Vital Signs | Foundational Concepts of
Nursing Practice | Engage Module
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What should the nurse do first if a patient exhibits signs of hypoxia, such as cyanosis and
confusion?
A. Administer oxygen as prescribed
✔✔B. Assess the patient’s respiratory rate and effort
C. Measure the blood pressure
D. Document the symptoms and notify the healthcare provider
Which of the following is an expected finding in a patient who is experiencing pain?
A. Elevated blood pressure and heart rate
B. Decreased blood pressure and heart rate
✔✔C. Elevated heart rate and blood pressure
D. Stable heart rate and decreased blood pressure
Which of the following can cause an increased heart rate in a patient?
1
,A. Hypothermia
B. Deep sleep
✔✔C. Fever
D. Hypoglycemia
When is it best to take vital signs in a hospitalized patient?
✔✔A. Before administering medications or interventions
B. After giving medications to evaluate their effects
C. When the patient is in a quiet, relaxed state
D. Only when the patient feels unwell
How does anxiety affect vital signs?
A. It decreases the heart rate and respiratory rate
✔✔B. It increases both heart rate and respiratory rate
C. It has no effect on vital signs
D. It only increases the respiratory rate
What is the best method to assess for pain in a non-verbal patient?
2
,✔✔A. Use a pain scale such as the FLACC scale
B. Monitor vital signs only
C. Ask the patient’s family members
D. Look for signs of physical agitation
Which of the following is a normal range for an adult's heart rate?
A. 40-60 beats per minute
✔✔B. 60-100 beats per minute
C. 80-120 beats per minute
D. 100-120 beats per minute
What is the first action when a patient's pulse oximeter reading is less than 90%?
✔✔A. Assess the patient’s respiratory status and provide oxygen if needed
B. Recheck the pulse oximeter reading after five minutes
C. Document the low reading and continue with assessment
D. Notify the provider immediately without further assessment
3
, Which of the following is the most accurate method for assessing a patient’s blood pressure in a
clinical setting?
A. Palpating the brachial artery
✔✔B. Auscultation using a stethoscope and sphygmomanometer
C. Using an automated digital blood pressure cuff
D. Measuring at the ankle
What is the expected range for an adult’s oral temperature?
✔✔A. 36.5°C to 37.5°C (97.7°F to 99.5°F)
B. 34.0°C to 35.5°C (93.2°F to 95.9°F)
C. 38.0°C to 39.0°C (100.4°F to 102.2°F)
D. 36.0°C to 37.0°C (96.8°F to 98.6°F)
What action should a nurse take if the patient's temperature is elevated and they are experiencing
chills?
✔✔A. Assess the patient’s vital signs and administer antipyretics as prescribed
B. Increase the room temperature to help the patient warm up
C. Place a cool cloth on the patient’s forehead and wait for the fever to subside
4
Nursing Practice | Engage Module
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What should the nurse do first if a patient exhibits signs of hypoxia, such as cyanosis and
confusion?
A. Administer oxygen as prescribed
✔✔B. Assess the patient’s respiratory rate and effort
C. Measure the blood pressure
D. Document the symptoms and notify the healthcare provider
Which of the following is an expected finding in a patient who is experiencing pain?
A. Elevated blood pressure and heart rate
B. Decreased blood pressure and heart rate
✔✔C. Elevated heart rate and blood pressure
D. Stable heart rate and decreased blood pressure
Which of the following can cause an increased heart rate in a patient?
1
,A. Hypothermia
B. Deep sleep
✔✔C. Fever
D. Hypoglycemia
When is it best to take vital signs in a hospitalized patient?
✔✔A. Before administering medications or interventions
B. After giving medications to evaluate their effects
C. When the patient is in a quiet, relaxed state
D. Only when the patient feels unwell
How does anxiety affect vital signs?
A. It decreases the heart rate and respiratory rate
✔✔B. It increases both heart rate and respiratory rate
C. It has no effect on vital signs
D. It only increases the respiratory rate
What is the best method to assess for pain in a non-verbal patient?
2
,✔✔A. Use a pain scale such as the FLACC scale
B. Monitor vital signs only
C. Ask the patient’s family members
D. Look for signs of physical agitation
Which of the following is a normal range for an adult's heart rate?
A. 40-60 beats per minute
✔✔B. 60-100 beats per minute
C. 80-120 beats per minute
D. 100-120 beats per minute
What is the first action when a patient's pulse oximeter reading is less than 90%?
✔✔A. Assess the patient’s respiratory status and provide oxygen if needed
B. Recheck the pulse oximeter reading after five minutes
C. Document the low reading and continue with assessment
D. Notify the provider immediately without further assessment
3
, Which of the following is the most accurate method for assessing a patient’s blood pressure in a
clinical setting?
A. Palpating the brachial artery
✔✔B. Auscultation using a stethoscope and sphygmomanometer
C. Using an automated digital blood pressure cuff
D. Measuring at the ankle
What is the expected range for an adult’s oral temperature?
✔✔A. 36.5°C to 37.5°C (97.7°F to 99.5°F)
B. 34.0°C to 35.5°C (93.2°F to 95.9°F)
C. 38.0°C to 39.0°C (100.4°F to 102.2°F)
D. 36.0°C to 37.0°C (96.8°F to 98.6°F)
What action should a nurse take if the patient's temperature is elevated and they are experiencing
chills?
✔✔A. Assess the patient’s vital signs and administer antipyretics as prescribed
B. Increase the room temperature to help the patient warm up
C. Place a cool cloth on the patient’s forehead and wait for the fever to subside
4
