSWERS
Which of the following patients would require follow-up?
| | | | | | |
a) A child with a respiratory rate of 24 breaths per minute
| | | | | | | | | | | |
b) An adolescent with a respiratory rate of 16 breaths per minute
| | | | | | | | | | |
c) An adult with a respiratory rate of 10 breaths per minute
| | | | | | | | | | |
d) A newborn with a respiratory rate of 50 breaths per minute -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-C |
Which of the following vital signs recorded for an older adult would be
| | | | | | | | | | | | |
considered acceptable |
(i.e., within normal limits)?
| | |
a) Temp 96.8° F, P 60, R 18, BP 160/90, O2 sat 93%
| | | | | | | | | | | |
b) Temp 97.0° F, P 60, R 16, BP 116/78, O2 sat 95%
| | | | | | | | | | | |
c) Temp 98.6° F, P 56, R 20, BP 120/80, O2 sat 91%
| | | | | | | | | | | |
d) Temp 98.0° F, P 76, R 22, BP 110/70, O2 sat 88% - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-B
,A 56-year-old female patient has been admitted with a diagnosis of
| | | | | | | | | | |
pneumonia. Which information should be provided to the NAP | | | | | | | | |
delegated to take her temperature? (Select all that apply.) | | | | | | | |
a) The patient's age
| | | |
b) The type of temperature required
| | | | | |
c) The patient's diagnosis
| | | |
d) The frequency for taking or monitoring the temperature
| | | | | | | | |
e) What changes to report immediately to you, the physician, or their
| | | | | | | | | | | |
delegate - CORRECT ANSWER✔✔-B, D, E | | | | |
Which of the following situations may affect a patient's vital signs?
| | | | | | | | | |
a)Time of day | |
b) Occupation
|
c) Moving from a lying to a standing position
| | | | | | | | |
d) Pain rated
| |
as a 7 on a 1 to 10 pain scale
| | | | | | | | | |
e) Isolation precaution - CORRECT ANSWER✔✔-A, C, D
| | | | | | |
You are supposed to take your patient's vital signs preoperatively and
| | | | | | | | | | |
record them on the patient's record as part of the patient's preparation
| | | | | | | | | | | |
for surgery. Why is it necessary to take vital
| | | | | | | |
signs preoperatively? (Select all that apply.)
| | | | |
,a) To see if the patient is "feeling funny"
| | | | | | | |
b) To provide a set of vital signs to use for comparison during and after
| | | | | | | | | | | | | | |
surgery |
c) To make sure the patient is not experiencing any complications such
| | | | | | | | | | | |
as a high fever that may contraindicate surgery or require intervention
| | | | | | | | | | |
at this time
| | |
d) To provide the patient with reassurance that he or she is being cared
| | | | | | | | | | | | | |
for by a competent staff - CORRECT ANSWER✔✔-B, C
| | | | | | | |
Who would you expect to have the lowest body temperature?
| | | | | | | | |
a) A 16 year old who ran 1 mile
| | | | | | | |
b) An 80 year old who walked half a mile
| | | | | | | | |
c) A toddler who is febrile
| | | | |
d) A child who is playing softbal - CORRECT ANSWER✔✔-B
| | | | | | | | |
The NAP is preparing to measure a patient's vital signs. 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) "Ask the patient not to eat, drink, or smoke for 15 minutes, and then
| | | | | | | | | | | | | | |
assess the patient's oral temperature."
| | | |
b) "Since the soup was not hot, go ahead and take the patient's
| | | | | | | | | | | | |
temperature."
c) "Change to the red thermometer probe, and take the patient's
| | | | | | | | | | |
temperature rectally." |
, d) "Take the patient's temperature using the axillary route, and when
| | | | | | | | | | |
you record the reading, add 1° F. - CORRECT ANSWER✔✔-A
| | | | | | | | |
For which patient would a tympanic thermometer be the preferred
| | | | | | | | | |
thermometer to use? | |
a) A marathon runner who developed weakness during the race
| | | | | | | | |
b) A newborn in the intensive care unit who requires continuous
| | | | | | | | | | |
temperature monitoring |
c) A child who had tubes surgically placed in the ears
| | | | | | | | | |
d) A tachypneic patient who is receiving oxygen by nasal cannula -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-D |
Which of the following patients would you expect to need to monitor
| | | | | | | | | | | |
their temperature more frequently? (Select all that apply)
| | | | | | |
a) A patient receiving a blood transfusion for chronic anemia
| | | | | | | | |
b) An elderly patient who needs assistance with feeding and dressing
| | | | | | | | | | |
c) A 43-year-old female who has undergone a hysterectomy
| | | | | | | |
d) A child who is small for his age
| | | | | | | |
e) A 19 year old with a white blood cell count of 15,00 - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-A, C, E | |
A NAP reports that a patient's temperature is 39° C. Which of the
| | | | | | | | | | | | |
following are appropriate nursing actions? (Select all that apply)
| | | | | | | |
