ANSWERS BELOW THE CHOICES
1. Which of the following patients would require follow-up?
An adolescent with a respiratory rate of 16 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
A child with a respiratory rate of 20 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute.
2. Which of the following vital signs recorded for an older adult would be considered acceptable (within
normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
3. The nurse has delegated the task of temperature assessment to the NAP. Which information should
be provided to the NAP? (Select all that apply.)
, What changes to report immediately to the nurse?
The frequency for taking or monitoring the temperature.
The patient's age.
The type of temperature required.
The patient's diagnosis.
What changes to report immediately to the nurse?
The frequency for taking or monitoring the temperature.
The type of temperature required.
Which of the following situations may affect a patient's vital signs? (Select all that apply.)
Time of day.
Pain rated as a 7 on 0-10 pain scale.
Occupation.
Isolation precautions.
Moving from lying to standing position.
Time of day.