Exam 6: General Survey and Assessing Vital Signs

You are preparing to assess the blood pressure. You start by wrapping the deflated cuff around the patient's arm about ___________ inch(es) above the brachial artery.

During a physical assessment of a patient, the nurse recognizes that all of the following are considered abnormal findings EXCEPT

Blood pressure is measured routinely as part of the vital sign assessment. The best sites that a blood pressure can be taken include all of the following EXCEPT

Normal vital signs change with age, sex, weight, exercise tolerance, and medical condition. Which of the following are classified as vital signs? Select all that apply.

Rectal temperatures are considered to be an accurate route for measuring core temperature. Rectal temperatures are contraindicated in which of the following patients? Select all that apply.

To obtain an accurate blood pressure, the blood pressure cuff needs to fit the patient properly. A nurse assessing a patient knows that a proper fitting blood pressure cuff should cover________ of the distance from the patient's elbow to the shoulder.

Which of the following is the correct sequence in which to perform a physical assessment?

During a health assessment of a patient, a nurse is assessing vital signs, including respiratory rate. She knows that several factors can influence the respiratory rate including which of the following? Select all that apply.

In a normotensive (normal BP) blood pressure reading, the systolic reading is less than _________ and the diastolic reading is less than __________.

Measuring a patient's body temperature is part of routine essential nursing care and can be taken in several different ways. The site and measuring device is chosen based on a number of factors including which of the following? Select all that apply.

A patient arrives for a health assessment and the nurse notes the patient has a heavy foreign accent. The nurse knows the best action is

A nurse is performing a vital sign assessment on a patient and understands that he must observe the following characteristics to assess a patient's breathing. Select all that apply.

A nurse is preparing to take an oral temperature on a patient. The nurse understands that the patient needs to wait 30 minutes to take an oral temperature if the patient

A nurse is performing a physical assessment on a patient as part of an annual physical. The nurse understands that the body temperature:

The nurse is instrumental in collecting data during a health assessment. The first steps in performing a physical assessment are

Normal respirations are ________ to _________ breaths per minute.

A normal resting pulse for a well-conditioned athlete is __________ to __________ beats per minute.

A nurse is assessing a radial pulse. What characteristics of the pulse must be documented? Select all that apply.

All of the following equipment is used to perform a physical health assessment EXCEPT:

When assessing a patient's vital signs, a nurse understands that an essential principle of vital sign assessment is