VITAL SIGNS | FOUNDATIONAL
CONCEPTS OF NURSING PRACTICE |
ENGAGE MODULE. EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
A nurse is observing an assistive personnel (AP) Obtain vital signs for an adult client. Which of
the following actions by AP requires follow up by the nurse?
a. AP pulls pinna up and back when obtaining a tympanic temperature
b. The AP informs the client when they are counting the respirations
c. AP gently presses down with pads of 2-3 fingers over radial pulse site
d. AP selects BP cuff width that is 40% the circumference of the client's arm - ANS b. The AP
informs the client when they are counting the respirations
A nurse obtains a client's electronic blood pressure reading of 188/96 mm Hg. Which of the
following actions should the nurse take next?
a. provide client teaching regarding medications to control BP
b. notify provider of client's BP reading
pg. 1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,c. provide client education on measures to decrease BP
d. Obtain a manual blood pressure reading from the client. - ANS d. Obtain a manual blood
pressure reading from the client.
A nurse is assisting with planning in an in-service about vital signs for a group of assistive
personnel (AP). Which of the following information should the nurse recommend be included
about measuring body temperature?
a. tympanic temp can be affected by environmental temperature
b. temporal temp is inaccurate in children under age of 3
c. axillary temp reflects rapid changes in client's core body temp
d. oral temp is easily acceptable despite a client's position - ANS d. oral temp is easily
acceptable despite a client's position
A nurse is caring for a client who has an increase in cardiac afterload. Which of the following
findings should the nurse expect?
a. increase in blood pressure
b. increase in respiratory rate
c. decrease in cardiac output
d. decrease in preload - ANS a. increase in blood pressure
pg. 2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, A nurse is discussing the use of clients cy for blood pressure measurements with assertive
personal(AP) .Which of the following information should the nurse include?
a. select BP cuff width that is 25% the circumference of the client's thigh
b. palpate the femoral pulse when obtaining BP in thigh
c. expect BP in the thigh to be 10-15 mm Hg less than in the arm
d. use the thigh to obtain BP when a client has severe edema in their arms - ANS d. use the
thigh to obtain BP when a client has severe edema in their arms
A nurse is evaluating the effectiveness of Interventions provided to a client who has an Sa02
below The expected reference range. Which of the following manifestations requires the follow
up by the nurse?
a. eupnea
b. dyspnea
c. heart rate of 84/min
d. SaO2 of 96% - ANS b. dyspnea
A charge nurse is discussing client's respiratory data with the newly licensed nurse. Which of
the following statements should the nurse include?
a. clients will exhibit an increase in their respiratory rate after using a bronchodilator
b. count respiratory rate for 1 min for clients who have a respiratory infection
pg. 3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
CONCEPTS OF NURSING PRACTICE |
ENGAGE MODULE. EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
A nurse is observing an assistive personnel (AP) Obtain vital signs for an adult client. Which of
the following actions by AP requires follow up by the nurse?
a. AP pulls pinna up and back when obtaining a tympanic temperature
b. The AP informs the client when they are counting the respirations
c. AP gently presses down with pads of 2-3 fingers over radial pulse site
d. AP selects BP cuff width that is 40% the circumference of the client's arm - ANS b. The AP
informs the client when they are counting the respirations
A nurse obtains a client's electronic blood pressure reading of 188/96 mm Hg. Which of the
following actions should the nurse take next?
a. provide client teaching regarding medications to control BP
b. notify provider of client's BP reading
pg. 1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,c. provide client education on measures to decrease BP
d. Obtain a manual blood pressure reading from the client. - ANS d. Obtain a manual blood
pressure reading from the client.
A nurse is assisting with planning in an in-service about vital signs for a group of assistive
personnel (AP). Which of the following information should the nurse recommend be included
about measuring body temperature?
a. tympanic temp can be affected by environmental temperature
b. temporal temp is inaccurate in children under age of 3
c. axillary temp reflects rapid changes in client's core body temp
d. oral temp is easily acceptable despite a client's position - ANS d. oral temp is easily
acceptable despite a client's position
A nurse is caring for a client who has an increase in cardiac afterload. Which of the following
findings should the nurse expect?
a. increase in blood pressure
b. increase in respiratory rate
c. decrease in cardiac output
d. decrease in preload - ANS a. increase in blood pressure
pg. 2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, A nurse is discussing the use of clients cy for blood pressure measurements with assertive
personal(AP) .Which of the following information should the nurse include?
a. select BP cuff width that is 25% the circumference of the client's thigh
b. palpate the femoral pulse when obtaining BP in thigh
c. expect BP in the thigh to be 10-15 mm Hg less than in the arm
d. use the thigh to obtain BP when a client has severe edema in their arms - ANS d. use the
thigh to obtain BP when a client has severe edema in their arms
A nurse is evaluating the effectiveness of Interventions provided to a client who has an Sa02
below The expected reference range. Which of the following manifestations requires the follow
up by the nurse?
a. eupnea
b. dyspnea
c. heart rate of 84/min
d. SaO2 of 96% - ANS b. dyspnea
A charge nurse is discussing client's respiratory data with the newly licensed nurse. Which of
the following statements should the nurse include?
a. clients will exhibit an increase in their respiratory rate after using a bronchodilator
b. count respiratory rate for 1 min for clients who have a respiratory infection
pg. 3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
