Question 1

The nursery nurse should identify which newborn at significant risk for hypothermic alteration in thermoregulation?

Accepted Answer

A)  Large for gestational age 
B)  Low birth weight 
C)  Born at term 
D)  Well nourished 
A)  Large for gestational age 
B)  Low birth weight 
C)  Born at term 
D)  Well nourished B

Question 2

What is the priority nursing action for a patient suspected to be hypothermic?

Accepted Answer

A)  Assess vital signs. 
B)  Hydrate with intravenous (IV) fluids. 
C)  Provide a warm blanket. 
D)  Remove wet clothes. 
A)  Assess vital signs. 
B)  Hydrate with intravenous (IV) fluids. 
C)  Provide a warm blanket. 
D)  Remove wet clothes. D

Question 3

Which strategies should the nurse include in a community program for senior citizens related to dealing with cold winter temperatures?

Accepted Answer

A)  Avoiding hot beverages 
B)  Shopping at an indoor mall 
C)  Using a fan at low speed 
D)  Walking slowly in the park 
A)  Avoiding hot beverages 
B)  Shopping at an indoor mall 
C)  Using a fan at low speed 
D)  Walking slowly in the park B

Question 4

The nurse planning care for a patient with hypothermia should consider what similar exemplar?

Accepted Answer

A)  Heat exhaustion 
B)  Heat stroke 
C)  Infection 
D)  Prematurity 
A)  Heat exhaustion 
B)  Heat stroke 
C)  Infection 
D)  Prematurity

Question 5

During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?

Accepted Answer

A)  Impaired cognition 
B)  Occupational exposure 
C)  Physical agility 
D)  Temperature extremes 
A)  Impaired cognition 
B)  Occupational exposure 
C)  Physical agility 
D)  Temperature extremes

Question 6

A volunteer at the senior center asks the visiting nurse why the senior citizens always seem to be complaining about the temperature. What is the nurse's best response?

Accepted Answer

A)  Older people have a diminished ability to regulate body temperature because of active sweat glands. 
B)  Older people have a diminished ability to regulate body temperature because of increased circulation. 
C)  Older people have a diminished ability to regulate body temperature because of peripheral vasoconstriction. 
D)  Older people have a diminished ability to regulate body temperature because of slower metabolic rates. 
A)  Older people have a diminished ability to regulate body temperature because of active sweat glands. 
B)  Older people have a diminished ability to regulate body temperature because of increased circulation. 
C)  Older people have a diminished ability to regulate body temperature because of peripheral vasoconstriction. 
D)  Older people have a diminished ability to regulate body temperature because of slower metabolic rates.

Question 7

What is the most appropriate measure for a nurse to use in assessing core body temperature when there are suspected problems with thermoregulation?

Accepted Answer

A)  Oral thermometer 
B)  Rectal thermometer 
C)  Temporal thermometer scan 
D)  Tympanic membrane sensor 
A)  Oral thermometer 
B)  Rectal thermometer 
C)  Temporal thermometer scan 
D)  Tympanic membrane sensor

Question 8

The nurse admitting a patient to the emergency department on a very hot summer day would suspect hyperthermia when the patient demonstrates which assessment finding?

Accepted Answer

A)  Decreased respirations 
B)  Low pulse rate 
C)  Red, sweaty skin 
D)  Slow capillary refill 
A)  Decreased respirations 
B)  Low pulse rate 
C)  Red, sweaty skin 
D)  Slow capillary refill

Exam 10: Thermoregulation

The nursery nurse should identify which newborn at significant risk for hypothermic alteration in thermoregulation?

What is the priority nursing action for a patient suspected to be hypothermic?

Which strategies should the nurse include in a community program for senior citizens related to dealing with cold winter temperatures?

The nurse planning care for a patient with hypothermia should consider what similar exemplar?

During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?

A volunteer at the senior center asks the visiting nurse why the senior citizens always seem to be complaining about the temperature. What is the nurse's best response?

What is the most appropriate measure for a nurse to use in assessing core body temperature when there are suspected problems with thermoregulation?

The nurse admitting a patient to the emergency department on a very hot summer day would suspect hyperthermia when the patient demonstrates which assessment finding?

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