WITH COMPLETE VERIFIED SOLUTIONS
A. When transferred to a new nursing unit. - answer ✔✔-Nurses should measure the patient's vital
signs:
A. When transferred to a new nursing unit.
B. When the patient is incontinent.
C. When the patient comes to the nurses station.
D. At least three times a day.
A. Release the pressure of the fingers slightly when compressing the artery. - answer ✔✔-When
assessing a patient's radial pulse, a nurse is unable to feel pulsations. What should the nurse do first?
A. Release the pressure of the fingers slightly when compressing the artery.
B. Apply more pressure with the index finger when palpating the artery.
C. Use a Doppler to assess the artery.
D. Assess an artery in the other arm.
A. "If anyone's oral temperature is over 100° F, I'll let you know right away since that means they have a
fever." - answer ✔✔-A nurse has assigned the vital signs of the elderly patients residing in the facility's
assisted living unit to the nursing assistant. Which of the following statements made by the UAP requires
immediate correction by the RN?
A. "If anyone's oral temperature is over 100° F, I'll let you know right away since that means they have a
fever."
B. "As you age your blood pressure may go up, but it doesn't have to if your vessels are healthy."
, C. "I always wait a good 30 minutes after assisting the older patients back to bed before I count their
pulses."
D. "I watch the elderly client's abdomen and count the number of times it rises when I am counting
respirations."
B. 3, 4, 1, 2 - answer ✔✔-The nurse is performing an assessment of the patient's thorax and lungs. In
which order will the nurse perform the following assessment techniques? 1. Percussion 2. Auscultation
3. Inspection 4. Palpation
A.3, 1, 4, 2
B. 3, 4, 1, 2
C.2, 4, 3, 1
D.2, 3, 4, 1
E.3, 2, 4, 1
A. Vesicular
B. Brochovesicular
C. Bronchial - answer ✔✔-Which of the following are normal breath sounds? Select all that apply.
A. Vesicular
B. Brochovesicular
C. Bronchial
D. Vestibular
E. Crackles
B. Closure of the heart valves. - answer ✔✔-When auscultating the heart, a nurse knows that the "lub-
dub" heart sounds heard are caused by: