V.S. Chapter 17

Question 1

When assessing a respiratory rate the CNA counts _____.

Accepted Answer

each inhale and exhale as one breath

Question 2

Febrile

Accepted Answer

Fever

Question 3

Hypotension- BP falls below normal of 20 mm Hg to 30 mm Hg or 90/60 mm Hg

Accepted Answer

True

Question 4

If a patient has recently consumed something hot or cold to drink the temp should be reassessed in ______ minutes

Accepted Answer

20 - 30

Question 5

Where is the apical pulse taken

Accepted Answer

bottom left of the heart

Question 6

Labored or difficult breathing

Accepted Answer

Dyspnea

Question 7

Pulse Deficit is the difference between the apical and radial pulse; when radial is slower than the apical

Accepted Answer

True

Question 8

Hyperthermia

Accepted Answer

Fever above 105 degrees F, 40.5 degrees C

Question 9

Oxygen Concentration

Accepted Answer

All The Above

Question 10

Peripheral Pulse Sites

Accepted Answer

All The Above

Question 11

Orthopnea is difficulty breathing unless in an upright position

Accepted Answer

True

Question 12

Factors Affecting BP, Pulse, Respiratory Rate

Accepted Answer

All The Above

Question 13

Body temperature can be measured in either Fahrenheit or Celsius

Accepted Answer

True

Question 14

Respiratory Rate above 20/minutes

Accepted Answer

Tachypnea

Question 15

When checking a tympanic temp on an adult vs. a child, the nurse knows to pull the pinna up & back vs. down & back

Accepted Answer

True

Question 16

Diastolic Pressure

Accepted Answer

All The Above

Question 17

Pulse used to measure BP

Accepted Answer

Brachial

Question 18

Abnormal Respiratory Terms

Accepted Answer

All The Above

Question 19

Routes used for taking temperatures

Accepted Answer

All The Above

Question 20

Stridor is an audible high pitched crowing sound that result from partial obstruction of the airways

Accepted Answer

True

Question 21

Respiratory rate below 12/minutes

Accepted Answer

Bradypnea

Question 22

Select the normal HR ranges that are WNL for an adult?

Accepted Answer

72 bpm, 60 bpm

Question 23

Factors to asses regarding respiratory are rhythm, pattern, depth, rate per minute, respiratory effort

Accepted Answer

True

Question 24

Afebrile

Accepted Answer

Without fever

Question 25

Determines foot circulation

Accepted Answer

Posterior Tibias, Dorsalis Pedis

Question 26

Bradycardia is when your heart rate is below 60 bpm

Accepted Answer

True

Question 27

Hypothermia

Accepted Answer

Below normal temperatures

Question 28

Significance of Vital Signs

Accepted Answer

All The Above

Question 29

Evenly spaced respiration’s of normal depth; rate of 12 to 20 breaths per minute

Accepted Answer

Eupnea

Question 30

Apical Pulse S1

Accepted Answer

All The Above

Question 31

Terminology related to Body Temperatures

Accepted Answer

All The Above

Question 32

When a B.P. reading indicates that a patient may be declining, the nurse knows to ________.

Accepted Answer

Check the B.P. again & report both results to the RN.

Question 33

Systolic Pressure

Accepted Answer

All The above

Question 34

Effects of Hypertension of the body

Accepted Answer

Both B and C

Question 35

Which should the nurse NOT delegate to unlicensed personnel?

Accepted Answer

When the pt is cold and clammy, When the pt looses conciousness, When IV meds may affect the V.S., When your gut tells you not to

Question 36

Respiration’s cease or are absent

Accepted Answer

Apnea

Question 37

Regulations of body temperature comes from the pineal gland.

Accepted Answer

False

Question 38

Hypertension

Accepted Answer

Systolic BP consistent over mm Hg, Diastolic BP consistent over 90 mm Hg

Question 39

Vital Signs Include

Accepted Answer

All of the above

Question 40

Regulations of body temperature comes from the hypothalamus.

Accepted Answer

True

Question 41

Tachycardia is when your heart rate is above 100 bpm

Accepted Answer

True

Question 42

Noisy, snoring, labored respirations that are audible without a stethoscope

Accepted Answer

Stertorous

Question 43

Kussmaul's respirations

Accepted Answer

increasing rate & depth, long, strong, grunting exhalation

Question 44

Abnormal breath sounds includes wheezes, adventitious, crackles, rales, rhonchi, stridor

Accepted Answer

True

Question 45

Pulse Pressure is measurement of the difference between the systolic and diastolic pressures, 30-50 point difference

Accepted Answer

True

Question 46

A pulse deficit is found while feeling the radial & apical pulses. Now what?

Accepted Answer

Count the apical rate for 60 sec while another nurse counts the radial.

Question 47

Determines leg circulation

Accepted Answer

Femoral, Popliteal

Question 48

Characteristics of Pain to be assessed

Accepted Answer

All the above

Question 49

Apical Pulse S2

Accepted Answer

All The Above

Question 50

Term for Normal Respiration’s

Accepted Answer

Eupnea

Question 51

When a patient's B.P. drops as a result of changing positions, usually from lying to sitting or standing

Accepted Answer

Orthostatic Hypotension & Postural Hypotension

Question 52

Health Condition Affecting Vital Signs

Accepted Answer

All The Above

Question 53

The LPN knows to notify the RN for an O2 Sat less than ______%

Accepted Answer

90

Question 54

Used for pulse rate assessment

Accepted Answer

Radial

Question 55

A pulse is so weak that slight pressure causes the pulse to disappear. The pulse is classified as ___.

Accepted Answer

Thready

Question 56

Abnormal Pulses

Accepted Answer

All The Above

Question 57

Factors Affecting Temperature

Accepted Answer

All The Above

V.S. Chapter 17

Questions 57

V.S. Chapter 17

Questions 57