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WorksheetsCNA VITAL SIGNS/Height and Weight Notes
Total questions: 74
Worksheet time: 37mins
What is the normal pulse rate per minute?
60-100
30-50
100-140
140-180
What is the most common place to take the pulse?
Radial (wrist)-thumb
Carotid (neck)
Femoral (groin)
Popliteal (behind the knee)
Bradycardia means:
slow pulse
fast pulse
irregular breathing
high blood pressure
Tachycardia means:
fast pulse
slow pulse
irregular breathing
low blood pressure
If a patient has an irregular pulse, what should you do?
Tell nurse and do apical pulse for 1 min
Ignore it and continue with routine care
Give the patient water and check again in 5 minutes
Ask the patient to exercise and recheck the pulse
What does 'palpate' mean in the context of pulse?
to feel artery
to measure blood pressure
to listen with a stethoscope
to inject medicine
Where is the apical pulse taken?
Over the heart with a stethoscope/1 min
On the wrist with fingers/1 min
On the neck with fingers/1 min
On the ankle with a stethoscope/1 min
Where is the brachial pulse located?
In arm
In leg
In neck
In foot
Where is the carotid pulse taken?
On neck, take it on the same side you are on (used in emergencies)
On the wrist, below the thumb
On the back of the knee
On the top of the foot
What is the normal respiration rate per minute?
12-20
5-10
21-30
30-40
What does bradypnea mean?
Low respirations
High blood pressure
Rapid heart rate
Excessive sweating
What does tachypnea mean?
High respirations
Low blood pressure
Slow heart rate
High temperature
What does apnea mean?
No respirations
Rapid heartbeat
Excessive sweating
High blood pressure
What does dyspnea mean?
Difficulty breathing
Headache
Fever
Nausea
What does SOB stand for?
Shortness of breath
Son of a Boss
Start of Business
School of Biology
What does Cheyne-Stokes refer to?
Periods of dyspnea and apnea
Sudden onset of chest pain
Persistent cough with sputum
Irregular heart rhythm
What does Febrile mean?
Fever
Cold
Pain
Cough
What is the normal oral temperature?
98.6
97.0
100.4
99.5
Which thermometer tip color is used for oral temperature measurement?
Blue
Red
Green
Yellow
What is the normal rectal temperature?
99.6
98.6
100.4
97.8
Which thermometer tip color is used for rectal temperature measurement?
Red
Blue
Green
Yellow
Which temperature measurement method is most accurate?
Rectal
Oral
Axillary
Tympanic
The axillary temperature is measured at which body part?
Armpit
Forehead
Mouth
Ear
Which temperature measurement method requires waiting 15 minutes if the patient has been outside?
Tympanic (Ear)
Oral
Rectal
Axillary (Armpit)
What does Afebrile mean?
Fever is not present
Fever is present
Patient is unconscious
Patient has high blood pressure
What temperature is considered Hypothermia?
94 and below
98 and below
100 and below
96 and below
What temperature is considered Hyperthermia (hyperpyrexia)?
Above 104
Below 95
Between 98 and 100
Exactly 100
What is the normal range for Oxygen Saturation?
93-100% (greater than 92%)
80-89%
70-79%
50-60%
What device is used to take oxygen saturation?
Pulse oximeter
Thermometer
Sphygmomanometer
Stethoscope
What does Hypoxia mean?
Low O2
High CO2
High O2
Low CO2
Which is the top number in a blood pressure reading?
Systolic
Diastolic
Pulse rate
Mean arterial pressure
Which is the bottom number in a blood pressure reading?
Diastolic
Systolic
Pulse rate
Respiratory rate
What does Hypertension mean?
High blood pressure
Low blood sugar
Weak bones
Slow heartbeat
What does Hypotension mean?
Low blood pressure
High blood pressure
Irregular heartbeat
Rapid breathing
Which of the following can cause inaccurate blood pressure readings?
Use of wrong size cuff
Incorrect positioning of arm
Not using the same arm for all readings
All of the above
Activity can increase the pulse, respiration, and blood pressure, so you should wait at least 30 minutes after therapy, exercise, or bathing before taking a reading.
True
False
Do not take blood pressure on an arm that is _______.
paralyzed
tattooed
tanned
cold
Do not take blood pressure on an arm that is the site of _______.
IV infusion
tattoo
scar
freckle
Do not take blood pressure on an arm that has a _______ on it.
pulse oximeter
bandage
tattoo
watch
Do not take blood pressure on an arm that has _______ circulation.
impaired
normal
increased
rapid
Do not take blood pressure on an arm that is the site of a _______ access device.
dialysis
intravenous
arterial
subcutaneous
Do not take blood pressure on an arm that is _______.
fractured
tattooed
cold
tanned
Do not take blood pressure on an arm that is _______.
burned
tattooed
cold
wet
Do not take blood pressure on an arm that is on the same side as a recent _______ or surgical procedure site.
mastectomy
fracture
tattoo
vaccination
What is an auscultatory gap?
A sound fadeout for 10 to 15 mmHg which then begins again.
A continuous increase in heart rate during auscultation.
A sudden drop in blood pressure with no sound change.
A high-pitched sound heard throughout the measurement.
Pulse pressure is the difference between _______ and _______.
systolic and diastolic
diastolic and mean arterial
systolic and mean arterial
mean arterial and venous
The average pulse pressure is _______.
40 mmHg
20 mmHg
60 mmHg
80 mmHg
Increase in blood volume or heart rate causes _______ in pulse pressure.
increase
decrease
no change
fluctuation
Record and report the following: If b/p is unable to hear, if b/p is higher than previous reading, if b/p is lower than previous reading, if the site where you took the reading was other than the artery.
brachial
femoral
radial
carotid
Which of the following is the correct position for the patient's arm when taking blood pressure?
Downward by the side
Upward supported on the bed or table at heart level
Raised above the head
Hanging off the bed
Fill in the blank: The bottom of the cuff should be ___ inch above the antecubital space (inner elbow) when taking blood pressure.
1
2
0.5
3
Where should the stethoscope be placed when taking blood pressure?
Over the radial artery
Over the brachial artery
Over the carotid artery
Over the femoral artery
If you are not sure of the reading and need to retake the blood pressure, how long should you wait before repeating?
30 seconds
1-2 minutes
5 minutes
Immediately
Electronic blood pressure monitoring can be done on all ages and all sizes as long as the correct cuff size is selected.
True
False
Which method should be used to take at least one blood pressure reading before using electronic monitoring?
Palpation method
Auscultation method
Visual method
Digital method
List two conditions in which electronic blood pressure monitoring is contraindicated.
Extreme high or low blood pressure, very rapid heart rates, excessive body movements or tremors, irregular heart rhythms or arrhythmias.
Mild headaches and slight fever.
Normal blood pressure and regular pulse.
Minor skin abrasions and mild dehydration.
What does a change in weight indicate in a patient?
Change in diet
Change in patient condition
Change in medication
Change in activity level
Fill in the blank: The baseline measurement of height and weight is usually obtained on _______.
admission
discharge
transfer
follow-up
What is usually done when a patient is given drugs such as a diuretic which increases urine output?
Blood pressure is measured
Weight is measured
Temperature is measured
Heart rate is measured
Weight can be an indicator of a patient's ________ status.
nutritional
emotional
financial
educational
Medications can be ordered according to the patient's size, so it is important to get an accurate reading of both ______ and ______.
weight and height
age and gender
blood type and temperature
pulse and blood pressure
Height is measured in which units?
Pounds and kilograms
Feet and inches or centimeters
Liters and milliliters
Inches and pounds
Weight is measured in which units?
Feet and inches
Pounds (lbs) or kilograms (kg)
Centimeters and meters
Inches and centimeters
In some facilities, weight is measured in kilograms.
True
False
Match the type of scale to its appropriate use:
Upright scale
Ambulatory patients
Mechanical lift with scale
Patients who cannot stand and no wheelchair scale is available
Sling scale
Patients whose condition does not permit the use of mechanical lift/scale
Chair scale
Used to weigh patients in wheelchairs (subtract weight of wheelchair)
It is important to weigh the patient at the same time with the same amount of clothing and using the same scale if possible because:
it ensures consistency and accuracy in weight measurements
it makes the process faster for the nurse
it helps the patient feel more comfortable
it reduces the need for medical equipment
What can weight gain indicate?
Fluid retention
Excess fluid has left the body
Dehydration
Malnutrition
What can weight loss indicate?
Fluid retention
Excess fluid has left the body
Overeating
Edema
Which of the following should be done before weighing a patient to obtain an accurate weight?
Have the patient eat a meal
Have the patient empty their bladder
Change the scale method
Weigh at different times of day
If a patient has an indwelling catheter, what should be ensured before weighing?
The catheter is removed
The bag is emptied
The patient drinks water
The patient wears different garments
To obtain an accurate weight, the patient should be weighed at the same time of day.
True
False
Fill in the blank: The patient should wear the ______ garments each time they are weighed to obtain an accurate weight.
same
different
heavy
loose
How many bars does the scale have according to the instructions?
2
3
4
5
If the large bar reads 100 lbs and the small bar reads 22 lbs, what is the total weight of the patient?
122 lbs
100 lbs
78 lbs
120 lbs
