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WorksheetsVital Signs
Total questions: 15
Worksheet time: 8mins
You have delegated vital signs to assistive personnel. The assistant informs you that the patient has just finished a bowl of hot soup. The nurse's most appropriate advice would be to:
Take a rectal temperature.
Take the oral temperature as planned.
Advise the patient to drink a glass of cold water.
Wait 30 minutes and take an oral temperature.
A patient had a sudden drop of 20mmHg in systolic pressure and 10mmHg in a diastolic pressure when the patient moves from a lying to sitting to a standing position. What is this called?
Hypotension
Orthostatic hypotension
Hypertension
None of the above
You notice that a teenager has an irregular pulse. the best action you should take as a nurse includes:
Reading the history and physical
assessing the apical pulse rate for 1 full minute
Auscultating for strength and depth of pulse
Asking whether the patient feels any palpitations of faintness of breath
A postoperative patient is breathing rapidly. You should immediately:
Call the physician
Count the respiration
Assess the oxygen saturation
Ask the patient if he feels uncomfortable
When assessing the blood pressure of a school-aged child, using an adult cuff of normal size will affect the reading and produce a value that is:
Accurate
Indistinct
Falsely low
Falsely high
It is okay to palpate both carotid arteries at the same time.
True
False
Respiratory status assessment includes:
Breathing rate
Breathing depth
Breathing rhythm
All of the above
Sudden alterations in vital signs or values outside the normal range are indicators of a priority situation for the nurse.
True
False
The (a) pulse is a central pulse that can be auscultated over the apex of the heart at the point of maximal impulse (PMI).
Rate is the regularity of the heartbeat.
True
False
If the peripheral pulse is irregular, count an apical pulse for _____________ to ensure accurate measurement.
45 minutes
30 seconds, then multiply x 2
1 full minute
10 seconds, then multiply x 6
Tachypnea is a decrease in respiratory rate to lees than 10 bpm in the adult.
True
False
Check the ones that refer to depth of respirations:
Apnea
Hyperventilation
Hypoventialtion
Dyspnea
__________ of peripheral oxygen, abbreviated _______ reflects the percentage of hemoglobin that combines with oxygen, usually 95% to 100%.
Respiratory rate, O2
Gas exchange, CO2
Saturation, SpO2
Which number is the brachial pulse?
2
6
4
5
