NUR 134 Vital signs UPDATED ACTUAL
Exam Questions and CORRECT Answers
Guidelines to use when taking vital signs - CORRECT ANSWER •(Correctly take vital
signs)
•Ensure equipment is working properly
•Select appropriate equipment
•Know patient's usual 'range'
•Know patient's history, therapies, meds
•Understand and interpret the values
•Control environmental effects
•Be organized
•Communicate findings
•Begin interventions as needed
Collaborate frequency
When to measure vital signs - CORRECT ANSWER •Upon admission to any healthcare
agency
•Based on agency institutional policy and procedures
•Anytime there is a change in the patient's condition
•Anytime there is a loss of consciousness
•Before and after surgical or invasive diagnostic procedures
•Before and after activity that may increase risk
•Before administering medications that affect cardiovascular or respiratory functioning
The balance between heat production and heat loss is - CORRECT ANSWER Body
Temperature
normal range for T - CORRECT ANSWER 97-99.5
, normal range for pulse - CORRECT ANSWER 60-100
normal range for respiration - CORRECT ANSWER 12-20
normal range for BP - CORRECT ANSWER 120/80
Metabolism is primary source for - CORRECT ANSWER Heat production
Skin is the primary source for - CORRECT ANSWER Heat loss
Fever is - CORRECT ANSWER Heat loss mechanisms unable to keep pace with excess
heat production
Functions of fever - CORRECT ANSWER •Inhibit bacteria growth
•Increase WBC production
•Stimulates interferon (virus fighting substance)
Pulse - CORRECT ANSWER •Palpable bounding of the blood flow in the peripheral
artery
Bradycardia - CORRECT ANSWER less than 60
Tachycardia - CORRECT ANSWER greater than 100
brachial pulse - CORRECT ANSWER Pulse felt in bend of either arm
femoral pulse - CORRECT ANSWER Pulse felt on either side of the groin
Exam Questions and CORRECT Answers
Guidelines to use when taking vital signs - CORRECT ANSWER •(Correctly take vital
signs)
•Ensure equipment is working properly
•Select appropriate equipment
•Know patient's usual 'range'
•Know patient's history, therapies, meds
•Understand and interpret the values
•Control environmental effects
•Be organized
•Communicate findings
•Begin interventions as needed
Collaborate frequency
When to measure vital signs - CORRECT ANSWER •Upon admission to any healthcare
agency
•Based on agency institutional policy and procedures
•Anytime there is a change in the patient's condition
•Anytime there is a loss of consciousness
•Before and after surgical or invasive diagnostic procedures
•Before and after activity that may increase risk
•Before administering medications that affect cardiovascular or respiratory functioning
The balance between heat production and heat loss is - CORRECT ANSWER Body
Temperature
normal range for T - CORRECT ANSWER 97-99.5
, normal range for pulse - CORRECT ANSWER 60-100
normal range for respiration - CORRECT ANSWER 12-20
normal range for BP - CORRECT ANSWER 120/80
Metabolism is primary source for - CORRECT ANSWER Heat production
Skin is the primary source for - CORRECT ANSWER Heat loss
Fever is - CORRECT ANSWER Heat loss mechanisms unable to keep pace with excess
heat production
Functions of fever - CORRECT ANSWER •Inhibit bacteria growth
•Increase WBC production
•Stimulates interferon (virus fighting substance)
Pulse - CORRECT ANSWER •Palpable bounding of the blood flow in the peripheral
artery
Bradycardia - CORRECT ANSWER less than 60
Tachycardia - CORRECT ANSWER greater than 100
brachial pulse - CORRECT ANSWER Pulse felt in bend of either arm
femoral pulse - CORRECT ANSWER Pulse felt on either side of the groin
