Ch. 26

A rectal temperature is taken when the person A. Is unconscious B. Has heart disease C. Is confused D. Has diarrhea

A

When measuring BP, you should do the following except A. Use the arm with an IV infusion B. Apply the cuff to a bare arm C. Turn off the TV D. Locate the brachial artery

A

Which do you report to the nurse at once? A. An adult has a pulse of 124 beats per minute B. An adult has a pulse of 90 beats per minute C. An adult has a pulse of 86 beats per minute D. An adult has a pulse of 64 beats per minute

A

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

96.6 to 98.6 degrees is the normal temperature range for the __________ site

Axillary

In an adult, normal respirations are A. 10 to 18 per minute B. 12 to 20 per minute C. Less than 20 per minute D. More than 20 per minute

B

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

The systolic pressure is the point A. Where the pulse is no longer felt B. Where the first sound is heard C. Where the last sound is heard D. 30 mm Hg above where the pulse was felt

B

Which should you report at once? A. An oral temperature of 98.4 degrees B. A rectal temperature of 101.6 degrees C. An axillary temperature of 97.6 degrees D. An oral temperature of 99.0 degrees

B

Which site is used to take an infant's temperature? A. Oral site B. Rectal site C. Axillary site D. Tympanic membrane site

B

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

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

Normal respirations A. Are heard as the person inhales B. Are heard as the person exhales C. Are quiet D. Sound like wheezing with inhalation and exhalation

C

Which gives the least accurate measurement of body temperature? A. Oral site B. Rectal site C. Axillary site D. Tympanic membrane site

C

Which statement is false? A. The vital signs are temperature, pulse, respirations, and blood pressure B. Vital signs detect changes in body function C. Vital signs change only during illness D. Sleep, exercise, drugs, emotions, and noise affect vital signs

C

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

97.6 to 99.6 degrees is the normal temperature range for the __________ site

Oral

98.6 to 100.6 degrees is the normal temperature range for the __________ site

Rectal

99.6 degrees is the normal temperature range for the __________ site

Temporal artery

98.6 degrees is the normal temperature range for the __________ site

Tympanic membrane