Vital Signs | Foundational Concepts of Nursing Practice | Engage Module Questions with
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A nurse is obtaining vital signs for a group of clients. Which of the following findings requires
intervention?
a. 17 year old, RR 16/min
b. young adult, PR 98/min
c. 11 year old child, RR 34/min
d. older adult, PR 62/min c. 11 year old child, RR 34/min
A nurse is reviewing the vital signs for a group of clients. Which of the following clients should
the nurse identify as exhibiting tachycardia?
a. infant, apical pulse 132/min
b. preschooler, apical pulse 108/min
c. young adult, apical pulse 104/min
d. older adult, apical pulse 96/min c. young adult, apical pulse 104/min
A charge nurse is teaching a group of assistive personnel (AP) about the importance of
documenting accurate vital signs. Which of the following information should the charge nurse
include in the teaching?
,a. record vital signs at end of each shift
b. Recording vital signs provides critical information regarding a client's condition.
c. obtaining and documenting baseline vital signs is he responsibility of the AP
d. not necessary to record electronic BP measurements b. Recording vital signs provides
critical information regarding a client's condition.
A nurse is preparing to obtain a young adult client's apical pulse. In which of the following
locations should the nurse place their stethoscope to auscultate the client's pulse?
a. apex of the heart
b. right side of sternum
c. 4th intercostal space
d. midclavicular line below right clavicle a. apex of the heart
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?
a. 16 year old female, RR 18/min, SaO2 98%
, b. 8-year-old male: respiratory rate 34/min, SaO2 97%
c. 11 year old male, RR 28/min, SaO2 99%
d. 3 year old female, RR 32/min, SaO2 96% b. 8-year-old male: respiratory rate 34/min, SaO2
97%
A charge nurse is reviewing orthostatic hypotension with a group of newly licensed nurses.
Which of the following statements should the charge nurse make?
a. first step in checking for orthostatic hypotension is obtaining a client's BP while they're
standing
b. increase of 5 mm Hg in diastolic pressure with position change indicates orthostatic
hypotension
c. decrease in 20 mm Hg in systolic pressure with position change indicates orthostatic
hypotension
d. wait 5 min to check client's BP after each position change c. decrease in 20 mm Hg in
systolic pressure with position change indicates orthostatic hypotension
A nurse is caring for a client who asks about factors that could cause their pulse rate to
increase. Which of the following factors should the nurse include in their response?
a. hypothermia
b. smoking
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A nurse is obtaining vital signs for a group of clients. Which of the following findings requires
intervention?
a. 17 year old, RR 16/min
b. young adult, PR 98/min
c. 11 year old child, RR 34/min
d. older adult, PR 62/min c. 11 year old child, RR 34/min
A nurse is reviewing the vital signs for a group of clients. Which of the following clients should
the nurse identify as exhibiting tachycardia?
a. infant, apical pulse 132/min
b. preschooler, apical pulse 108/min
c. young adult, apical pulse 104/min
d. older adult, apical pulse 96/min c. young adult, apical pulse 104/min
A charge nurse is teaching a group of assistive personnel (AP) about the importance of
documenting accurate vital signs. Which of the following information should the charge nurse
include in the teaching?
,a. record vital signs at end of each shift
b. Recording vital signs provides critical information regarding a client's condition.
c. obtaining and documenting baseline vital signs is he responsibility of the AP
d. not necessary to record electronic BP measurements b. Recording vital signs provides
critical information regarding a client's condition.
A nurse is preparing to obtain a young adult client's apical pulse. In which of the following
locations should the nurse place their stethoscope to auscultate the client's pulse?
a. apex of the heart
b. right side of sternum
c. 4th intercostal space
d. midclavicular line below right clavicle a. apex of the heart
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?
a. 16 year old female, RR 18/min, SaO2 98%
, b. 8-year-old male: respiratory rate 34/min, SaO2 97%
c. 11 year old male, RR 28/min, SaO2 99%
d. 3 year old female, RR 32/min, SaO2 96% b. 8-year-old male: respiratory rate 34/min, SaO2
97%
A charge nurse is reviewing orthostatic hypotension with a group of newly licensed nurses.
Which of the following statements should the charge nurse make?
a. first step in checking for orthostatic hypotension is obtaining a client's BP while they're
standing
b. increase of 5 mm Hg in diastolic pressure with position change indicates orthostatic
hypotension
c. decrease in 20 mm Hg in systolic pressure with position change indicates orthostatic
hypotension
d. wait 5 min to check client's BP after each position change c. decrease in 20 mm Hg in
systolic pressure with position change indicates orthostatic hypotension
A nurse is caring for a client who asks about factors that could cause their pulse rate to
increase. Which of the following factors should the nurse include in their response?
a. hypothermia
b. smoking
