Client Status Test
Which range is the average pulse rate for infants?
100 to 160
Which of the following shows a tympanic measurement?
102.3 T
Which of the following rectal temperatures indicates hyperthermia?
105°F
Which of the following respiration rates is considered normal for an adult male?
18
Which of the following shows a temperature measurement documented correctly?
2/15/XX, 1600, 101.2, Gloria Jackson, MA"
Which of the following respiration rates is normal for a six-year-old girl?
20
How high above palpatory systolic pressure should the sphygmomanometer cuff be inflated?
30 mm Hg
Which of the following respiration rates is considered normal for a three-month-old boy?
40
Which range is the average pulse rate for adult males?
60 to 70
Which range is the average pulse rate for adult females?
65 to 80
Which of the following is NOT true of blood pressure?
A sphygmomanometer is the only piece of equipment needed to measure blood pressure
While counting pulse, what must you also be aware of?
The volume and rhythm of the pulse
Which of the following is true of height and weight measurements?
They can be used to monitor growth, dose medication, and order lab tests.
A pulse rate of fewer than 60 beats per minute is described as which of the following?
Bradycardia
Your patient is having difficulty breathing and has a respiration rate of 5 breaths per minute. Which of the following describes your patient?
Bradypnea
Which respiration assessment is typically described as normal, shallow, deep, or labored?
Character
normal range of 60-80 mm Hg is the standard for which blood pressure measurement?
Diastolic
Where should the thermometer be located in the patient's mouth for an oral reading?
Under the tongue, toward the side of the mouth
Which of the following describes the correct use of a tympanic thermometer?
Use plastic covers to prevent the spread of infection.
Which of the following is the most important indicator of health of the body?
Vital signs
What is pulse deficit?
Fewer pulses than heartbeats means that the heart is either too weak or is beating too fast
In addition to height and weight, taking infant body measurements includes which of the following?
Head circumference
Which term is used to describe high blood pressure?
Hypertension
Which term is used to describe a blood pressure of 90 mm Hg systolic and 50 mm Hg diastolic?
Hypotension
You just dropped and broke a glass/mercury thermometer. What should you do?
Immediately get someone with experience and a Hazardous Materials kit to clean it up.
Which of the following is true of vital signs?
It is critical you know how to measure vital signs accurately.
Which of the following measurements can be used to record height?
feet, in
Which of these items INCREASES a person's pulse rate?
fever
Which is an acceptable way to measure radial pulse?
two fingers and NO thumb
Which of the following is true of temperature?
Measurements can be affected by infection, activity, eating, and metabolism.
Which of the following methods is NOT used to take a temperature?
On the hand
Where is the carotid pulse site?
On the side of the patient's neck
Where is radial pulse measured?
On the underside of the patient's wrist
Which is the correct way to record pulse data?
P 68 strong and regular
Which of the following factors can affect blood pressure?
Patient positioning
Which pulse assessment can be described as strong, weak, thready, or bounding?
Pulse volume
Your adult patient's blood pressure reading is 175 mm Hg systolic and 99 mm Hg diastolic. What should you do next?
Quickly but calmly, report the reading to your supervisor.
Which of the following describes correct technique for measuring height and weight?
Read the weight when the balance bar is centered between the upper and lower guides.
Your patient is considerably overweight. As you measure the patient's body weight, what should you do?
Record the patient's weight in the chart and allow the physician to discuss it with the patient.
Which of the following is true of respirations?
Respiration should be counted while your fingers are still in the position used to measure pulse.
Which respiration assessment is typically described as regular or irregular?
Rhythm
Which of the following is a sign of cyanosis?
Skin and lips turning bluish in color
normal range of 100-120 mm Hg is the standard for which blood pressure measurement?
Systolic
What are the four main vital signs?
Temperature, pulse, respirations, and blood pressure
What does temperature measure?
The balance between heat produced and heat lost
What is blood pressure?
The force of blood against the artery walls
How is respiration measured?
The number of breaths per minute
Mr. Dennis states that he has an arrhythmia. What do you now know about the patient?
The patient may have an abnormal pulse rhythm.
Which of the following is a definition of pulse?
The pressure of blood pushing against an artery as the heart beats.
Which example is the correct way to record apical pulse?
AP 68 strong and regular
Your patient has an oral temperature reading of 92.8°F. What should you do?
Alert the physician immediately.
Which of the following temperatures is considered febrile?
An oral temperature of 100.5°F
At which location is apical pulse taken?
Apex of the heart
Which of the following is true about pulse?
Apical pulse should be counted for one full minute.
When taking blood pressure, how should the patient's arm be positioned?
At heart level, supported, with palm facing up
Which method involves examination by listening to the sounds of the body?
Auscultation