Ch 26 Measuring Vital Signs
A rectal temperature is taken when the person is...
Is unconscious
Which is usually used to take an adult's pulse?
Radial pulse
When measuring BP, you should do the following except...
Use the arm with an intravenous infusion
Which is reported 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) An adult has a pulse of 124 beats per miute
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) 12 to 20 per minute
Which should you report at once? a) An oral temperature of 98.4F b) A rectal temperature of 101.6F c)An axillary temperature of 97.6F d) An oral temperature of 99.0F
b) A rectal temperature of 101.6F
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
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 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 c) Where the last sound was heard d) 30 mm Hg above where the pulse was felt
b) Where the first sound is heard
Normal respirations... a) Are heard as the person inhales b) Are herd 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
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, medications, emotions, 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