Question 1

Which of the following statements is true regarding oral temperature measurements?

Accepted Answer

A) They are the most convenient to obtain and are most readily accepted by alert adults. 
B) They are useful in infants. 
C) They are acceptable in orally intubated patients. 
D) They are affected by delivery of oxygen by nasal cannula. 
A) They are the most convenient to obtain and are most readily accepted by alert adults. 
B) They are useful in infants. 
C) They are acceptable in orally intubated patients. 
D) They are affected by delivery of oxygen by nasal cannula.

Question 2

Which of the following conditions is not associated with the presence of pulsus paradoxus?

Accepted Answer

A) Hypervolemia 
B) Cardiac tamponade 
C) Constrictive pericarditis 
D) Asthma 
A) Hypervolemia 
B) Cardiac tamponade 
C) Constrictive pericarditis 
D) Asthma

Question 3

Which of the following arteries is most appropriate for measuring the pulse of a patient with very low blood pressure?

Accepted Answer

A) Radial artery 
B) Popliteal artery 
C) Brachial artery 
D) Femoral artery 
A) Radial artery 
B) Popliteal artery 
C) Brachial artery 
D) Femoral artery

Question 4

A respiratory rate of greater than _____ breaths/min is considered abnormal at any age.

Accepted Answer

A) 60 
B) 50 
C) 40 
D) 30 
A) 60 
B) 50 
C) 40 
D) 30

Question 5

Which of the following reasons has been listed as the number one concern regarding use of the tympanic site for body temperature measurement?

Accepted Answer

A) Speed 
B) Safety 
C) Accuracy 
D) Cost 
A) Speed 
B) Safety 
C) Accuracy 
D) Cost

Question 6

When the blood pressure is measured, the sounds that are heard through the stethoscope between the systolic and diastolic pressures are known as _____ sounds.

Accepted Answer

A) Meckel 
B) brachial 
C) Korotkoff 
D) succussion 
A) Meckel 
B) brachial 
C) Korotkoff 
D) succussion

Question 7

Which of the following is not classified as a classic vital sign?

Accepted Answer

A) Pulse 
B) Sensorium 
C) Blood pressure 
D) Respiratory rate 
A) Pulse 
B) Sensorium 
C) Blood pressure 
D) Respiratory rate

Question 8

Which of the following is not considered a typical site for temperature measurement?

Accepted Answer

A) Oral 
B) Rectal 
C) Axillary 
D) Fingertip 
A) Oral 
B) Rectal 
C) Axillary 
D) Fingertip

Question 9

Which of the following statements best reflects the importance of comparing changes in vital signs?

Accepted Answer

A) It allows assessment of important subjective patient data. 
B) It allows recognition of the development of a particular problem. 
C) It allows detection of additional symptoms. 
D) It does not allow changes in therapy. 
A) It allows assessment of important subjective patient data. 
B) It allows recognition of the development of a particular problem. 
C) It allows detection of additional symptoms. 
D) It does not allow changes in therapy.

Question 10

In postoperative patients, the degree of tachypnea typically is related to the degree of:

Accepted Answer

A) anesthetic received during surgery. 
B) pain medication received. 
C) pneumonia. 
D) atelectasis. 
A) anesthetic received during surgery. 
B) pain medication received. 
C) pneumonia. 
D) atelectasis.

Question 11

An RT is called to the emergency department on New Year 's Eve to assist in the treatment of a 5-year-old child pulled from under the ice of a local pond.When the child arrives, he has been intubated and has a weak, irregularly irregular pulse of 55 beats/min, no spontaneous respiratory effort, and a body temperature of 30ᵒ C.The normal practice in this hospital is to use heat-moisture exchangers (HMEs) for all mechanically ventilated patients.Which of the following should the therapist suggest for the ventilator setup?

Accepted Answer

A) Greater than normal rate and tidal volume 
B) Higher than usual inspiratory flow rate 
C) Heated humidity in place of the HME 
D) All of the above 
A) Greater than normal rate and tidal volume 
B) Higher than usual inspiratory flow rate 
C) Heated humidity in place of the HME 
D) All of the above

Question 12

Which of the following is not true about pulse pressure?

Accepted Answer

A) It normally is between 35 and 40 mm Hg. 
B) It is calculated from the 12-lead electrocardiographic printout. 
C) It is the difference between the systolic and diastolic pressures. 
D) The peripheral pulse is difficult to detect when the pulse pressure falls to below 30 mm Hg. 
A) It normally is between 35 and 40 mm Hg. 
B) It is calculated from the 12-lead electrocardiographic printout. 
C) It is the difference between the systolic and diastolic pressures. 
D) The peripheral pulse is difficult to detect when the pulse pressure falls to below 30 mm Hg.

Question 13

Which of the following scales is the gold standard for assessing trends in the neurologic function of patients who have suffered head trauma?

Accepted Answer

A) Murray scale 
B) PRISM 
C) APACHE 
D) Glasgow scale 
A) Murray scale 
B) PRISM 
C) APACHE 
D) Glasgow scale

Question 14

An alternating succession of strong and weak pulses that usually is not related to respiratory disease is known as pulsus:

Accepted Answer

A) tardus. 
B) alternans. 
C) paradoxus. 
D) asymmetrical. 
A) tardus. 
B) alternans. 
C) paradoxus. 
D) asymmetrical.

Question 15

How often should vital signs be recorded in a patient who is hospitalized but is not in intensive care?

Accepted Answer

A) Every hour 
B) Every 2 hours 
C) Every 4 to 6 hours 
D) Every 12 hours 
A) Every hour 
B) Every 2 hours 
C) Every 4 to 6 hours 
D) Every 12 hours

Question 16

Which of the following techniques is not useful in measuring the respiratory rate in patients who are spontaneously breathing and alert?

Accepted Answer

A) Ask the patient to breathe normally. 
B) Lay the hand you are using to count the patient's pulse on the patient's abdomen, and watch abdominal movements. 
C) Count the rate for 30 seconds and multiply by 2. 
D) Pretend to be counting the pulse while counting the respiratory rate. 
A) Ask the patient to breathe normally. 
B) Lay the hand you are using to count the patient's pulse on the patient's abdomen, and watch abdominal movements. 
C) Count the rate for 30 seconds and multiply by 2. 
D) Pretend to be counting the pulse while counting the respiratory rate.

Question 17

Which of the following organs is not at risk for disease in the presence of systemic hypertension?

Accepted Answer

A) Heart 
B) Kidneys 
C) Blood vessels 
D) Pancreas 
A) Heart 
B) Kidneys 
C) Blood vessels 
D) Pancreas

Question 18

What is the main advantage of tympanic thermometry over the classic forms of temperature measurement?

Accepted Answer

A) It is fast, clean, and noninvasive. 
B) Multiple studies have shown a high correlation with core temperature. 
C) It is the preferred method of temperature measurement in the pediatric population. 
D) It uses infrared emissions from the surface of the tympanic membrane and is not in contact with skin or other tissue. 
A) It is fast, clean, and noninvasive. 
B) Multiple studies have shown a high correlation with core temperature. 
C) It is the preferred method of temperature measurement in the pediatric population. 
D) It uses infrared emissions from the surface of the tympanic membrane and is not in contact with skin or other tissue.

Question 19

Which of the following terms is used to describe a significant decrease in pulse pressure during spontaneous inspiration?

Accepted Answer

A) Pulsus alternans 
B) Pulsus paradoxus 
C) Pulsus respiratory 
D) Pulsus asymmetrical 
A) Pulsus alternans 
B) Pulsus paradoxus 
C) Pulsus respiratory 
D) Pulsus asymmetrical

Question 20

Which of the following is the method of choice for measuring temperature in neonates?

Accepted Answer

A) Oral 
B) Rectal 
C) Axillary 
D) Tympanic 
A) Oral 
B) Rectal 
C) Axillary 
D) Tympanic

Which of the following statements is true regarding oral temperature measurements?

Which of the following conditions is not associated with the presence of pulsus paradoxus?

Which of the following arteries is most appropriate for measuring the pulse of a patient with very low blood pressure?

A respiratory rate of greater than _____ breaths/min is considered abnormal at any age.

Which of the following reasons has been listed as the number one concern regarding use of the tympanic site for body temperature measurement?

When the blood pressure is measured, the sounds that are heard through the stethoscope between the systolic and diastolic pressures are known as _____ sounds.

Which of the following is not classified as a classic vital sign?

Which of the following is not considered a typical site for temperature measurement?

Which of the following statements best reflects the importance of comparing changes in vital signs?

In postoperative patients, the degree of tachypnea typically is related to the degree of:

Which of the following is not true about pulse pressure?

Which of the following scales is the gold standard for assessing trends in the neurologic function of patients who have suffered head trauma?

An alternating succession of strong and weak pulses that usually is not related to respiratory disease is known as pulsus:

How often should vital signs be recorded in a patient who is hospitalized but is not in intensive care?

Which of the following techniques is not useful in measuring the respiratory rate in patients who are spontaneously breathing and alert?

Which of the following organs is not at risk for disease in the presence of systemic hypertension?

What is the main advantage of tympanic thermometry over the classic forms of temperature measurement?

Which of the following terms is used to describe a significant decrease in pulse pressure during spontaneous inspiration?

Which of the following is the method of choice for measuring temperature in neonates?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters

Exam 4: Vital Signs

Which of the following statements is true regarding oral temperature measurements?

Which of the following conditions is not associated with the presence of pulsus paradoxus?

Which of the following arteries is most appropriate for measuring the pulse of a patient with very low blood pressure?

A respiratory rate of greater than _____ breaths/min is considered abnormal at any age.

Which of the following reasons has been listed as the number one concern regarding use of the tympanic site for body temperature measurement?

When the blood pressure is measured, the sounds that are heard through the stethoscope between the systolic and diastolic pressures are known as _____ sounds.

Which of the following is not classified as a classic vital sign?

Which of the following is not considered a typical site for temperature measurement?

Which of the following statements best reflects the importance of comparing changes in vital signs?

In postoperative patients, the degree of tachypnea typically is related to the degree of:

Which of the following is not true about pulse pressure?

Which of the following scales is the gold standard for assessing trends in the neurologic function of patients who have suffered head trauma?

An alternating succession of strong and weak pulses that usually is not related to respiratory disease is known as pulsus:

How often should vital signs be recorded in a patient who is hospitalized but is not in intensive care?

Which of the following techniques is not useful in measuring the respiratory rate in patients who are spontaneously breathing and alert?

Which of the following organs is not at risk for disease in the presence of systemic hypertension?

What is the main advantage of tympanic thermometry over the classic forms of temperature measurement?

Which of the following terms is used to describe a significant decrease in pulse pressure during spontaneous inspiration?

Which of the following is the method of choice for measuring temperature in neonates?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters