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AH Ch16 Vital Signs

Total questions: 88

Worksheet time: 44mins

Name
Class
Date
1.

What is the definition of a vital sign?

a)

various surgical procedures used to provide information

b)

various determinations used to provide information about the condition of a patient

c)

methods to determine competency of a nurse

d)

procedures used in bloodborne pathogen care

2.

___________ is the measurement of the balance between heat lost and heat produced by the body

a)

temperature

b)

thermoregulatory status

c)

hypothermia

d)

hyperthermia

3.

What 3 things do we note about Pulse?

a)

rate

b)

rhythm

c)

volume

d)

character

e)

systolic

4.

__________ is the pressure of the blood felt against the wall of an artery as the heart contracts and relaxes, or beats

a)

pulse

b)

blood pressure

c)

volume

d)

respirations

e)

apical pulse

5.

What 3 things do we note about respirations

a)

count

b)

rhythm

c)

character

d)

volume

e)

temperature

6.

____________ is the measurement of force exerted by the blood against the arterial walls when the heart contracts or relaxes.

a)

blood pressure

b)

apical pulse

c)

pulse

d)

respirations

e)

pain

7.

What does the systolic pressure measure?

a)

the force exerted by the blood in the left ventricle while the heart is actively contracting

b)

the force exerted by the blood in the left atrium while the heart is at rest

c)

the force exerted by the blood in the left ventricle while the heart is at rest

d)

the force exerted by the blood in the right ventricle while the heart is actively contracting

8.

What does the diastolic pressure measure?

a)

the force exerted by the blood in the left ventricle while the heart is actively contracting

b)

the force exerted by the blood in the left atrium while the heart is at rest

c)

the force exerted by the blood in the left ventricle while the heart is at rest

d)

the force exerted by the blood in the right ventricle while the heart is actively contracting

9.

________ is an unpleasant sensation that is perceived in the nervous system when illness or injury occurs

a)

pain

b)

fever

c)

chills

d)

hypothermia

10.

How many vital signs do we measure

a)

5

b)

4

c)

3

d)

6

11.

How is pain measured?

a)

using a scale of 5-10

b)

using a scale of 0-10

c)

using faces that range from happy to sad

d)

using pain chart so the pt can circle the area and adjectives to describe the pain

12.

_____________ is taken with a stethoscope at the apex of the heart

a)

apical pulse

b)

blood pressure

c)

pulse

d)

respirations

13.

Select the ways heat is produced in the body

a)

metabolism of food

b)

muscle acitivity

c)

gland activity

d)

perspiration

14.

What is the normal range for body temperature?

a)

97 - 100

b)

98 - 100

c)

97 - 99

d)

98 - 99

15.

Select the reasons temperatures may vary from person to person

a)

time of day

b)

accelerated body processes

c)

slow body processes

d)

body sites

e)

race/ethnicity

16.

how long should you wait after eating, drinking, or smoking to take a patient's oral temperature?

a)

20 mins

b)

5 mins

c)

15 mins

d)

10 mins

17.

What is the most accurate method for taking temperature?

a)

rectal

b)

oral

c)

aural

d)

temporal

e)

axillary

18.

Where can an axillary temperature be taken?

a)

armpit

b)

groin

c)

mouth

d)

ear

e)

forehead

19.

Where is an aural temperature taken?

a)

ear

b)

forehead

c)

mouth

d)

rectally

e)

armpit

20.

Select the factor(s) that may cause an increase in body temperature

a)

illness

b)

infection

c)

sleep

d)

starvation

e)

exercise

21.

Select the factor(s) that may cause a decrease in body temperature

a)

exercise

b)

infection

c)

sleep

d)

starvation

22.

What is hypothermia

a)

low body temperature at or below 95F measured rectally

b)

high body temperature at or above 101F measured rectally

c)

low body temperature at or below 97F measured rectally

d)

high body temperature at or above 104F measured rectally

23.

What is hyperthermia ?

a)

low body temperature at or below 95F measured rectally

b)

high body temperature at or above 101F measured rectally

c)

low body temperature at or below 97F measured rectally

d)

high body temperature at or above 104F measured rectally

24.

At what temperature can death occur when we have hypothermia?

a)

93F

b)

95F

c)

98F

d)

96F

25.

At what temperature can seizures, brain damage, and/or death occur when we have hyperthermia?

a)

101F

b)

106F

c)

100F

d)

98F

26.

What is another term for fever?

a)

pyrexia

b)

afebrile

c)

hypothermia

d)

Bradykinesia

27.

Select all the images of rectal thermometers

a)
b)
c)
d)
28.

Select the factors that will help you determine a rectal thermometer from a oral

a)

shorter rounded bulb

b)

long, slender bulb

c)

blue tip

d)

red tip

29.

How long should glass clinical thermometers be soaked in a disinfect solution?

a)

30 mins

b)

20 mins

c)

15 mins

d)

5 mins

30.

When referring to places to take the pulse, where is the radial pulse taken?

a)

inner aspect of the upper thigh

b)

behind the knee

c)

at the neck

d)

thumb side of the arm at the wrist

31.

When referring to where the pulse can be taken, where is the carotid pulse taken?

a)

at the top of the foot

b)

at the neck

c)

inner aspect of the upper thigh

d)

behind the knee

32.

When referring to where the pulse can be taken, where is the femoral pulse taken?

a)

at the top of the foot

b)

at the neck

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

33.

When referring to where the pulse can be taken, where is the popliteal pulse taken?

a)

at the top of the foot

b)

at the neck

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

34.

When referring to where the pulse can be taken, where is the temporal pulse taken?

a)

at the top of the foot

b)

at the neck

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

e)

on the side of head by the brow bone

35.

When referring to where the pulse can be taken, where is the dorsalis pedis pulse taken?

a)

at the top of the foot

b)

at the neck

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

e)

on the side of head by the brow bone

36.

When referring to where the pulse can be taken, where is the posterior tibial pulse taken?

a)

at the top of the foot

b)

just below and behind the medial malleolus

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

e)

on the side of head by the brow bone

37.

When referring to where the pulse can be taken, where is the brachial pulse taken?

a)

on the proximal and medial portion of the humerus

b)

just below and behind the medial malleolus

c)

inner aspect of the upper thigh, groin region

d)

behind the knee

e)

at the antecubital space of the elbow

38.

where is the most common site for measuring pulse?

a)

radial

b)

popliteal

c)

brachial

d)

carotid

e)

temporal

39.

Adults have a general range of how many beats per minute?

a)

60 - 120

b)

70 - 120

c)

50 - 90

d)

60 - 100

40.

Infants have an average of how many beats per minute?

a)

150-200

b)

100-160

c)

70-100

d)

80-110

41.

What is bradycardia

a)

low pulse rate under 60bpm

b)

low pulse rate under 80bpm

c)

high pulse rate over 100bpm

d)

high pulse rate over 90pbm

42.

What is tachycardia

a)

low pulse rate under 60bpm

b)

low pulse rate under 80bpm

c)

high pulse rate over 100bpm

d)

high pulse rate over 90pbm

43.

Select all the factors that cause an INCREASE in pulse rate

a)

exercise

b)

fever

c)

nervous tension

d)

sleep

e)

coma

44.

Select all the factors that cause an DECREASE in pulse rate

a)

depressant drugs

b)

fever

c)

nervous tension

d)

sleep

e)

coma

45.

How can being physically fit affect your pulse rate?

a)

it will increase it

b)

it will decrease it

c)

it won't change anything

d)

it can cause arrhythmias

46.

An irregular or abnormal pulse rhythm caused by a defect in the electrical conduction pattern of the heart is known as what

a)

arrhythmia

b)

bradycardia

c)

tachycardia

d)

volume

47.

___________ is the process of taking in oxygen and expelling carbon dioxide

a)

respiration

b)

blood pressure

c)

pulse

d)

temperature

48.

What is the normal respiration rate for adults?

a)

12 - 20 breaths per minute

b)

30 - 50 breaths per mintue

c)

15 - 35 breaths per minute

d)

5 - 15 breaths per mintue

49.

What is the normal respiration rate for infants?

a)

12 - 20 breaths per minute

b)

30 - 50 breaths per mintue

c)

15 - 35 breaths per minute

d)

16 - 30 breaths per minute

50.

Select all the terms that you can use to describe the character of a patient's respiration

a)

deep

b)

shallow

c)

labored

d)

moist

e)

regular

51.

What is dyspnea

a)

difficult or labored breathing

b)

absence of respirations

c)

rapid respiratory rate above 25 breaths per minute

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

52.

What is apnea

a)

difficult or labored breathing

b)

absence of respirations

c)

rapid respiratory rate above 25 breaths per minute

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

53.

What is tachypnea

a)

difficult or labored breathing

b)

absence of respirations

c)

rapid respiratory rate above 25 breaths per minute

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

54.

What is bradypnea

a)

difficult or labored breathing

b)

absence of respirations

c)

rapid respiratory rate above 25 breaths per minute

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

55.

What is orthopnea

a)

severe dyspnea in which breathing is very difficult in any position other than sitting or standing erect

b)

absence of respirations

c)

rapid respiratory rate above 25 breaths per minute

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

56.

What is Cheyne-stokes

a)

severe dyspnea in which breathing is very difficult in any position other than sitting or standing erect

b)

absence of respirations

c)

periods of dyspnea followed by periods of apnea; noted in dying patients

d)

slow respiratory rate below 10 breaths per minute

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

57.

What is rales

a)

severe dyspnea in which breathing is very difficult in any position other than sitting or standing erect

b)

absence of respirations

c)

periods of dyspnea followed by periods of apnea; noted in dying patients

d)

high-pitched whistling or sighing sound during expiration (heard with asthma)

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

58.

What is wheezing

a)

severe dyspnea in which breathing is very difficult in any position other than sitting or standing erect

b)

absence of respirations

c)

periods of dyspnea followed by periods of apnea; noted in dying patients

d)

high-pitched whistling or sighing sound during expiration (heard with asthma)

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

59.

What is cyanosis

a)

severe dyspnea in which breathing is very difficult in any position other than sitting or standing erect

b)

a dusky, bluish discoloration of the skin. lips, and/or nail beds

c)

periods of dyspnea followed by periods of apnea; noted in dying patients

d)

high-pitched whistling or sighing sound during expiration (heard with asthma)

e)

bubbling, crackling, or noisy sounds caused by fluid or mucus

60.

What 3 principles must be followed when counting respirations?

a)

keep the patient unaware of the procedure

b)

do not tell the patient you are counting respirations

c)

keep your hand on the pulse site while counting respiration

d)

apply a blood pressure cuff while checking respirations

61.

What instrument do we use to take an apical pulse?

a)

stethoscope

b)

blood pressure cuff

c)

thermometer

d)

AED

62.

Select the reasons we might take an apical pulse

a)

doctor ordered it

b)

patient has irregular heartbeats

c)

patient has hardening of the arteries

d)

patient is a child or infant

e)

patient has a high temperature

63.

Two separate heart sounds are heard while listening to an apical pulse. What are those sounds?

a)

lubb-dupp

b)

lip-dub

c)

lubb-lubb

d)

rub-adub

64.

When the heart is weak and does not pump enough blood to produce a pulse or when the heart beats too fast and there is not enough time for the heart to fill with blood and doesn't produce a pulse is called

a)

pulse deficit

b)

tachypnea

c)

cheyne-stokes

d)

apnea

65.

What is considered a normal range for blood pressure?

a)

systolic 100-120 diastolic 60-80

b)

systolic 40-100 diastolic 70-90

c)

systolic 100-140 diastolic 90-100

d)

systolic 120-180 diastolic 80-89

66.

What is hypotension

a)

low blood pressure

b)

high blood pressure

c)

the difference between systolic and diastolic pressure

d)

sudden drop in both systolic and diastolic

67.

What is hypertension

a)

low blood pressure

b)

high blood pressure

c)

the difference between systolic and diastolic pressure

d)

sudden drop in both systolic and diastolic

68.

What is pulse pressure

a)

low blood pressure

b)

high blood pressure

c)

the difference between systolic and diastolic pressure

d)

sudden drop in both systolic and diastolic

69.

What is orthostatic hypotension

a)

low blood pressure

b)

high blood pressure

c)

the difference between systolic and diastolic pressure

d)

sudden drop in both systolic and diastolic when a patient moves from a lying to a sitting or standing position

70.

What instrument is used to measure blood pressure?

a)

sphygmomanometer

b)

thermometer

c)

refractometer

d)

Hemacytometer

71.

Each mark on the gauge for blood pressure represents how many mmHg?

a)

2

b)

4

c)

5

d)

1

72.

What are the 3 kinds of sphygmomanometers?

a)

mercury

b)

aneroid

c)

electronic

d)

manual

73.

The American Heart Association (AHA) recommends that the patients sit quietly for how many minutes before BP is taken?

a)

5

b)

10

c)

15

d)

1

74.

Select the factors that could cause a change in blood pressure readings?

a)

force of the heart beat

b)

position of the patient

c)

volume of blood in the arteries

d)

elasticity of the arteries

75.

Select the factors that could cause an increase in blood pressure

a)

anxiety

b)

eating

c)

pain

d)

fasting

e)

hemorrhage

76.

Select the factors that could cause a decrease in blood pressure

a)

anxiety

b)

eating

c)

dehydration

d)

fasting

e)

hemorrhage

77.

A cuff that is too small will give an artificially ________ reading

a)

high

b)

low

c)

correct

d)

it doesn't matter about cuff size

78.

A cuff that is too big will give an artificially ________ reading

a)

high

b)

low

c)

correct

d)

it doesn't matter about cuff size

79.

The lower edge of he cuff should be ___ to ___ inches above the antecubital area.

a)

1 - 1 1/2

b)

2 - 2 1/2

c)

0 - 1

d)

1 - 3 1/2

80.

Pulse site #1

a)

temporal

b)

carotid

c)

femoral

d)

brachial

e)

apical

81.

Pulse site #2

a)

temporal

b)

carotid

c)

femoral

d)

brachial

e)

apical

82.

Pulse site #3

a)

temporal

b)

carotid

c)

femoral

d)

brachial

e)

apical

83.

Pulse site #4

a)

temporal

b)

carotid

c)

radial

d)

brachial

e)

apical

84.

Pulse site #5

a)

temporal

b)

femoral

c)

radial

d)

posterior tibial

e)

dorsalis pedis

85.

Pulse site #6

a)

temporal

b)

femoral

c)

popliteal

d)

posterior tibial

e)

dorsalis pedis

86.

Pulse site #7

a)

temporal

b)

femoral

c)

popliteal

d)

posterior tibial

e)

dorsalis pedis

87.

Pulse site #8

a)

apical

b)

femoral

c)

popliteal

d)

posterior tibial

e)

dorsalis pedis

88.

Pulse site #9

a)

apical

b)

femoral

c)

popliteal

d)

posterior tibial

e)

dorsalis pedis

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