with Questions and Correct Answers 2025
Which ,of ,the ,following ,patients ,would ,require ,follow-up? ,- ,CORRECT ,ANSWER-An
,adult ,with ,a ,respiratory ,rate ,of ,10 ,breaths ,per ,minute.
Which ,of ,the ,following ,vital ,signs ,recorded ,for ,an ,older ,adult ,would ,be ,considered
,acceptable ,(within ,normal ,limits)? ,- ,CORRECT ,ANSWER-Temp ,97.0° ,F ,(36.1 ,°C), ,P-
60, ,R-16, ,BP ,116/78, ,O2 ,sat ,95%
The ,nurse ,has ,delegated ,the ,task ,of ,temperature ,assessment ,to ,the ,NAP. ,Which
,information ,should ,be ,provided ,to ,the ,NAP? ,- ,CORRECT ,ANSWER-What ,changes ,to
,report ,immediately ,to ,the ,nurse.
The ,frequency ,for ,taking ,or ,monitoring ,the ,temperature.
The ,type ,of ,temperature ,required.
Which ,of ,the ,following ,situations ,may ,affect ,a ,patient's ,vital ,signs? ,- ,CORRECT
,ANSWER-Moving ,from ,lying ,to ,standing ,position.
Pain ,rated ,as ,a ,7 ,on ,0-10 ,pain ,scale.
Time ,of ,day.
The ,nurse ,will ,take ,the ,patient's ,vital ,signs ,preoperatively ,and ,record ,them ,as ,part ,of
,the ,patient's ,preparation ,for ,surgery. ,Why ,is ,it ,necessary ,to ,take ,vital ,signs
,preoperatively? ,- ,CORRECT ,ANSWER-To ,verify ,the ,patient ,is ,not ,experiencing ,any
,complications ,that ,may ,contraindicate ,surgery ,or ,require ,intervention.
To ,provide ,a ,set ,of ,vital ,signs ,to ,use ,for ,comparison ,during ,and ,after ,surgery.
The ,NAP ,reports ,to ,the ,nurse ,a ,65-year-old ,patient's ,blood ,pressure ,is ,160/98. ,What
,is ,the ,appropriate ,initial ,response ,of ,the ,nurse? ,- ,CORRECT ,ANSWER-Assess ,the
,patient's ,blood ,pressure.
Which ,patient ,would ,it ,be ,appropriate ,for ,the ,nurse ,to ,delegate ,vital ,signs ,-
,CORRECT ,ANSWER-Elderly ,nursing ,home ,resident
Which ,person ,would ,be ,expected ,to ,have ,the ,lowest ,body ,temperature ,- ,CORRECT
,ANSWER-An ,80-year-old ,who ,walked ,half ,a ,mile
, an ,80-year-old ,would ,have ,a ,lower ,starting ,temperature ,and ,therefore, ,would ,most
,likely ,have ,the ,lowest ,body ,temperature ,although ,it ,may ,take ,longer ,to ,return ,to
,baseline ,after ,exercise.
The ,NAP ,is ,preparing ,to ,measure ,a ,patient's ,vital ,signs. ,The ,patient ,reports ,having
,eaten ,a ,bowl ,of ,warm ,soup. ,The ,NAP ,asks ,the ,RN ,what ,he ,should ,do. ,What ,is ,the
,best ,response ,- ,CORRECT ,ANSWER-Ask ,the ,patient ,not ,to ,eat, ,drink, ,or ,smoke ,for
,20 ,minutes ,and ,then ,assess ,the ,patient's ,oral ,temperature.
The ,temperature ,of ,food ,or ,liquid ,could ,impair ,the ,accuracy ,of ,the ,reading.
For ,which ,patient ,would ,a ,tympanic ,thermometer ,be ,the ,preferred ,thermometer ,to
,use ,- ,CORRECT ,ANSWER-A ,tachypneic ,patient ,who ,is ,receiving ,oxygen ,by ,nasal
,cannula.
Which ,of ,the ,following ,patients ,would ,require ,frequent ,assessment ,of ,their
,temperature ,- ,CORRECT ,ANSWER-A ,young ,adult ,with ,a ,white ,blood ,count ,of
,15,000/mm
A ,patient ,receiving ,a ,blood ,transfusion ,for ,chronic ,anemia.
An ,adult ,female ,in ,the ,recovery ,room ,following ,a ,hysterectomy.
The ,NAP ,reports ,that ,the ,patient's ,temperature ,is ,39° ,C ,(102.2 ,°F). ,Which ,of ,the
,following ,are ,appropriate ,nursing ,actions? ,- ,CORRECT ,ANSWER-Remove ,the
,patient's ,blankets
Administer ,an ,antipyretic ,to ,the ,patient ,as ,ordered.
Which ,of ,the ,following ,actions, ,if ,made ,by ,the ,NAP, ,would ,require ,intervention ,and
,further ,instruction ,by ,the ,nurse? ,- ,CORRECT ,ANSWER-The ,NAP ,wipes ,the ,single-
use ,chemical ,dot ,thermometer ,and ,places ,it ,back ,in ,the ,patient's ,drawer ,for ,future
,use.
The ,NAP ,inserts ,the ,red-tipped ,electronic ,thermometer ,probe ,into ,the ,patient's ,mouth
,after ,applying ,a ,probe ,cover.
Identify ,the ,factors ,that ,may ,have ,an ,effect ,on ,an ,elderly ,patient's ,temperature ,-
,CORRECT ,ANSWER-Drinking ,a ,cold ,glass ,of ,water.
Infection
Room ,temperature.
Participation ,in ,physical ,therapy ,exercises.
If ,a ,52-year-old ,patient ,has ,a ,normal ,temperature, ,what ,range ,should ,the ,patient's
,temperature ,fall ,within ,- ,CORRECT ,ANSWER-96.8-100.4 ,°F ,(36-38 ,°C)
A ,newborn ,patient's ,temperature ,has ,been ,rising ,rapidly ,and ,the ,baby ,has ,been
,crying. ,Which ,of ,the ,following ,thermometers ,would ,be ,the ,best ,to ,use ,in ,measuring
,this ,patient's ,temperature ,- ,CORRECT ,ANSWER-Temporal ,artery