ANSWERS
The following is NOT a nonverbal indicator for pain?
Grimacing
Blinking
Rubbing the affected area
Restlessness - ANS Blinking
How long should you wait between taking repeat blood pressure measurements in the same
arm?
10-15 sec.
30-60 sec.
2 min
3-5 min - ANS 30-60 sec.
Which pain scale involves the patient taking the average of 3 ratings over 24 hours?
Faces
NPRS
VAS
McGill - ANS NPRS
Orthostatic hypotension (OH) is classified as a decrease in systolic blood pressure of greater
than what?
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, 10
15
30
20 - ANS 20
What pain scale might you use with a 5 year old child?
Faces
NPRS (numerical pain rating scale)
VAS (visual analog scale)
McGill pain questionnaire - ANS Faces
Which of these patients may need to rest or be on supplemental oxygen- O2 sat= oxygen
saturation?
Pulse 90 bpm, O2 sat 95%
Pulse 75 bpm, O2 sat 92%
Pulse 80 bpm, O2 sat 88%
Pulse 70 bpm, O2 sat 98% - ANS Pulse 80 bpm, O2 sat 88%
Which of these patients needs immediate medical attention?
BP 160/90
Heartrate 98
Respiration 19
BP 180/100 - ANS BP 180/100
Which of the following vital sign readings is NOT within normal limits (WNL)?
Temperature of 98 degrees
Respiration of 23 bpm (breaths per minute)
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