N101 Vital Signs #2

Question 1

Pt has an apical pulse of 93, radial pulse of 70, BP of 140/100, what is the pulse pressure?

Accepted Answer

40

Question 2

Which of the following signs/ symptoms could we expect to find in a patient with new onset hypoxia? SATA

Accepted Answer

Shortness of breath, Accessory muscle use, Fatigue and activity intolerance, Tachypnea

Question 3

Pt has an apical pulse of 77, radial pulse of 70, BP of 160/100, what is the pulse deficit?

Accepted Answer

7

Question 4

Which vital sign is under voluntary and autonomic control?

Accepted Answer

Respiratory Rate

Question 5

Which of the following could be used to describe the following vitals? SATA BP=110/70 P=80 SPO2=98% RR=18 T=102.5

Accepted Answer

Eupnea, Hyperthermia

Question 6

Which of the following vitals would you expect from your patient who is hemorrhaging post operatively. SATA

Accepted Answer

Increased HR, Decreased BP

Question 7

At what time of the day is your body temperature the coldest?

Accepted Answer

0400-0600

Question 8

Which of the following is the most accurate temperature site?

Accepted Answer

Rectal

Question 9

Which of the following nursing interventions is appropriate for a patient with an O2 sat of 88%? SATA

Accepted Answer

Encourage patient to: turn, cough, & deep breathe, Sit patient in high fowlers position, Apply supplemental oxygen as ordered, Encourage incentive spirometer use

Question 10

Which of the following nursing interventions is appropriate for a patient with acute, symptomatic, hypotension? SATA

Accepted Answer

Place patient in a Trendelenburg position, Assess potential causes, Validate the finding with a manual blood pressure

Question 11

Which of the following assessments takes two people?

Accepted Answer

Pulse deficit

Question 12

Which of the following could be used to describe the following vitals? SATA BP=120/70 P=70 SPO2=85% RR=28 T=95

Accepted Answer

Hypothermia, Tachypnea, Hypoxia

Question 13

Which of the following could be used to describe the following vitals? SATA BP=60/40 P=130 SPO2=98% RR=6 T=102.5

Accepted Answer

Tachycardia, Hypotension, Bradypnea

Question 14

Which of the following would cause an abnormally low blood pressure reading? Select all that apply.

Accepted Answer

Releasing valve too quickly, Cuff too wide or long, Arm above level of heart

Question 15

Which of the following would cause an abnormally high blood pressure reading? Select all that apply.

Accepted Answer

Crossed legs, Cuff too short or narrow, Full bladder, Deflating cuff too slowly

Question 16

Which of the following could be expected symptoms when a patient has new onset, acute, hypotension? SATA

Accepted Answer

Dizziness/ lightheadedness, Altered mental status, Unarousable

Question 17

Which of the following could be used to describe the following vitals? SATA BP=150/70 P=40 SPO2=98% RR=28 T=98

Accepted Answer

Bradycardia, Hypertension, Tachypnea

Question 18

Which of the following could be expected symptoms when a patient has new onset, acute, bradycardia? SATA

Accepted Answer

Shortness of breath/ fatigue, Lightheadedness, Dizziness

Question 19

Which of the following nursing interventions is appropriate for a patient with symptomatic hyperthermia? SATA

Accepted Answer

Turn heat down in room, Decrease the amount of blankets covering the patient, Administer Tylenol as ordered, Cool wash cloth for patients head

N101 Vital Signs #2

Questions 19

N101 Vital Signs #2

Questions 19