Question 1

What site should be selected if a peripheral pulse needs to be assessed quickly?

Accepted Answer

A)  Radial pulse 
B)  Brachial pulse 
C)  Carotid pulse 
D)  Pedal pulse 
A)  Radial pulse 
B)  Brachial pulse 
C)  Carotid pulse 
D)  Pedal pulse

Question 2

How should the nurse position the earpieces on a stethoscope to ensure optimum reception?

Accepted Answer

A)  Backward 
B)  Parallel to the ears 
C)  Toward the face 
D)  Downward 
A)  Backward 
B)  Parallel to the ears 
C)  Toward the face 
D)  Downward

Question 3

If a patient has an axillary temperature of 96.2°F, the nurse understands that the true temperature is ______.

Accepted Answer

97.2°F
Axillary temp

Question 4

What is the term for a fever that rises and falls but does not return to normal until the patient is well?

Accepted Answer

A)  Constant 
B)  Intermittent 
C)  Remittent 
D)  Elevated 
A)  Constant 
B)  Intermittent 
C)  Remittent 
D)  Elevated

Question 5

The nurse uses cooling techniques to keep the body temperature below 105° F. What can result from an elevated temperature?

Accepted Answer

A)  Excessive thirst 
B)  Excessive perspiration 
C)  Damage to body cells 
D)  Increased heart rate 
A)  Excessive thirst 
B)  Excessive perspiration 
C)  Damage to body cells 
D)  Increased heart rate

Question 6

What type of body temperature remains relatively constant?

Accepted Answer

A)  Surface 
B)  Rectal 
C)  Oral 
D)  Core 
A)  Surface 
B)  Rectal 
C)  Oral 
D)  Core

Question 7

A patient is admitted to a medical surgical unit. What factors will determine how frequently vital signs will be assessed? (Select all that apply.)

Accepted Answer

A)  Desire of the patient 
B)  Judgment of need by the nurse 
C)  Discretion of the family 
D)  Orders of the health care provider 
E)  Patient's condition 
A)  Desire of the patient 
B)  Judgment of need by the nurse 
C)  Discretion of the family 
D)  Orders of the health care provider 
E)  Patient's condition

Question 8

A patient is suspected of having a cardiac arrhythmia. The nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80. What is the term for the difference between these two rates?

Accepted Answer

A)  Pulse pressure 
B)  Unequal pulses 
C)  Pulse deficit 
D)  Tachycardia 
A)  Pulse pressure 
B)  Unequal pulses 
C)  Pulse deficit 
D)  Tachycardia

Question 9

What is the pulse-the expansion and contraction of an artery- produced by?

Accepted Answer

A)  Contraction of the right atrium 
B)  Contraction of the right ventricle 
C)  Contraction of the left atrium 
D)  Contraction of the left ventricle 
A)  Contraction of the right atrium 
B)  Contraction of the right ventricle 
C)  Contraction of the left atrium 
D)  Contraction of the left ventricle

Question 10

A nurse assesses a patient's dorsalis pedis pulse. The pulse is difficult to feel and not palpable when only slight pressure is applied. How should the nurse document this finding?

Accepted Answer

A)  Weak pulse 
B)  Normal pulse 
C)  Thready pulse 
D)  Bounding pulse 
A)  Weak pulse 
B)  Normal pulse 
C)  Thready pulse 
D)  Bounding pulse

Exam 11: Vital Signs

What site should be selected if a peripheral pulse needs to be assessed quickly?

How should the nurse position the earpieces on a stethoscope to ensure optimum reception?

If a patient has an axillary temperature of 96.2°F, the nurse understands that the true temperature is ______.

What is the term for a fever that rises and falls but does not return to normal until the patient is well?

The nurse uses cooling techniques to keep the body temperature below 105° F. What can result from an elevated temperature?

What type of body temperature remains relatively constant?

A patient is admitted to a medical surgical unit. What factors will determine how frequently vital signs will be assessed? (Select all that apply.)

A patient is suspected of having a cardiac arrhythmia. The nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80. What is the term for the difference between these two rates?

What is the pulse-the expansion and contraction of an artery- produced by?

A nurse assesses a patient's dorsalis pedis pulse. The pulse is difficult to feel and not palpable when only slight pressure is applied. How should the nurse document this finding?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

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Health Promotion for the Infant, Child, and Adolescent

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Introduction to Anatomy and Physiology

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Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

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