Question 1

If only two blood pressure values are recorded, they are the _____ sounds.

Accepted Answer

A) first systolic and first diastolic 
B) first systolic and second diastolic 
C) second systolic and first diastolic 
D) second systolic and second diastolic 
E) first and second diastolic. 
A) first systolic and first diastolic 
B) first systolic and second diastolic 
C) second systolic and first diastolic 
D) second systolic and second diastolic 
E) first and second diastolic. B

Question 2

A patient with trigeminal neuralgia would describe the pain as

Accepted Answer

A) throbbing and dull. 
B) burning or shocklike. 
C) tender and deep. 
D) crushing and tearing. 
E) pressure or squeezing. 
A) throbbing and dull. 
B) burning or shocklike. 
C) tender and deep. 
D) crushing and tearing. 
E) pressure or squeezing. B

Question 3

A normal adult's pulse pressure should range from _____ mm Hg.

Accepted Answer

A) 10 to 20 
B) 20 to 25 
C) 30 to 40 
D) 60 to 70 
E) 80 to 100 
A) 10 to 20 
B) 20 to 25 
C) 30 to 40 
D) 60 to 70 
E) 80 to 100 C

Question 4

The difference in blood pressure readings between the right and left arms is considered normal up to _____ mm Hg.

Accepted Answer

A) 5 
B) 10 
C) 20 
D) 25 
E) 30 
A) 5 
B) 10 
C) 20 
D) 25 
E) 30

Question 5

Which of the following is not related to older adults underreporting pain?

Accepted Answer

A) They believe it is a normal part of aging. 
B) They have a diminished perception of pain. 
C) They do not want to be a nuisance. 
D) They believe reporting pain will lead to expensive testing or hospitalization. 
E) They are hesitant to take pain medications. 
A) They believe it is a normal part of aging. 
B) They have a diminished perception of pain. 
C) They do not want to be a nuisance. 
D) They believe reporting pain will lead to expensive testing or hospitalization. 
E) They are hesitant to take pain medications.

Question 6

Hypertension in a pregnant woman (blood pressure reading greater than or equal to 160 mm Hg systolic or 110 mm Hg diastolic) is one sign of

Accepted Answer

A) a normal pregnancy. 
B) a nulliparous woman. 
C) preeclampsia. 
D) a multiparous woman. 
E) Braxton Hicks contractions. 
A) a normal pregnancy. 
B) a nulliparous woman. 
C) preeclampsia. 
D) a multiparous woman. 
E) Braxton Hicks contractions.

Question 7

Which is the most reliable indicator of a patient's pain?

Accepted Answer

A) Facial grimacing 
B) Grunting or groaning 
C) Body movements 
D) Reluctance to be moved 
E) Patient's report of the pain 
A) Facial grimacing 
B) Grunting or groaning 
C) Body movements 
D) Reluctance to be moved 
E) Patient's report of the pain

Question 8

Which of the following is most closely related to damage or dysfunction of the central or peripheral nervous system?

Accepted Answer

A) Chronic pain 
B) Neuropathic pain 
C) Acute pain 
D) Acute inflammation 
E) Surgery 
A) Chronic pain 
B) Neuropathic pain 
C) Acute pain 
D) Acute inflammation 
E) Surgery

Question 9

The nurse assesses the blood pressure to be 140/62 mm Hg and records 78 as the

Accepted Answer

A) pulse pressure. 
B) pulse deficit. 
C) afterload pressure. 
D) preload pressure. 
E) stroke volume. 
A) pulse pressure. 
B) pulse deficit. 
C) afterload pressure. 
D) preload pressure. 
E) stroke volume.

Question 10

Which pulse is generally used to assess heart rate?

Accepted Answer

A) Radial 
B) Brachial 
C) Dorsalis pedis 
D) Posterior tibial 
E) Popliteal 
A) Radial 
B) Brachial 
C) Dorsalis pedis 
D) Posterior tibial 
E) Popliteal

Question 11

The fifth vital sign is

Accepted Answer

A) pain. 
B) orientation. 
C) waist-to-hip ratio. 
D) body mass index (BMI). 
E) weight. 
A) pain. 
B) orientation. 
C) waist-to-hip ratio. 
D) body mass index (BMI). 
E) weight.

Question 12

If a sufficiently large cuff is unavailable to fit the arm of an obese person, which technique may be used to assess blood pressure?

Accepted Answer

A) Wrap a standard cuff around the deltoid area and place the stethoscope over the radial artery. 
B) Wrap a standard cuff around the forearm and place the stethoscope over the radial artery. 
C) Wrap a standard cuff around the thigh and place the stethoscope on the dorsalis pedis. 
D) Wrap a pediatric cuff around the ankle and place the stethoscope on the popliteal artery. 
E) Wrap a standard cuff around the forearm and place the stethoscope over the ulnar artery. 
A) Wrap a standard cuff around the deltoid area and place the stethoscope over the radial artery. 
B) Wrap a standard cuff around the forearm and place the stethoscope over the radial artery. 
C) Wrap a standard cuff around the thigh and place the stethoscope on the dorsalis pedis. 
D) Wrap a pediatric cuff around the ankle and place the stethoscope on the popliteal artery. 
E) Wrap a standard cuff around the forearm and place the stethoscope over the ulnar artery.

Question 13

Your 85-year-old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given antiinflammatory medication. To assess her right knee pain, you should ask her if

Accepted Answer

A) the current pain is similar to previous pain. 
B) the left knee hurts as well. 
C) she took pain medication last night. 
D) the pain gets better when she sits. 
E) this is the worse pain she has ever had. 
A) the current pain is similar to previous pain. 
B) the left knee hurts as well. 
C) she took pain medication last night. 
D) the pain gets better when she sits. 
E) this is the worse pain she has ever had.

Question 14

A 5-year-old is complaining of nondescriptive "belly pain." Your next action should be to ask him to

Accepted Answer

A) point a finger to the spot that hurts. 
B) draw a circle around the area that hurts. 
C) use a metaphor to describe the pain. 
D) identify what makes the pain worse. 
E) allow him to use a "pain-o-meter." 
A) point a finger to the spot that hurts. 
B) draw a circle around the area that hurts. 
C) use a metaphor to describe the pain. 
D) identify what makes the pain worse. 
E) allow him to use a "pain-o-meter."

Question 15

Postural hypotension is defined as which of the following when the patient stands compared with a sitting or supine reading?

Accepted Answer

A) Blood pressure drop of more than 20 mm Hg in systolic and 10 mm Hg drop in diastolic 
B) Pulse rate decrease with a systolic pressure increase of at least 15 mm Hg 
C) Diastolic pressure increase of more than 5 mm Hg and no pulse rate changes 
D) Pulse rate decrease and diastolic pressure decrease of more than 5 mm Hg 
E) Decrease in pulse pressure 
A) Blood pressure drop of more than 20 mm Hg in systolic and 10 mm Hg drop in diastolic 
B) Pulse rate decrease with a systolic pressure increase of at least 15 mm Hg 
C) Diastolic pressure increase of more than 5 mm Hg and no pulse rate changes 
D) Pulse rate decrease and diastolic pressure decrease of more than 5 mm Hg 
E) Decrease in pulse pressure

Question 16

Which of the following groups has the greatest variation in pulse rate?

Accepted Answer

A) Toddlers 
B) Premature infants 
C) Neonates 
D) Adolescents 
E) Older adults 
A) Toddlers 
B) Premature infants 
C) Neonates 
D) Adolescents 
E) Older adults

Question 17

During pregnancy, all of the following may be related to back pain except

Accepted Answer

A) lax pelvic ligaments. 
B) weight gain. 
C) hyperlordosis. 
D) anterior tilt of the pelvis. 
E) lower blood pressure. 
A) lax pelvic ligaments. 
B) weight gain. 
C) hyperlordosis. 
D) anterior tilt of the pelvis. 
E) lower blood pressure.

Question 18

Which of the following is a subjective measurement?

Accepted Answer

A) Temperature 
B) Pulse 
C) Blood pressure 
D) Pain 
E) Respirations 
A) Temperature 
B) Pulse 
C) Blood pressure 
D) Pain 
E) Respirations

Question 19

A pain scale that is reliable and valid for children is the _____ scale.

Accepted Answer

A) pain-o-meter 
B) pain-rating instrument 
C) numeric pain intensity 
D) Wong/Baker Faces Rating 
E) descriptive pain intensity 
A) pain-o-meter 
B) pain-rating instrument 
C) numeric pain intensity 
D) Wong/Baker Faces Rating 
E) descriptive pain intensity

Question 20

Which of the following is not involved in increasing body temperature?

Accepted Answer

A) Pyrogens 
B) Vasoconstriction 
C) Shivering 
D) Vasodilation 
E) Prostaglandins 
A) Pyrogens 
B) Vasoconstriction 
C) Shivering 
D) Vasodilation 
E) Prostaglandins

Exam 4: Vital Signs and Pain Assessment

If only two blood pressure values are recorded, they are the _____ sounds.

A patient with trigeminal neuralgia would describe the pain as

A normal adult's pulse pressure should range from _____ mm Hg.

The difference in blood pressure readings between the right and left arms is considered normal up to _____ mm Hg.

Which of the following is not related to older adults underreporting pain?

Hypertension in a pregnant woman (blood pressure reading greater than or equal to 160 mm Hg systolic or 110 mm Hg diastolic) is one sign of

Which is the most reliable indicator of a patient's pain?

Which of the following is most closely related to damage or dysfunction of the central or peripheral nervous system?

The nurse assesses the blood pressure to be 140/62 mm Hg and records 78 as the

Which pulse is generally used to assess heart rate?

The fifth vital sign is

If a sufficiently large cuff is unavailable to fit the arm of an obese person, which technique may be used to assess blood pressure?

Your 85-year-old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given antiinflammatory medication. To assess her right knee pain, you should ask her if

A 5-year-old is complaining of nondescriptive "belly pain." Your next action should be to ask him to

Postural hypotension is defined as which of the following when the patient stands compared with a sitting or supine reading?

Which of the following groups has the greatest variation in pulse rate?

During pregnancy, all of the following may be related to back pain except

Which of the following is a subjective measurement?

A pain scale that is reliable and valid for children is the _____ scale.

Which of the following is not involved in increasing body temperature?

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters