With Complete Solutions
A 15-year-old male has come to the health care provider's office
because he does not feel well after football practice. He looks
sheepish when you ask him about drug and alcohol use but is
unwilling to explain why. His temperature is 102°F (38.9°C).
This is a:
A. Normal temperature for a person his age.
B. Low temperature for a person his age.
C. High temperature for a person his age.
D. Likely due to alcohol intake. Correct Answer C. High
temperature for a person his age.
A 15-year-old male patient is hypothermic. Which temperature
reflects hypothermia?
A. 95° F (35°C).
B. 99° F (37.2°C).
C. 101° F (38.3°C).
D. 110° F (43.3°C). Correct Answer A. 95° F (35°C).
A 56-year-old female patient has been admitted with a diagnosis
of pneumonia. Which information should be provided to the
NAP delegated to take her temperature? (Select all that apply.)
A. The patient's age.
B. The type of temperature required.
C. The patient's diagnosis.
D. The frequency for taking or monitoring the temperature.
E. What changes to report immediately to the nurse. Correct
Answer B. The type of temperature required.
D. The frequency for taking or monitoring the temperature.
,E. What changes to report immediately to the nurse.
A healthy 30-year-old male arrives at the clinic for a physical
because he will be living in a third-world country for the next 2
to 5 years, and he wants to make sure he is healthy. The nurse is
responsible for collecting his vital signs. Which of these can be
delegated to NAP? (Select all that apply.)
A. Temperature.
B. Pulse.
C. Respiration.
D. BP.
E. Pulse oximetry. Correct Answer A. Temperature.
B. Pulse.
C. Respiration.
D. BP.
E. Pulse oximetry.
A patient complains of feeling excessively tired. Which
statement, if made by the NAP, indicates further instruction is
necessary?
A. "I will turn the continuous pulse oximetry alarms off at night
so you can sleep without interruption."
B. "I can give you a back massage to help you relax."
C. "What kind of nighttime ritual helps you go to sleep?"
D. "If the finger clip is bothering you, I can attach a probe to
your ear."
E. "I will notify the nurse and the two of you can determine
whether you need your sleeping medication." Correct Answer
A. "I will turn the continuous pulse oximetry alarms off at night
so you can sleep without interruption."
, A patient has been given an opioid analgesic (e.g., morphine) for
pain relief. Why does the nurse assess the patient's respiratory
rate before administering the next dose?
A. To see if the patient's complaints of pain are supported
physiologically.
B. To reduce the addiction potential to pain medication.
C. Opioid analgesics may depress rate and depth of respirations,
although this is a rare adverse event.
D. To provide the patient with a sense of security regarding
his/her respiratory status and as a result, reduce anxiety.
Correct Answer C. Opioid analgesics may depress rate and
depth of respirations, although this is a rare adverse event.
A patient was brought to the emergency department following a
motor vehicle accident. He appears drowsy, but will arouse to
his name being called. He is bleeding profusely from an injury
to his leg. What would the nurse expect his vital signs to be?
A. 97.8°F (36.5°C), 110, 24, 80/40
B. 98.6°F (37°C), 84, 20, 120/80
C. 99.0°F (37.2°C), 88, 16, 130/80
D. 100.4°F (38°C), 76, 24, 140/90 Correct Answer A. 97.8°F
(36.5°C), 110, 24, 80/40
For which patient should you avoid using a leg pressure cuff
(thigh cuff) to assess BP?
A. A patient without arms.
B. A patient with a deep vein thrombosis (blood clot, usually in
the lower extremities).
C. A patient with a history of a CVA (stroke).
D. A patient who has an arteriovenous shunt located in the
forearm for hemodialysis. Correct Answer B. A patient with a