Chapter 26 Measuring Vital Sign

Which do you report to the nurse at once? a) an adullt has a pulse of 124 beats per min b) an adult has a pulse of 90 beats per min c) an adult has a pulse of 86 beats per min d) an adult has a pulse of 64 beats per min

a) an adult has a pulse of 124 beats per minutes

Which should you report at once? a) an oral temperature at 98.4 f b) a rectal temperature of 101 F c) an axillary temperature of 97.6 F d) an oral temperature of 99.0 F

b) a rectal temperature of 101.1 F

Respirations are usually counted a) after taking the temperature b) after taking the pulse c) before taking the pulse d) after taking the blood pressure

b) after taking the pulse

Normal respirations a) are heard as the person exhales b) are heard as the person exhales c) are quiet d) sound like wheezing with inhalation and exhalation

c) are quiet

Which gives the least accurate measurement of body temperature? a) oral site b) rectal site c) axillary site d) tympanic membrane site

c) axillary site

A rectal temperature is taken when the person a) is unconscious b) has heart disease c) is confused d) has diarrhea

a) is unconscious

Which is usually used to take an adult's pulse? a) the radial pulse b) the apical pulse c) the apical-radial pulse d) the brachial pulse

a) the radial pulse

When measuring BP, you should do the following except a) use the arm with an IV infusion b) apply the cuff to a bare upper arm c) turn off the TV d) locate the brachial artery

a) use the arm with an IV infusion

In an adult, normal respiration are a) 10 to 18 per minutes b) 12 to 20 per minutes c) less than 20 per minute d) more than 20 per minute

b) 12 to 20 per minute

You are not sure of hearing an accurate BP measurement. What should you do? a) record what you think that you heard b) measure the BP again after 60 seconds c) use the bell part of the stethoscope d) ask another nursing assistant to take the BP

b) measure the BP again after 60 seconds

Which site is used to take an infant's temperature? a) oral site b) rectal site c) axillary site d) tympanic membrane site

b) rectal site

Which statement about the apical radial pulse is true? a) the radial pulse can be greater than the apical pulse b) the apical pulse can be greater than the radial pulse c) the apical and radial pulses are always equal d) the pulse deficit is always 0

b) the apical pulse can be greater than the radial pulse

The systolic pressure is the point a) Where the pulse is no longer felt b) where the first sound is heard where the last sound is heard d) 30 mm hg above where the pulse was felt

b) where the first sound is heard

Which statement is false: a) the vital signs are temperature,pulse,respiration and blood pressure b) vital signs detect changes in body function c) vital signs change only during illness d) sleep, exercise, drugs,emotion and noise affect vital signs

c) vital signs change only during illness

Which blood pressure is normal for an adult? a) 88/54 mm hg b) 140/90 mm hg c) 100/58 mm hg d) 112/78 mm hg

d) 112/78 mm hg