Vital Signs Exam Questions with Correct Answers 100% Verified|
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A nurse is planning care for a group of clients and is reviewing the recent vital signs obtained by
an assistive personnel. Which of the following clients should the nurse assess and recheck the
vital signs prior to notifying the provider? 8-year-old male: respiratory rate 34/min, SaO2
97%
A nurse is evaluating the effectiveness of interventions used for clients who had alterations in
vital signs. Which of the following clients' vital signs indicate that interventions were effective?
(Select all that apply.) A preschooler who was exhibiting tachypnea 2 hr postoperative and
now has a respiratory rate of 26/min
An older adult client who had bradycardia while sleeping and now has an apical pulse rate of
66/min
A young adult who had hypotension after receiving an opioid analgesic and now has a blood
pressure of 98/68 mm Hg
A charge nurse is reviewing the expected reference range of blood pressure in adult clients with
a newly licensed nurse. Which of the following statements should the charge nurse include?
"Hypertension is diagnosed with two elevated measurements on two separate occasions."
A nurse is reviewing the vital signs for a group of clients to determine the effectiveness of
interventions. Which of the following findings indicates an intervention was effective? An
adult client who received medication for pain 30 min ago now has a respiratory rate of 18/min.
A nurse working on a medical-surgical unit is caring for a group of clients. Which of the
following clients' vital signs should the nurse identify is outside the expected reference range
and notify the provider A client who has an apical pulse rate of 120/min
, A nurse is providing teaching about thermoregulation to a group of newly licensed nurses.
Which of the following statements should the nurse include in the teaching? "The body
lowers body temperature through sweating."
A nurse obtains a client's electronic blood pressure reading of 188/96 mm Hg. Which of the
following actions should the nurse take next? Obtain a manual blood pressure reading from
the client.
A charge nurse is discussing the physiology of the heart with a newly licensed nurse. Which of
the following anatomical sites should the newly licensed nurse identify as the pacemaker of the
heart? Sinoatrial (SA) node
A nurse is reviewing blood flow through the heart with a group of assistive personnel. The
nurse should identify that blood flows to which of the following parts of the heart as it leaves
the right ventricle? Pulmonary artery
A nurse is reviewing the recent vital signs of a group of clients. Which of the following clients
should the nurse see first? A 52-year-old client who has an SaO2 of 92%
A nurse is preparing an in-service about peripheral pulses for a group of staff nurses. Which of
the following information should the nurse include? A pulse strength of +1 indicates that the
pulse is weak or diminished upon palpation.
A nurse is planning care for a group of clients and is delegating to the assistive personnel (AP) to
take the clients' vital signs. For which of the following clients should the nurse obtain the vital
signs rather than the AP? A client who was recently admitted and reports chest pain
A nurse is caring for a client who has a heart rate of 118/min. Which of the following actions
should the nurse take to improve the client's heart rate? Encourage the client to reduce
intake of caffeinated soft drinks.
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A nurse is planning care for a group of clients and is reviewing the recent vital signs obtained by
an assistive personnel. Which of the following clients should the nurse assess and recheck the
vital signs prior to notifying the provider? 8-year-old male: respiratory rate 34/min, SaO2
97%
A nurse is evaluating the effectiveness of interventions used for clients who had alterations in
vital signs. Which of the following clients' vital signs indicate that interventions were effective?
(Select all that apply.) A preschooler who was exhibiting tachypnea 2 hr postoperative and
now has a respiratory rate of 26/min
An older adult client who had bradycardia while sleeping and now has an apical pulse rate of
66/min
A young adult who had hypotension after receiving an opioid analgesic and now has a blood
pressure of 98/68 mm Hg
A charge nurse is reviewing the expected reference range of blood pressure in adult clients with
a newly licensed nurse. Which of the following statements should the charge nurse include?
"Hypertension is diagnosed with two elevated measurements on two separate occasions."
A nurse is reviewing the vital signs for a group of clients to determine the effectiveness of
interventions. Which of the following findings indicates an intervention was effective? An
adult client who received medication for pain 30 min ago now has a respiratory rate of 18/min.
A nurse working on a medical-surgical unit is caring for a group of clients. Which of the
following clients' vital signs should the nurse identify is outside the expected reference range
and notify the provider A client who has an apical pulse rate of 120/min
, A nurse is providing teaching about thermoregulation to a group of newly licensed nurses.
Which of the following statements should the nurse include in the teaching? "The body
lowers body temperature through sweating."
A nurse obtains a client's electronic blood pressure reading of 188/96 mm Hg. Which of the
following actions should the nurse take next? Obtain a manual blood pressure reading from
the client.
A charge nurse is discussing the physiology of the heart with a newly licensed nurse. Which of
the following anatomical sites should the newly licensed nurse identify as the pacemaker of the
heart? Sinoatrial (SA) node
A nurse is reviewing blood flow through the heart with a group of assistive personnel. The
nurse should identify that blood flows to which of the following parts of the heart as it leaves
the right ventricle? Pulmonary artery
A nurse is reviewing the recent vital signs of a group of clients. Which of the following clients
should the nurse see first? A 52-year-old client who has an SaO2 of 92%
A nurse is preparing an in-service about peripheral pulses for a group of staff nurses. Which of
the following information should the nurse include? A pulse strength of +1 indicates that the
pulse is weak or diminished upon palpation.
A nurse is planning care for a group of clients and is delegating to the assistive personnel (AP) to
take the clients' vital signs. For which of the following clients should the nurse obtain the vital
signs rather than the AP? A client who was recently admitted and reports chest pain
A nurse is caring for a client who has a heart rate of 118/min. Which of the following actions
should the nurse take to improve the client's heart rate? Encourage the client to reduce
intake of caffeinated soft drinks.
