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WorksheetsVital Signs-Fundamentals
Total questions: 10
Worksheet time: 6mins
A UAP reports a blood pressure of 70/30 mm Hg on a patient who appears alert and comfortable. What is the nurse’s priority action?
A. Notify the provider immediately
B. Document the finding
C. Reassess the blood pressure personally
D. Ask the UAP to repeat the reading
A nurse needs the most accurate measurement of core body temperature for an adult patient. Which route should the nurse choose?
A. Oral
B. Axillary
C. Tympanic
D. Rectal
The nurse should assess vital signs in which situations? Select all that apply.
A. On admission to a healthcare facility
B. Before and after administering morphine
C. When a patient loses consciousness
D. Only when the provider writes an order
E. Before and after ambulation post-surgery
A CNA reports a blood pressure of 70/30 mm Hg on a patient who appears stable. What is the nurse’s priority action?
A. Document the reading
B. Notify the provider immediately
C. Recheck the blood pressure personally
D. Place the patient in Trendelenburg position
Which nursing interventions are appropriate for a patient with fever? Select all that apply.
A. Obtain cultures before starting antibiotics
B. Encourage fluids
C. Apply cooling blankets to the groin and axilla
D. Administer aspirin to a 10-year-old
E. Prevent shivering
Which pulse site is most appropriate for assessing circulation in an adult during a cardiac emergency?
A. Radial
B. Apical
C. Carotid
D. Brachial
The nurse should assess an apical pulse in which situations? Select all that apply.
A. Child under 2 years old
B. Irregular peripheral pulse
C. Before administering digoxin
D. Healthy adult with normal vitals
E. Weak radial pulse
While counting respirations, the nurse continues holding the patient’s wrist after checking the pulse. What is the purpose of this action?
A. Improve accuracy of oxygen saturation
B. Prevent the patient from altering breathing
C. Maintain sterility
D. Assess capillary refill
Which actions may cause a falsely high blood pressure reading? Select all that apply.
A. Using a cuff that is too narrow
B. Releasing the valve too slowly
C. Measuring immediately after exercise
D. Using a cuff that is too wide
E. Viewing the manometer below eye level
Which finding confirms orthostatic hypotension?
A. BP decreases after eating
B. BP increases when standing
C. BP drops within 3 minutes of standing
D. Pulse decreases when lying down
