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. Weak and may be irregular
Blood pressure increases because there is more volume of blood in the vascular system.
apnea
intermittent
thready

2. Adolescent
about 1 degree lower than oral temperatures
16-20
remittent
Radial

3. Disappearance of sound. (marks diastolic pressure in adults)
Korotkoff sounds Phase V: Silence
the rate - the rhythm - and volume
Korotkoff sounds Phase IV: Muffling
pyrexia

4. 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.
^160/^100
Cardiac Output
constant
Femoral

5. What characteristics should be noted when checking the pulse?
the rate - the rhythm - and volume
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.
Pedal pulse
Korotkoff sounds Phase V: Silence

6. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
determine if the patient has a known heart arrhythmia - perform hand hygiene - expose the left chest - warm the stethoscope in hand for a min or 2 - locate the apex of the heart by palpating for the 5th intercostal space at the midclavicular line. li
constant
Dorsalis pedis
crackles

7. Louder knocking sound that occurs wit each heartbeat
determine if the patient has a known heart arrhythmia - perform hand hygiene - expose the left chest - warm the stethoscope in hand for a min or 2 - locate the apex of the heart by palpating for the 5th intercostal space at the midclavicular line. li
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Convection
Korotkoff sounds Phase III: Knocking

8. Slow and shallow breathing - leads to hypoxemia.
constant
Brachial
Increases as body tries to remove excess heat
bradypnea

9. How does disease increase the body's temperature?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Diaphoresis
carotid
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

10. Side of wrist
Core Temperature
Diaphoresis
Radial
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.

11. When the heart contracts How many mLs of blood is propelled into the aorta?
popliteal
Korotkoff sounds Phase V: Silence
60 to 70 mL
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

12. Drop in blood pressure when arising to a standing position.
crackles
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
orthostatic hypertension

13. Alternating rise and fall of the temperature.
hypoxia
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
intermittent
lysis

14. Bend of elbow
Brachial
bradypnea
cardiac patients or patients who have had rectal surgery.
Convection

15. Groin area
Femoral
men - African Americans - under a lot of stress - obese
^160/^100
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.

16. Elderly respiration
about 1 degree higher than oral temperatures
Femoral
Respiration
16-20

17. What happens to the blood if overhydration occurs?
Rhonchi
Pedal pulse
Stroke volume
Blood pressure increases because there is more volume of blood in the vascular system.

18. Lobes in the lungs?
3 in the right lung and 2 lobes in the left
Pedal pulse
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
96.5 to 97.5

19. Full and bounding (even beats wit strong force)
thready
+3
Crisis
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.

20. What affects does aging do to the blood pressure?
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
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.
Korotkoff sounds Phase II Swishing

21. Abrupt decline in fever
the rate - the rhythm - and volume
Crisis
Stroke volume
Blood pressure increases because there is more volume of blood in the vascular system.

22. Abnormal - nonmusical sound heard on ausculation of the lungs during inspiration; also called rales. Sound like hair rubbed between the fingers next to the ears.
remittent
arrhythmia
crackles
140-159/90-99

23. Head injury BP?
raises BP.
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.
3 in the right lung and 2 lobes in the left
+2

24. What affects does aging do to the respiratory rate?
97.5 to 99.5
Convection
Korotkoff sounds
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

25. Low oxygen
the rate - the rhythm - and volume
Stroke volume
hypoxia
popliteal

26. How does menstrual cycle and pregnancy raise the body's temperature?
When an accurate temperature cant be obtained orally and a tympanic or temporal artery thermometer are not available. It may be used when there is nasal congestion or there has been nasal or oral surgery - the patient is unable to keep their mouth cl
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
97.5 to 99.5

27. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
palpate
the lungs
oximeter
+3

28. What are the 5 vital signs?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
temperature - pulse - respiration - blood pressure - and pain level.
Cheyenne-Stokes
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.

29. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
shallow or slow breathing
palpate
Stertor
Korotkoff sounds

30. Obtaining the correct size for a cuff for BP?
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.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Nursing interventions to reduce fever
hyperoxia

31. 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.
orthostatic hypertension
Hypothermia
bradypnea
Eupnea

32. 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

33. Korotkoff sounds Ausculatatory gap:
dyspnea
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

34. What happens when vasodilation occurs?
pyrogens
low BP
Vascular resistance drops and the blood pressure decreases
BMR

35. Stress & emotions. BP?
Korotkoff sounds
Pulse pressure
higher
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.

36. Stage 2 hypertension
^160/^100
low BP
pyrexia
Irregular

37. Taking axillary temperature
crackles
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Dorsalis pedis
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.

38. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
arrhythmia
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Respiration

39. Bend of knee
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
popliteal
hypotension
Diaphoresis

40. Strong and regular ( even beats wit moderate force)
+2
Hypothermia
hypoxemia
The pulse rate gradually diminishes from birth to adulthood

41. A high temperature falls - usually in the morning - and again rises later in the day. The temperature never fails to normal in this type of fever until recovery occurs.
Hyperventilation
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.
It increases to push the blood through more rigid pathways.
remittent

42. How does size affect pulse?
72 bpm
constant
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Rhonchi

43. Increased or rapid breathing results from te presence of fever and a number or diseases. breathing rate increased about 4 breaths for each degree increase in temperature.
dyspnea
It increases to push the blood through more rigid pathways.
Tachypnea
Temperature will remain below 102 degrees with use of hypothermia blanket

44. Measurement of oxygen
Respiration
Apical
oximetry
Temperature will remain below 102 degrees with use of hypothermia blanket

45. Stage 1 hypertension
pyrogens
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
bradypnea
140-159/90-99

46. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
Tachypnea
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.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Tall - slender people mayy ave a slower pulse rate than short - stout persons

47. 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
tachycardia
about 1 degree higher than oral temperatures
men - African Americans - under a lot of stress - obese
Hyperventilation

48. No pulse palpable or heard on ausculation
Pons and Medulla of the brainstem
thready
absent
The emotions increase hormone secretion - and the body activities required for this increase heat production.

49. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
Convection
Axillary.
hyperoxia
Diastolic pressure

50. High BP
remittent
Cheyenne-Stokes
hypertension
about 1 degree lower than oral temperatures