Deck 25: Measuring Vital Signs

Question 1

Vital signs do which of the following?

A) Detect changes in body function.
B) Measure how much urine the kidneys have made.
C) Diagnose illness.
D) Tell certain lab values.

Answer 1

Detect changes in body function.

Question 2

Vital signs are immediately reported to the nurse at which of the following times?

A) Whenever they are taken.
B) If there is a change from a previous measurement.
C) If they are in the normal range.
D) If the doctor is present.

Answer 2

If there is a change from a previous measurement.

Question 3

A female resident is 83 years old. Which of the following will affect her body temperature?

A) Weather and exercise
B) Her menstrual cycle
C) The food she ate that morning
D) The elasticity of her skin

Answer 3

Weather and exercise

Question 4

Body temperature is measured at which of the following sites?

A) The toe
B) The nose
C) The rectum
D) Behind the knee

Question 5

Body temperature is measured at which of the following sites?

A) The earlobe
B) The tympanic membrane
C) Under the breasts
D) The neck

Question 6

A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is abnormal?

A) 98.1° F
B) 99.8° F
C) 98.2° F
D) 98.0° F

Question 7

A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measurement is normal?

A) 98.6° F
B) 99.0° F
C) 98.0° F
D) 97.6° F

Question 8

Taking temperatures is delegated to you. The nurse and care plan tell you which of the following?

A) The normal range for the site used
B) What site to use
C) How to use the thermometer
D) Whether the thermometer needs charging

Question 9

You are taking an oral temperature. How long do you request the person have nothing to eat or drink prior to you taking his or her temperature?

A) 15 to 20 minutes
B) 10 minutes
C) 2 to 3 minutes
D) 5 to 10 minutes

Question 10

You are taking a temperature with a tympanic thermometer. How long do you leave the thermometer in place?

A) 1 to 3 seconds
B) 5 to 10 seconds
C) 1 to 3 minutes
D) 5 to 10 minutes

Question 11

You are taking temperature using a temporal artery thermometer. How long would you anticipate this thermometer taking to obtain a temperature?

A) 1 minute
B) 3 to 4 seconds
C) 2 to 3 minutes
D) 3 to 4 minutes

Question 12

A radial pulse is counted for how many seconds?

A) 15 seconds
B) 30 seconds
C) 45 seconds
D) 30 or 60 seconds, depending on the facility policy

Question 13

You are counting a resident's respirations. Which statement is correct?

A) You need to tell the person what you are doing.
B) Each rise and fall of the chest is counted as two respirations.
C) Both sides of the person's chest should rise and fall equally.
D) Respirations are usually counted for 30 seconds.

Question 14

Which of the following factors tend to increase blood pressure?

A) Being a female
B) Age
C) Pain
D) Race

Question 15

Which of the following factors tend to increase blood pressure?

A) Blood loss
B) Being male
C) High-fiber diet
D) Sleeping

Question 16

Which of the following factors tend to increase blood pressure?

A) Alcohol
B) Sudden position changes
C) Weight loss
D) Low sodium diet

Question 17

A glass thermometer is appropriate to use to obtain an oral temperature.