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Worksheets

Vital Signs

Total questions: 89

Worksheet time: 1hrs 29mins

Name
Class
Date
1.

All of the following are vital signs except...

a)

Temperature

b)

Blood Pressure

c)

Headache

d)

Pulse

2.

A fast pulse is also called...

a)

tachycardia

b)

tachypnea

c)

bradycardia

d)

bradypnea

3.

Normal respirations are .....

a)

12-20 per minute

b)

10-25 per minute

c)

11-22 per minute

d)

5-30 per minute

4.

the area of the body where you take a carotid pulse is...

a)

the neck

b)

the groin area

c)

the wrist

d)

the inside of your elbow

5.

the area of the body where you take a radial pulse is

a)

the neck

b)

the wrist

c)

the groin

d)

the inside of the elbow

6.

the area of the body where you take a femoral pulse is...

a)

the neck

b)

the wrist

c)

the groin

d)

the forehead

7.

the following are routes to take a temperature EXCEPT ...

a)

oral

b)

temporal

c)

axillary

d)

femoral

8.

slow heart rate of less than a 60 bpm

a)

tachycardia

b)

bradcardia

c)

tachypnea

d)

bradypnea

9.

What are vital signs?

a)

measurements of the body basic functions.

b)

Number of heartbeats per minute.

c)

Breaths per minute.

10.

The pulse range for an adult is

a)

12-20 BPM

b)

120/80

c)

40-90 BPM

d)

60-100 BPM

11.
_______________ can be counted most accurately if a patient is not aware of the procedure
a)
Weight
b)
Height
c)
Vision
d)
Respirations
12.

You are taking someone's pulse and you count 25 beats for 20 seconds. What is their pulse?

a)

25

b)

50

c)

75

d)

100

13.

A device used to measure blood pressure is a...

a)

sphygmomanometer

b)

apparatus

c)

gauge

d)

thermometer

14.

Tachypnea means...

a)

fast, shallow breathing

b)

slow pulse

c)

faster than normal pulse

d)

slow breathing

15.

Difficult or labored breathing is known as...

a)

Hypothermia

b)

Hyperthermia

c)

Tachypnea

d)

Dyspnea

16.

When the body temperature is below normal, around 36 degrees Celsius or less, is known as...

a)

Hyperthermia

b)

Hypertherma

c)

Hypotherma

d)

Hypothermia

17.
For a blood pressure reading, the number on top measures...
a)
Diastolic Pressure
b)
Systolic Pressure
c)
Diastemic Pressure
d)
Systemic Pressure
18.

Where is the primary site for heat loss?

a)

head

b)

skin

c)

lungs

d)

kidneys

19.

What is the difference between the amount of heat produced by the body and the amount of heat loss to the environment? (pg 646)

a)

Conduction

b)

Metabolism

c)

Temperature

d)

Convection

20.

The primary source of heat in the body is metabolism. Shivering is a response that increases the production of heat. Where is this initiated? (page 646)

a)

Pons

b)

Muscle movement

c)

Medulla oblangata

d)

Hypothalamus

21.

What is a "normal" blood pressure

a)

120/110 mmHg

b)

120/80 mmHg

c)

100/80 mmHg

d)

140/80 mmHg

22.

Highest pressure against blood vessels. Represented by first heat sound

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hyperstension

23.

High blood pressure

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hypertension

24.

lowest pressure against the blood vessels of the body. Measures between contractions

a)

diastolic pressure

b)

systolic pressure

c)

hypotension

d)

hypertension

25.

Systolic and diastolic pressure are measured in units of

a)

mmHg

b)

mimg

c)

mhg

d)

Pounds per Meter

26.

What is the action of the heart during Systole?

a)

Contraction

b)

Relaxation

27.

Which artery normally do we take blood pressure?

a)

femoral

b)

brachial

c)

coronal

d)

radial

28.

Pulse is defined as the pressure of blood pushing against the wall of the vein as the heart beats and rests

a)

True

b)

False

29.

Cuff that is too small will give a ______reading

a)

higher

b)

lower

30.
The average oral Fahrenheit temperature is
a)
95.8 degrees
b)
101.4  degrees
c)
98.6 degrees
d)
103.6 degrees
31.
An axillary temperature is the least accurate method of taking a temperature
a)
True
b)
False
32.
If a patient has been drinking hot coffee you should wait____ before taking a temp
a)
5 mins
b)
15mins
c)
20 mins
d)
10 mins
33.

Considered the 5th vital sign by many facilities:

a)

pulse ox

b)

pulse pressure

c)

quality of respirations

d)

pain

34.

If a patient has a fever, we describe them as:

a)

hot

b)

sick

c)

pyrexic

d)

febrile

35.

A temperature above this number is considered to by hyperthermia.

a)

100

b)

95

c)

104

d)

102

36.

A tympanic thermometer is also called:

a)

oral

b)

temporal

c)

aural

d)

axillary

37.

Which of the following blood pressures is a hypotensive reading?

a)

130/88

b)

100/70

c)

141/93

d)

85/50

38.

The most accurate method to obtain a temperature:

a)

temporally

b)

axillary

c)

rectally

d)

orally

39.

The systolic (top) number in a blood pressure should be below this number:

a)

140

b)

90

c)

120

d)

80

40.

A severe form of dyspnea (painful, difficult breathing) in which a patient must sit upright to breathe is called:

a)

dyspnea

b)

apnea

c)

orthopnea

d)

bradypnea

41.

A form of hypotension that occurs when a patient changes position quickly (causes dizziness) is called:

a)

chronic

b)

severe

c)

orthostatic

d)

dizstatic

42.

An irregular pulse rate is called a/an:

a)

auxilliary

b)

apnea

c)

arrhythmia

d)

dyspnea

43.

The bluish gray skin color that occurs due to hypoxia (low blood oxygen):

a)

cyanosis

b)

cyatosis

c)

bluepnea

d)

erythema

44.

Pulse site found on the top of the foot:

a)

carotid

b)

dorsalis pedis

c)

popliteal

d)

brachial

45.

The nurse takes a patient's temperature and it is 97.8. This patient should be described as:

a)

sick

b)

feverish

c)

afebrile

d)

healthy

46.

Blood pressure is always expressed:

a)

in beats per minute

b)

as a fraction

c)

in centimeters of mercury (cm Hg)

d)

in Celsius

47.

Routine vital sign measurements include:

a)

body temperature.

b)

height.

c)

weight.

d)

fluid.

48.

The pulse rate is measured by:

a)

using a blood pressure cuff.

b)

placing two or three fingers over a superficial artery that has a bone behind it.

c)

counting the patient's respirations.

d)

listening to the patient's breath sounds.

49.

Temperature measurements may be taken by:

a)

placing the palm of your hand on the patient's forehead.

b)

checking the atmospheric temperature first.

c)

checking the patient's throat for redness.

d)

using an axillary thermometer.

50.

An infant's temperature is taken:

a)

when the infant is crying.

b)

immediately following a feeding.

c)

rectally.

d)

before bathing.

51.

Tachycardia refers to a pulse that is:

a)

greater than 100 beats per minute

b)

irregular

c)

fewer than 60 beats per minute

d)

weak

52.

Which type of respiration describes fast, deep breathing?

a)

Bradypnea

b)

Biot's

c)

Kussmaul's

d)

Cheyne-Stokes

53.

Cardiac contraction produce the:

a)

Oxygen saturation

b)

Pulse

c)

Temperature

d)

Hypertension

54.

Blood pressure is affected by:

a)

an increase in blood volume

b)

body temperature

c)

gender

d)

loss of appetite

55.

You were assigned to take vital signs on an 80-year-old male nursing home resident who appears to be having a stroke. Vital signs were B/P 152/94,

P 92, R 32, SpO2 93%. Which vital sign reflects a measurement within normal limits?

a)

blood pressure

b)

pulse

c)

pulse oximetry

d)

respirations

56.

For children less than 12 months pull the pinna of the ear _______ and _______. This straightens the ear canal. (Route: Tympanic)

a)

Up ; Back

b)

Up; Forward

c)

Down ; Back

d)

Down ; Forward

57.

Insert the oral the thermometer into the patients mouth, under the _______.

a)

Lip

b)

Throat

c)

Tongue

58.

Which thermometer is used starting at the center of the forehead and swept across the forehead to the hairline?

a)

Axial

b)

Rectal

c)

Oral

d)

Tympanic

e)

Temporal

59.

Find the pulse of the patient’s _______ artery by using the index and middle fingers. Never use the _______ to find the patient’s pulse because the ______ has its own pulse.

a)

Radial; thumb

b)

Thumb; radial

c)

Brachial; thumb

d)

Thumb; brachial

60.

If you were to have measured your patients pulse at 30 seconds for 40 beats, what is their beats per minute (bpm)? (a)   bpm

61.

Count the respiratory rate right _______ counting the heart rate. To do this, keep you fingers on the radial site and look at the rate of breathing, depth, and rhythm. The patient should be _________ you are counting the respiratory rate so they don’t change their rate of breathing.

a)

after; unaware

b)

after; aware

c)

Before; unaware

d)

Before; aware

62.

Blood pressure


Ask the patients to sit up straight with their arms stretched forward. The patient’s palms should face _______ , and the arm in which their blood pressure will be taken should be slightly bent. The upper arm should be level with the ______, and the feet should remain ______ on the floor. The legs should not be _______ during the process.

(a)  

63.

Blood pressure


Palpate the ________ artery with your first three fingers: It’s found in the bend of the arm, closest to the patient.

a)

radial

b)

brachial

c)

carotid

d)

temporal

64.

Blood pressure


Let the needle of the gauge fall about 2 mmHg per second. The first sound you hear if the _______ number. The last sound you hear if the _______ number.

a)

systolic; diastolic

b)

diastolic; systolic

c)

systolic; systolic

65.

A PTA is treating a 4 year old for right knee pain. Which of the following scales should the PTA use with this patient to obtain the most accurate results?

a)

FACES Pain Rating Scale

b)

Visual Analog Scale

c)

McGill Pain Questionnaire

d)

The PTA should just ask the kid's mom

66.

A physical therapist assistant is working with a 7-year-old boy in a pediatric clinic. The boy is breathing heavily, with a respiratory rate of more than 40 breaths per minute. This symptom is MOST likely indicative of:

a)

Bradycardia

b)

Tachypnea

c)

Tachycardia

d)

Arrhythmia

67.

A patient had a sudden drop of 20mmHg in systolic pressure and 10mmHg in diastolic pressure when the patient moved from lying to sitting to a standing position. What is this called?

a)

Hypotension

b)

Orthostatic hypotension

c)

Hypertension

d)

None of the above

68.

You are a PTA student learning about the human circulatory system. You need to locate the pulse of the brachial artery. Where would you find it with the greatest ease?

a)

At the wrist on the volar forearm, medial to the stylus process of the radius

b)

Below the bicep in the antecubital fossa

c)

It cannont be found

69.

During a first aid training session, you are asked to locate the radial pulse on a dummy patient. Where would you measure it?

a)

On the pinky finger side of the dummy patient's wrist

b)

Only on the left wrist of the dummy patient

c)

In the middle of the dummy patient's wrist

d)

On the thumb side of the dummy patient's wrist

70.

You were assigned to take vital signs on an 80-year-old male nursing home resident who was recently admitted after having a stroke.  Vital signs were B/P 130/90, T 99 .40 F, P 92, R 32.  Which vital sign reflects a measurement within normal limits?

a)

Blood pressure

b)

Pulse

c)

Temperature

d)

Respiratory rate

71.

A nursing assistant notes a patient’s blood pressure to be 148/96. Which is the BEST action the assistant can take?

a)

Tell the patient the blood pressure reading

b)

Report the reading to the patient’s nurse

c)

Wait 15 minutes and repeat the procedure

d)

Immediately repeat the procedure in the other arm

72.

Which patient is the BEST candidate for an oral temperature?

a)

1-year-old healthy infant

b)

16-year-old receiving his annual physical exam

c)

21-year-old patient on seizure precautions

d)

62-year-old comatose patient

73.

A patient with tachycardia MOST likely has a/an:

a)

Elevated temperature

b)

Elevated blood pressure

c)

Fast pulse

d)

Increased respiratory rate

74.

What is the respiratory rate of a patient who is observed to have 16 inspirations and 16 expirations?

a)

8

b)

16

c)

24

d)

32

75.

In a blood pressure measurement of 132/86, the number 86 is the:

a)

Bradycardia

b)

Tachycardia

c)

Diastolic

d)

Systolic

76.

Before taking vital signs on a patient, what should you do FIRST?

a)

Close the privacy curtain

b)

Explain the procedure

c)

Introduce yourself

d)

Place the call bell within reach

77.

In order to avoid errors, whose approved list of abbreviations should you use when documenting vital signs?

a)

American Medical Association

b)

 Health Science textbook

c)

Board of Nursing

d)

Your employer

78.

The terms, weak and thready, are MOST usually associated with which vital sign measurement?

a)

Blood pressure

b)

Heart rate

c)

Respiratory rate

d)

Temperature

79.

The terms, deep or shallow, are MOST usually associated with which vital sign measurement?

a)

Respiratory rate

b)

Temperature

c)

Blood Pressure

d)

Heart rate

80.

Which thermometer requires it be “shaken down”?

a)

DIgital

b)

Electronic

c)

Glass

d)

Tympanic

81.

In which procedure is lubricant required?

a)

Oral temperature

b)

Rectal temperature

c)

Blood pressure

d)

Respiratory rate

82.

A fever that comes and goes is known as what kind of fever?

a)

intermittent

b)

continuous

c)

remittent

83.

What is the name of the pulse site located behind the knee?

a)

Femoral

b)

Popliteal

c)

Apical

d)

Dorsalis pedis

84.

A bounding pulse describes the pulse as being what?

a)

loud

b)

strong

c)

weak

d)

soft

85.

Internal adaptation and change in response to environment factors.

a)

arrhythmia

b)

COPD

c)

hematopoesis

d)

hemostasis

86.

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:

a)

Take a rectal temperature.

b)

Take the oral temperature as planned.

c)

Advise the patient to drink a glass of cold water.

d)

Wait 30 minutes and take an oral temperature.

87.

You notice that a teenager has an irregular pulse. the best action you should take as a nurse includes:

a)

Reading the history and physical

b)

assessing the apical pulse rate for 1 full minute

c)

Auscultating for strength and depth of pulse

d)

Asking whether the patient feels any palpitations of faintness of breath

88.

A postoperative patient is breathing rapidly. You should immediately:

a)

Call the physician

b)

Count the respiration

c)

Assess the oxygen saturation

d)

Ask the patient if he feels uncomfortable

89.

The (a)   pulse is a central pulse that can be auscultated over the apex of the heart at the point of maximal impulse (PMI).