Test your basic knowledge |

Measuring Vital Signs

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Heart
carotid
oximetry
Korotkoff sounds Phase III: Knocking
Apical

2. When should rectal temperatures NOT be used?
Core Temperature
cardiac patients or patients who have had rectal surgery.
Respiration
about 1 degree higher than oral temperatures

3. Weak and may be irregular
stridor
thready
place the thermometer in the center of the patients dry axilla. Ask patient to hold the arm tightly against the chest. Leave in place 3-8 minutes.
Korotkoff sounds Phase V: Silence

4. Full and bounding (even beats wit strong force)
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Femoral
140-159/90-99
+3

5. When is apicial pulse used?
60 to 70 mL
when it is difficult to find or to count the radial pulse - or for patients with heart conditions for one full minute by placing stethoscope on the heart to count for a full minute.
Sinoatrial node (SA NODE)
low BP

6. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
Conduction
wheeze
hyperoxia
30-80

7. This affects the character of the pulse.
Dorsalis pedis
Pulse
Stroke Volume
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b

8. What affects does aging do to the heart rate?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

9. Louder knocking sound that occurs wit each heartbeat
Korotkoff sounds Phase III: Knocking
Radial
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
Respiration

10. Abrupt decline in fever
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
pyrexia
The body's temperature in the morning is usually low from inactivity of the muscles. The afternooon body temperature may be high-normal because of the body's metabolic processes - the patient's activity - and the temperature of the environment.
Crisis

11. Both strong and weak beats occur within 1 minute
Brachial
low
Irregular
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes

12. Alternating rise and fall of the temperature.
fever
Feeble
intermittent
The pulse rate gradually diminishes from birth to adulthood

13. Breathing is an involuntary automatic function controlled by the respiratory center located where?
the lungs
Cheyenne-Stokes
It uses large muscles in the body - which create body heat by burning up the glucose and fat in the tissues - muscle action generates heat and core temperature rises.
Pons and Medulla of the brainstem

14. Those at risk for hypothermia include
postoperative patients wo have been cooled during surgery - newborn infants whose skin is exposed to cool room temperatures - elderly or debiliated patients - and those exposed to cold temperatures for prolonged periods.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
in the alveoli - tiny thin-walled sacs
about 1 degree lower than oral temperatures

15. Slow and shallow breathing - leads to hypoxemia.
Tachypnea
Blood pressure increases because there is more volume of blood in the vascular system.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
bradypnea

16. Stage 2 hypertension
^160/^100
Crisis
Conduction
3 in the right lung and 2 lobes in the left

17. The pulse rate multiplied by the stroke volume. This is the amount of blood pumped by the left ventricle in 1 minute. Averaging at about 5mL per minute.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Relapsing
Cardiac Output
Blood pressure increases because there is more volume of blood in the vascular system.

18. How does menstrual cycle and pregnancy raise the body's temperature?
oximetry
97.5 to 99.5
+2
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

19. How does size affect pulse?
Diastolic pressure
apnea
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

20. How cardiac contractions are normally initiated by the electrical impules emerging from what?
orthostatic hypertension
wheeze
hyperoxia
Sinoatrial node (SA NODE)

21. Disappearance of sound. (marks diastolic pressure in adults)
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
97.5 to 99.5
Stroke Volume
Korotkoff sounds Phase V: Silence

22. The maximum pressure exerted on the artery during left ventricular contraction.
120-139/80-89
Stroke volume
Systolic pressure
Vascular resistance drops and the blood pressure decreases

23. Hearing
Brachial
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Axillary.
ausculatation

24. Head injury BP?
raises BP.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
ausculatation
Pulse

25. A pattern of breathing in which there is an increase in the rate and the depth of breaths and carbon dioxide is expelled - causing te blood level of carbon dioxide to fall. this condition is seen after sever exertion - during high levels of anxiety o
Feeble
Hyperventilation
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
pyrexia

26. State of insufficient oxygen
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
hypoxia
30-80
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.

27. When warm skin touches a cool object - heat is lost to the object.
low
Conduction
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
apnea

28. Lobes in the lungs?
20-30
+1
30-80
3 in the right lung and 2 lobes in the left

29. Healthly adult
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
+1
12-20
shallow or slow breathing

30. Prehypertension
Nursing interventions to reduce fever
Convection
120-139/80-89
Relapsing

31. Whats the best position to take a rectal temperature?
left Sims position
stridor
Posterior tibial
Tall - slender people mayy ave a slower pulse rate than short - stout persons

32. Signs and symptoms of shock
uncooperative patient - children - combative patients - dementia
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
intermittent
72 bpm

33. Substances tat cause fever
Acute anxiety stimulate the nervous system - raising the pulse.
pyrogens
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
popliteal

34. What characteristics should be noted when checking the pulse?
the rate - the rhythm - and volume
Crisis
Increases as body tries to remove excess heat
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.

35. Fast - deep respirations with abrupt pauses

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

36. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
arrhythmia
Conduction
about 1 degree lower than oral temperatures
Temperature will remain below 102 degrees with use of hypothermia blanket

37. Subnormal body temperature the regulating center in the hypothalamus is greatly impaired when the temperature of the body falls below 94 degrees - at that point? sleepiness and coma are apt to develop.
Temperature will remain below 102 degrees with use of hypothermia blanket
Femoral
higher
Hypothermia

38. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Biot's
Conduction
Rhonchi
oximeter

39. Strong and regular ( even beats wit moderate force)
Kussmaul's respiration
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
constant
+2

40. By measuring the blood pressure you obtain vital info about what?
lysis
Brachial
the effectiveness of the heart contractions - the amount of blood in the system - and the presence of any obstruction or interference of blood to the blood vessels
oximeter

41. Obtaining the correct size for a cuff for BP?
absent
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
about 1 degree higher than oral temperatures
Pulse

42. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
120-139/80-89
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.
low
carotid

43. Elevated temperature
140-159/90-99
males have higher bp - until menopause then they are the same
It increases to push the blood through more rigid pathways.
fever

44. What should you do if you cannot determine BP by ausculation?
Axillary.
the palpation method is used. put cuff over arm - feel the radial point to get the systolic pressure you cant get the diastolic this way.
low BP
Pons and Medulla of the brainstem

45. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
orthostatic hypertension
stridor
30-80
shallow or slow breathing

46. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Stertor
the blood pressure will rise in order to push the blood along.
Core Temperature

47. Murmur or swishing sounds that increase as the cuff is deflated
hypertension
Korotkoff sounds Phase II Swishing
left Sims position
bradycardia

48. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
the lungs
Diastolic pressure
The body's temperature in the morning is usually low from inactivity of the muscles. The afternooon body temperature may be high-normal because of the body's metabolic processes - the patient's activity - and the temperature of the environment.
Hyperventilation

49. Diurnal variation BP?
blood pressure is lowest in the morning. and higher in the afternoone
dyspnea
Increases as body tries to remove excess heat
cardiac patients or patients who have had rectal surgery.

50. Korotkoff sounds Phase I: Tapping
Eupnea
Radial
The pulse rate gradually diminishes from birth to adulthood
systolic pressure indicated by faint - clear sound that gradually grow louder.