Vital Signs

The most appropriate definition of Vital Signs:

A. Signs and symptoms of a disease

B. An indication of basic body functioning

C. A part of human composition

D. Physiology and anatomy

A proper assessment of vital signs will allow a nurse to: (select all that
apply)

A. Learn about human behavior

B. Help evaluate improvement of patient condition

C. Implement planned interventions

D. Identify nursing diagnosis

An adult blood pressure reading of 120/80 mm Hg is:

A. Prehypertension

B. Hypotensive

C. Normal

D. Hypertensive

The following traits are typical among the older: Check all that apply:

A. Infection is often afebrile

B. Heart sounds are muffled

C. Skin is more fragile

D. Decreased heart rate at rest

E. Libido is normally heightened

Regulator of body temperature:

A. Medulla

B. Sebaceous glands

C. Hypothalamus

D. Wernicke's area
A rise of 1-degree Fahrenheit of temperature will increase the pulse rate
by how many beats per minute?

A. 3

B. 4

C. 5

D. 6

Surface and Core:

A. Pulse

B. Temperature

C. Blood pressure

D. Pain

Decreased efficiency of respiratory muscles results in breathlessness at low

exercise levels:

A. True

B.False

Factors affecting body temperatures: (select all that apply)

A. Stress

B. Age

C. Hormones

D. Smoking

E. Height

Constant, remittent and intermittent are classifications of:

A. Pain

B. Fever

C.Headache

D.Anxiety

A sudden drop in blood pressure because of positional changes is called

____________ ____________(two words)

Upon admission, the most appropriate person to check on a patient's vital

signs would be:
A. RN

B. LPN

C. PCT

D. CNA

Which of the following statements about Fever is not true?

A. Fever is a sign of illness

B. It is the same as pyrexia or hyperthermia

C. It is reflected through an increase of body temperature

D.It does not do anything to defend the body

96.0 to 99.5 degrees Fahrenheit is the normal temperature range of which

age group?

A. Toddler

B. Adolescent

C. Neonate

D. Middle adult

When obtaining an oral temperature, after requesting the patient to open

the mouth, the probe is gently inserted into:

A. Anterior sublingual cavity

B. Lateral sublingual density

C. Superior lingual mucosity

D. Posterior sublingual pocket

The most appropriate position in obtaining a rectal temperature for an adult

would be:

A. Supine

B. Fowler's

C. Sim's

D.Lateral

The colored probes of an electronic thermometer are indicative of:

A. Blue and red are both for oral

B. Blue is for rectal and red is for oral

C. Blue is for oral and red is for rectal

D. Blue and red are both for rectal

Resting in a supine position could cause to decrease the heart rate. What
cardiac condition does the same thing? _____ ______ (2 words)

When body temperature falls below 93.2 degrees Fahrenheit, the person is
suffering from the extreme:

A.Hyperthermia

B. Hypothermia

C. Orthopnea

D.Dypsnea

Considered the 5th vital sign:

A. Height and weight

B.Respiration

C.Body mass index

D. Pain

Older adults have an increase in systolic pressure related to what?

A. Increased vessel flexibility

B. Decreased vessel elasticity

C. Enlarged vessel dexterity

D. Diminished vessel porosity

Which time of day would we have the lowest temperature reading?

A. 4 pm to 6 pm

B. 4 am to 6 am

C. 8 pm to 12 midnight

D. 1 am to 4 am

A student nurse taking care of a patient with an abnormal body

temperature needs more training when he/she does what?

A. Monitor patient's temperature at least every 4 hours or PRN

B. Discourages a patient from drinking fluids to avoid excessive activity

C. Cover patient with more blankets, close room doors or windows

D. Further assess for possible site of localized infection

This condition may produce a subnormal temperature:

A. Cerebral palsy

B. Infection

C. Hypothyroidism

D. Fever

In assessing a tympanic temperature in a 20-year old male patient, which

of the following could result in the least accurate reading?

A plastic probe covers the tip of the thermometer

B. The patient has been outdoor for more than 30 minutes

C. The pinna is pulled backwards and up

D. The lens and the probe of the device are clean and intact

Which of the below are examples of vital signs?

A. Blood pressure

B. Temperature

C. Level of responsiveness, Pulse

D. Breathing

E. All the above

Which are also examples of vital signs?

A. Response to pain and touch

B. Ability to move

C. State of pupils, Skin temperature, moisture, & color

D. Capillary refill time

E. All the above

What does AVPU stand for?

A. Alcohol, Valium, Potassium, Ultram

B. Aspiration, Vomit, Puke, Upchuck

C. Alert, Verbal stimuli, Pain, Unresponsive

What is the normal rate of breathing for adults? __________

What is the normal rate of breathing for children? _________

What is cyanosis?

A. Blue discoloration of skin

B. Blue discoloration of lips

C. Blue discoloration of nails

D. All the above

What is the normal pulse rate for an adult? ____________

What is the normal pulse rate for children? _____________

Which are locations for assessing pulses?

A. Carotid artery, Femoral artery

B. Radial pulse, Brachial pulse

C. Dorsalis pedis pulse, Posterior tibial pulse

D. All the above

What is the normal body temperature? (number only)

At what temperature is the body considered hypothermic? (number only)

Which of the below is not a determining pressure in acquiring a blood

pressure:

A. Systolic Pressure

B. Diastolic Pressure

C. Pulse Pressure

D. Intercranial Pressure

Which is not an element of the vital sign triad?

A. Level of responsiveness

B. State of pupils

C. Lateralized extremity weakness

D. Increased ICP
Restlessness and dusky or cyanotic skin that is cool to the touch,
dizziness, mental confusion, and mottled extremities are all signs and
symptoms of hypertension

A. True

B. False

Which of the following values for vital signs would the nurse address first

A. Temperature of 99 degrees

B. Oxygen saturation of 89%

C. Respirations of 28

D. BP 160/89

The nurse decides to take an apical pulse instead of a radial pulse

because the client has orthostatichypotention.

A. True

B. False

Cheyne-Stokes respiration is an irregular respiratory rate and depth with

alternating periods of apnea and hyperventilation; it begins with slow
breaths and climaxes in apnea before respiration resumes.

A. True

B. False

The ______________________ indicates closure of the aortic and pulmonic

valves.

The closing of the mitral and tricuspid valves is the S1 sound.

A.True

B. False

_____ is reflected in the vital signs by indicating the status of the body's
function, which is regulated through homeostatis mechanisms and falling
within certain normal ranges.

A. Lifestyle

B. Vital signs

C. Homeostasis

D. Health status
E. None of the above

How often are vital signs assessed in patients who are taking medications
that affect cardiovascular or respiratory function or who have had surgery?
Every:

A nurse can delegate to other healthcare personnel to do vital sign

assessment of patients.

A. True

B. False

Body temperature indicates the difference between the ____ of heat and
the ____ of heat. (separate answers with a space)

Core body temperature is normally maintained within the rage of ____

degrees F to _____ degrees F. (separate answers with a space)

Core body temperature is highest at:

A. Early morning

B. Noon

C. Late afternoon

D. Evening

E. Night

Core body temperature is ____ surface body temperature.

A. Less than

B. Higher than

C. Equal to

D. None of the above

Core temperatures are not measured at:

A. Tympanic site

B. Rectal site

C. Bladder

D. Sublingual site

E. Pulmonary artery site

Core body temperature is normally maintained within a rage of ____
degrees C and ____ degrees C. (separate answers with a space)

A newborn's temperature should be

A. 37 degrees Celcius (oral)

B. 37 degrees Celcium (axillary)

C. 37.7 degrees Celcius (rectal)

D. 36.8 degrees Celcius (axillary)

E. 36.8 degrees Celcius (rectal)

A normal temperature for a child between 1-3 years of age is:

A. 37.7 degrees Celcius (axillary)

B. 36.8 degrees Ceclius (rectal)

C. 37.7 degrees Celcius (rectal)

D. 36.8 degrees Celcius (axillary)

E. 36 degrees Celcius (orally)

The normal temperature for an adult is:

A. 37 degrees Celcius (axillary)

B. 37 degrees Celcius (oral)

C. 36 degrees Celcius (oral)

D. 37.7 degrees Celcius (oral)

E. 36.8 degrees Celcius (axillary)

The average temperature of an adult older than 70 years of age is _____

degrees celcius orally.

The average pulse for a teen is

A. 80-180 bpm

B. 75-110 bpm

C. 80-140 bpm

D. 60-120 bpm

E. 60-100 bpm

The primary source of heat in the body is _____

____ is produced as a byproduct of metabolic activities that generate
energy for cellular functions.

When additional heat is required to maintain balance, epinephrine and

norepinephrine (sympathetic neurotransmitters) are released and alter
metabolism so that energy production ____ and heat production ____.
(separate answers with a space)

Which hormone increases metabolism and heat production, but over a much
longer time period than epinephrine and norepinephrine.

_____ is a response that increases the production of heat; it is initiated

by the hypothalamus and results in muscle tremours.

______ occurs with shivering, causing "goose bumps" and reducing the
size of the surface to minimize heat loss.

Shivering and piloerection are forms of:

A. Heat loss

B. Heat production

C. Environmental temperature

D. Fever

E. None of the above

22. Connections in the skin that remain open to allow heat to dissipate to
the skin or close to retain heat in the body are called

23. Which of the following controls the opening and closing of the
arteriovenous shunts in response to changes in core body temperature and
in environmental temperature.

A. Autonomic nervous system

B. Parasympathetic nervous system

C. Sympathetic nervous system

D. All of the above

E. None of the above

24.Heat production also occurs through warming and humidigying of inspired

air and elimination of urine and feces.

A. True

B. False
25. Which group's body temperature changes more rapidly in response to
both heat and cold air temperatures?

A. Infants and children

B. Older adults
C. Women

D. Men

E.None of the above