Skills Module 3.0- Vital Signs
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A nurse is obtaining a client's blood pressure and notices the
pressure reading on the manometer when listening to the
fourth Korotkoff sound. Which of the following factors does
this pressure correlate to?
A.) It corresponds to the client's systolic pressure.
B.) It is the second diastolic pressure to record.
C.) It is the loudest of the Korotkoff sounds.
D.) It might not follow with a fifth Korotkoff sound.
Ans: D.) It might not follow with a fifth Korotkoff
sound.
A nurse is preparing to auscultate a clinet's apical pulse at
the point of maximal impulse (PMI). In which of the following
locations should the nurse position the stethoscope?
A.) Over the right midclavicular line
B.) Over the angle of Louis
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C.) Over the fifth intercostal space at the left midcalvicular
line
D.) Over the suprasternal notch
Ans: C.) Over the fifth intercostal space at the left
midcalvicular line
A nurse is obtaining a client's vital signs. The client has a
new onset of a temperature of 39C (102F). Which of the
following other vital signs should the nurse expect?
A.) An elevated pulse rate
B.) A decreased blood pressure
C.) An elevated blood pressure
D.) A decreased pulse rate
Ans: A.) An elevated pulse rate
A nurse is collecting data about a client's respiratory
condition. Which of the following actions should the nurse
take to determine the depth of the client's respiration?
A.) Observe the degree of the chest-wall movement during
inspiration and expiration.
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