ACTUAL Questions and CORRECT
Answers
Which temperature, taken rectally, is outside the normal range for a healthy adult? - CORRECT
ANSWER - 97 degrees fahrenheit (below normal range for healthy adult)
An increase in body temperature may be an indication of which condition? - CORRECT
ANSWER - infection, damage to hypothalamus, and vasoconstriction
vasodilation - CORRECT ANSWER - dilation of blood vessels, increasing heat loss
through the skin; it is not related to temperature regulation
hypothermia - CORRECT ANSWER - describes the condition of having abnormally low
body temperature and is not a temperature-regulating reaction
pyrexia - CORRECT ANSWER - fever response, triggered by the production and release
of prostaglandins; not related to temperature regulation
shivering - CORRECT ANSWER - results from contraction and relaxation of the skeletal
muscles, warming the body
Which is the best method by which to measure temperature in a 5-month-old patient -
CORRECT ANSWER - tympanic method
what describes the benefit to using an electric thermometer to measure an adult patient's
temperature - CORRECT ANSWER - quicker to use
which method of temperature measurement is the most reliable - CORRECT ANSWER -
tympanic because it measures core temperature
, The nurse is taking the pulse of an adult patient. which description of pulse amplitude is
characteristic of a normal pulse - CORRECT ANSWER - strong
which findings relating to a patient's pulse are considered normal - CORRECT
ANSWER - regular rhythm, strong amplitude, contour with smooth uptake
which characteristics of respiration are normal findings - CORRECT ANSWER -
breathing without effort, breathing with regular rhythm, abdominal movement with breathing,
quiet breathing
the best way to measure respirations is to count the breathe for ____ seconds and multiply by 2 -
CORRECT ANSWER - 30
which respiratory rate (in breaths per minute) would the nurse characterize as bradypnea -
CORRECT ANSWER -9
which blood pressure response is expected when a patient rises from a sitting position -
CORRECT ANSWER - a rise in diastolic pressure
blood pressure follows a diurnal pattern, peaking at what time during the day - CORRECT
ANSWER - midmorning
what auscultatory landmark, identified after the systolic sound, marks the first diastolic sound -
CORRECT ANSWER - muffling of sounds
what auscultatory landmark marks the first systolic sound - CORRECT ANSWER - two
consecutive beats
What marks the auscultatory gap - CORRECT ANSWER - disappearance of the korotkoff
sounds