Assessment for Nursing Practice, 7th Edition
Wilson & Giddens - Test Bank
Chapter 4: General Inspection and Measurement of Vital
Signs
1)
What is the normal range for adult resting heart rate?
A. 50-80 beats per minute
B. 60-100 beats per minute
C. 70-110 beats per minute
D. 80-120 beats per minute
Answer: B. 60-100 beats per minute
Rationale: The normal resting heart rate for adults is 60-100 beats per minute. Rates below 60
are considered bradycardia, and rates above 100 are considered tachycardia.
2)
Which site is most commonly used for measuring core body temperature in adults?
A. Axillary
B. Oral
C. Rectal
D. Temporal
, Answer: B. Oral
Rationale: The oral route is most commonly used for measuring temperature in conscious,
cooperative adults as it is convenient, comfortable, and provides accurate core temperature
readings.
3)
What is the normal range for adult respiratory rate?
A. 8-16 breaths per minute
B. 12-20 breaths per minute
C. 16-24 breaths per minute
D. 20-28 breaths per minute
Answer: B. 12-20 breaths per minute
Rationale: The normal respiratory rate for adults at rest is 12-20 breaths per minute. Rates
outside this range may indicate respiratory distress or other pathological conditions.
4)
When measuring blood pressure, the cuff should cover what percentage of the upper arm
circumference?
A. 60%
B. 70%
C. 80%
D. 90%
Answer: C. 80%