Skills Module 3.0- Vital Signs Posttest Questions with Correct Answers 100% Verified|
Guaranteed Success
A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart
sounds are heard when which of the following occurs?
A.) When the atria contracts vigorously
B.) As the ventricular walls contract
C.) When the semilunar valves close
D.) As the mitral valve snaps open C.) When the semilunar valves close
A nurse is preparing to obtain a client's blood pressure. Which of the following actions should
the nurse take to measure the blood pressure accurately?
A.) Obtain the reading in the early morning.
B.) Use a cuff of the appropriate size for the client.
C.) Assist the client to the bathroom to void.
D.) Apply the cuff loosely around the client's arm. B.) Use a cuff of the appropriate size for
the client.
A nurse is assessing a client's respiration. Which of the following actions should the nurse take?
, A.) Have the client lie flat in bed with their head on a pillow.
B.) Elevate the head of the bed 45 to 60.
C.) Encourage the client to breathe shallowly.
D.) ask the client to take several deep breaths prior to the assessment. B.) Elevate the head
of the bed 45 to 60.
A nurse is measuring a client's temperature orally. Which of the following actions should the
nurse take?
A.) Place the probe in the posterior lingual pocket lateral to the midline.
B.) Rest the probe on the lower lingual frenulum.
C.) Place the probe centrally on top of the client's tongue.
D.) Rest the probe under the tongue just beyond the client's teeth. A.) Place the probe in the
posterior lingual pocket lateral to the midline.
A nurse is establishing baseline for a client's respirations. Which of the following actions should
the nurse take?
A.) Instruct the client to breathe in and to exhale out as they normally do.
B.) Count the client's respirations for 15 seconds then multiply by 4.
Guaranteed Success
A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart
sounds are heard when which of the following occurs?
A.) When the atria contracts vigorously
B.) As the ventricular walls contract
C.) When the semilunar valves close
D.) As the mitral valve snaps open C.) When the semilunar valves close
A nurse is preparing to obtain a client's blood pressure. Which of the following actions should
the nurse take to measure the blood pressure accurately?
A.) Obtain the reading in the early morning.
B.) Use a cuff of the appropriate size for the client.
C.) Assist the client to the bathroom to void.
D.) Apply the cuff loosely around the client's arm. B.) Use a cuff of the appropriate size for
the client.
A nurse is assessing a client's respiration. Which of the following actions should the nurse take?
, A.) Have the client lie flat in bed with their head on a pillow.
B.) Elevate the head of the bed 45 to 60.
C.) Encourage the client to breathe shallowly.
D.) ask the client to take several deep breaths prior to the assessment. B.) Elevate the head
of the bed 45 to 60.
A nurse is measuring a client's temperature orally. Which of the following actions should the
nurse take?
A.) Place the probe in the posterior lingual pocket lateral to the midline.
B.) Rest the probe on the lower lingual frenulum.
C.) Place the probe centrally on top of the client's tongue.
D.) Rest the probe under the tongue just beyond the client's teeth. A.) Place the probe in the
posterior lingual pocket lateral to the midline.
A nurse is establishing baseline for a client's respirations. Which of the following actions should
the nurse take?
A.) Instruct the client to breathe in and to exhale out as they normally do.
B.) Count the client's respirations for 15 seconds then multiply by 4.
