Which of the following VS must be reported:

156/60, 98.3, 60, 20, 89% NC, 3/10

VS that are outside of normal limits or do not trend with the Res Hx then you must:

recheck, document, and report to the nurse

Which statement is false:

The brachial artery is located at the posterior aspect of the ac

Which if the following is not correct when obtaining a BP:

it is good practice to obatin a BP on the R arm s/p R mastectomy

Which statement is incorrect regarding BP

SBP and DBP must be within paramenters in order to chart it

slow breathing, less than 12 breaths per minute

Read the following VS and choose the correct answer: 142/80, 102.3, 103, 10, 98% RA, 0/10

hypertension, febrile, tachycardic, bradypnea, O2 WNL, no pain

Which statement is correct:

Pulse and BP may be located in various locations of the body

Which statement is false when obtaining rectal temperatures?

Cleanse probe with cavicide wipe

Which statement is correct regarding temperatures:

Temperature ranges are 97.6-99.6

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VS pop quiz

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Questions 34

Answers

1
Which of the following VS must be reported:
156/60, 98.3, 60, 20, 89% NC, 3/10
120/70, 98.5, 62, 20, 92% RA, 1/10
132/78, 97.7, 68, 20, 98% RA, 0/10
120/80, 98.6, 60, 16, 98% RA, 0/10
2
The brachial aretery is located at the medial aspect of the antecubital area?
True
False
3
VS that are outside of normal limits or do not trend with the Res Hx then you must:
document only
report to the nurse
recheck, document, and report to the nurse
document and report to the nurse
4
Hypotension is considered a BP < 90/60
False
True
5
Which statement is false:
The apical pulse is when you are listening to the heart
The popliteal is located posteriorly to the patella
The radial pulse is located along the radial bone
The brachial artery is located at the posterior aspect of the ac
6
Lymphedema is muscle atrophy-it is painful, presents with swelling in the arm; a possible complication of taking the BP.
False
True
7
Which of the following do not reference VS:
Cyanotic
Tachycardic
Osteoporosis
Bradypnea
8
Tachypnea and Bradypnea are referencing breathing?
False
True
9
Pulse pressure is determined as follows: DBP-SBP.
True
False
10
VS ranges are:
BP is 120/80
respirations are 10-20 breaths per minute
O2 sat is 89% - 100%
pulse is 50-100 bpm
11
The BP is to be obtained with the Res hand in the pronated position?
True
False
12
HR less than 60 bpm
bradycardia
bradypena
tachypena
tachycardia
13
Which statement is not correct when completing the skills test regarding PULSE:
CNAs fingertips are on the thumb side of the Res wrist for the radial pulse
Wash hands prior to recording the results
Records the pulse rate within +/- 2 bpm of the evaluator's recording
Count the pulse for 30 seconds
14
Which statement is correct when completing the skills test regarding RESPIRATIONS:
Records the pulse +/- 2 breaths of the evaluator's reading
Washes hands before documenting
All the above are correct
Count respiration's for 1 minute
15
Which if the following is not correct when obtaining a BP:
the arm is resting at heart level
1 inch above the bend of the arm
it is good practice to obatin a BP on the R arm s/p R mastectomy
the best time to obtain the BP is after rest
16
BP that is too low
hypotension
bradycardia
hypertension
tachycardia
17
If the BP is 120/80 then the SBP is 80?
True
False
18
Which areas of the scope are to cleansed with soap and water before obtaining the BP?
none of the above
bell, diaphragm, tubing, ear pieces
sphygmomanometer
top, bottom, tube, ear pieces
19
Which statement is incorrect regarding BP
wash your hands prior to documentation
Pulse pressure is the difference of the SBP and DBP
pulse pressure range is 30-50
SBP and DBP must be within paramenters in order to chart it
20
Bradypenia
fast breathing; shallow, less than 12 breaths per minute
slow breathing, less than 12 breaths per minute
HR that is too low
BP that is too high
21
The thermometer is placed along one side underneath the tongue midway back toward the posterior aspect of the tongue?
True
False
22
Read the following VS and choose the correct answer: 142/80, 102.3, 103, 10, 98% RA, 0/10
hypertension, febrile, tachycardic, bradypnea, cyanotic, no pain
hypotension, febrile, tachycardic, bradypnea, dyspnea, no pain
hypertension, febrile, tachycardic, bradypnea, O2 WNL, no pain
hypotension, afebrile, tachycardic, bradypnea, O2 WNL, no pain
23
Which of the following conditions must be reported to the nurse:
all the above
bradycardia
tachypnea
cyanotic
24
Which statement is correct:
BP results are always the same on both arms
Temperatures can be rectal, temporal, axillary only
The radial artery is used to obtain the BP
Pulse and BP may be located in various locations of the body
25
Which of the following is the range for prehypertension: (p. 243)
120/80 to 140/90
< 50/34
90/60 to 120/80
140/90 to 180/60
26
Which statement is false when obtaining rectal temperatures?
Place a paper towel on the bedside table prior to placing the lubricant
Fanfold the linens to uncover the buttocks only
Cleanse probe with cavicide wipe
Insert the lubricated probe-covered tip into the rectum 1 inch
27
Choose the incorrect statement:
Bradypnea is SBP < 120
Bradycardia is pulse < 60 bpm
Tachycardia is a HR > 100 bpm
Respirations refer to breathing
28
Legs are to be uncrossed prior to obtaining the BP?
False
True
29
HR > 100 bpm
bradycardia
tachypnea
apnea
tachycardia
30
PUlse pressure BP 120/60
40
60
80
120
31
The normal range of respirations are 12-20 respirations per hour?
False
True
32
Pulse pressure BP 140/70
70
40
80
60
33
Which statement is correct regarding temperatures:
Rectal temperature is the least accurate
Oral temperatures never fluxuate when exercising
Temperature ranges are 97.6-99.6
Temporal temperature is taken via the armpit
34
BP that ranges 90/60 to 119/78
OOB
WNL
TPN
PRN

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