Vital Signs Practice for NCLEX Questions

Vital Signs Practice for NCLEX Questions ScienceMedicineNursing lizzyohmes Save Vital Signs Practice Questions 14 terms Meghan_Jolley4 Preview P & P Chapter 32 Vital Signs NCLEX ...16 terms mgnschoppPreview Vital signs NCLEX Questions 10 terms Tchatlin34Preview Chapte 15 terms cry 1. A nurse assesses an oral temperature for an adult patient. The patient's temperature is 37.5°C (99.5°F). What term would the nurse use to report this temperature?

• Febrile
• Hypothermia
• Hypertension
• Afebrile
• Afebrile

• A nurse is assessing the vital signs of patients who presented at the emergency department. Based on the knowledge of age-related

variations in normal vital signs, which patients would the nurse document as having a normal vital sign? Select all that apply.

• A 4-month old infant whose temperature is 38.1°C (100.5°F)
• A 3-year old whose blood pressure is 118/80
• A 9-year old whose temperature is 39°C (102.2°F)
• An adolescent whose pulse rate is 70 bpm
• An adult whose respiratory rate is 20 bpm
• A 72-year old whose pulse rate is 42 bpm
• A 4-month old infant whose temperature is 38.1°C (100.5°F)
• An adolescent whose pulse rate is 70 bpm
• An adult whose respiratory rate is 20 bpm
• A 72-year old whose pulse rate is 42 bpm
• A patient who is febrile may lose body heat through perspiration. The nurse recognizes that this is an example of what mechanism of heat

loss?

• Evaporation
• Convection
• Radiation
• Conduction
• Evaporation

• The rectal temperature, a core temperature, is considered to be one of the most accurate routes. In which cases would taking a rectal

temperature be contraindicated? Select all that apply.

• A newborn who has hypothermia
• A child who has pneumonia
• An older patient who is post myocardial infarction (heart attack)
• A teenager who has leukemia
• A patient receiving erythropoietin to replace red blood cells
• An adult patient who is newly diagnosed with pancreatitis
• A newborn who has hypothermia
• An older patient who is post myocardial infarction (heart attack)
• A teenager who has leukemia
• A patient receiving erythropoietin to replace red blood cells
• While taking an adult patient's pulse, a nurse finds the rate to be 140 beats/min. What should the nurse do next?
• Check the pulse again in 2 hours.
• Check the blood pressure.
• Record the information.
• Report the rate to the primary care provider.
• Report the rate to the primary care provider.
• A patient complains of severe abdominal pain. When assessing the vital signs, the nurse would not be surprised to find what assessments?

Select all that apply.

• An increase in the pulse rate
• A decrease in body temperature
• A decrease in blood pressure
• An increase in respiratory depth
• An increase in respiratory rate
• An increase in body temperature
• An increase in the pulse rate
• An increase in respiratory rate

• Two nurses are taking an apical-radial pulse and note a difference in pulse rate of 8 beats per minute. The nurse would document this

difference as which of the following?

• Pulse deficit
• Pulse amplitude
• Ventricular rhythm
• Heart arrhythmia
• Pulse deficit
• The nurse instructor is teaching student nurses about the factors that may affect a patient's blood pressure. Which statements accurately

describe these factors? Select all that apply.

• Blood pressure decreases with age.
• Blood pressure is usually lowest on arising in the morning.
• Women usually have lower blood pressure than men until menopause.
• Blood pressure decreases after eating food.
• Blood pressure tends to be lower in the prone or supine position.
• Increased blood pressure is more prevalent in African Americans.
• Blood pressure is usually lowest on arising in the morning.
• Women usually have lower blood pressure than men until menopause.
• Blood pressure tends to be lower in the prone or supine position.
• Increased blood pressure is more prevalent in African Americans.
• A patient is having dyspnea. What would the nurse do first?
• Remove pillows from under the head
• Elevate the head of the bed
• Elevate the foot of the bed
• Take the blood pressure
• Elevate the head of the bed