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. Stage 1 hypertension
Sinoatrial node (SA NODE)
140-159/90-99
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
in the alveoli - tiny thin-walled sacs

2. Disappearance of sound. (marks diastolic pressure in adults)
Respiration
Pulse pressure
Korotkoff sounds Phase V: Silence
temperature - pulse - respiration - blood pressure - and pain level.

3. How do emotions increase the pulse rate?
Nursing interventions to reduce fever
higher
Acute anxiety stimulate the nervous system - raising the pulse.
ausculatation

4. Elderly respiration
the lungs
16-20
low
the rate - the rhythm - and volume

5. Hearing
dyspnea
Brachial
ausculatation
the lungs

6. 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.
16-20
thready
Tachypnea
raises BP.

7. BP at or lower 90/60.
hypotension
raises BP.
Increases as body tries to remove excess heat
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

8. 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.
about 1 degree lower than oral temperatures
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
bradypnea

9. Stress & emotions. BP?
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.
higher
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.
Korotkoff sounds Phase IV: Muffling

10. No pulse palpable or heard on ausculation
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
96.5 to 97.5
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.
absent

11. The maximum pressure exerted on the artery during left ventricular contraction.
Apical
hypoxemia
Systolic pressure
hypertension

12. Elevated temperature
Temporal
fever
temperature - pulse - respiration - blood pressure - and pain level.
about 1 degree lower than oral temperatures

13. Weak and may be irregular
thready
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
higher
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

14. How should respirations be counted?
Rhonchi
the blood pressure will rise in order to push the blood along.
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.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

15. Risk for prolonged hypertension
Korotkoff sounds Phase IV: Muffling
Brachial
Tall - slender people mayy ave a slower pulse rate than short - stout persons
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes

16. People most at risk for hypertension
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
men - African Americans - under a lot of stress - obese
carotid
Korotkoff sounds Phase V: Silence

17. A normal - relaxed breathing pattern
16-20
120/80
temperature - pulse - respiration - blood pressure - and pain level.
Eupnea

18. What happens to the blood if overhydration occurs?
left Sims position
males have higher bp - until menopause then they are the same
Blood pressure increases because there is more volume of blood in the vascular system.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.

19. Inside ankle
Posterior tibial
It increases to push the blood through more rigid pathways.
16-20
Acute anxiety stimulate the nervous system - raising the pulse.

20. 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
The pulse rate gradually diminishes from birth to adulthood
Hyperventilation
The emotions increase hormone secretion - and the body activities required for this increase heat production.
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.

21. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Stroke Volume
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
systolic pressure indicated by faint - clear sound that gradually grow louder.
about 1 degree lower than oral temperatures

22. State of insufficient oxygen
higher
hyperoxia
+2
hypoxia

23. Gradual return to a normal temperature
lysis
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.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
BMR

24. 3 yr old
Pons and Medulla of the brainstem
20-30
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Nursing interventions to reduce fever

25. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.

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

26. Drop in blood pressure when arising to a standing position.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
uncooperative patient - children - combative patients - dementia
orthostatic hypertension
apnea

27. Groin area
Pons and Medulla of the brainstem
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
by placing the flat part of the first fingers against the tendon - or cord - on the thumb inside of the inner wrist and ten rolling the fingers slightly outward into the little trough on the thumb inside the wrist.
Femoral

28. By measuring the blood pressure you obtain vital info about what?
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
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
blood pressure is lowest in the morning. and higher in the afternoone
Diastolic pressure

29. Feel
Convection
palpate
Biot's
^160/^100

30. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
stridor
cardiac patients or patients who have had rectal surgery.
Stroke Volume

31. Pulse above 100 beats per minute
Vascular resistance drops and the blood pressure decreases
tachycardia
apnea
Temperature will remain below 102 degrees with use of hypothermia blanket

32. Enviromental temperature BP?
orthostatic hypertension
dyspnea
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
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

33. What affects does aging do to the respiratory rate?
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
12-20
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
shallow or slow breathing

34. Murmur or swishing sounds that increase as the cuff is deflated
Korotkoff sounds Phase II Swishing
males have higher bp - until menopause then they are the same
Respiration
hypoxia

35. right arm vs. left arm/ arm vs. leg BP?
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
carotid
Stroke Volume
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

36. Blood pressure for any adult should be no higher than
Korotkoff sounds Phase V: Silence
Convection
Hyperthermia related to infection or excessive heat exposure
120/80

37. Difference between the apical and radial pulse - this requires two people to count the radial and apicial pulses at the same time to determine whether there is a what?
20-30
shallow or slow breathing
in the alveoli - tiny thin-walled sacs
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.

38. 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.
crackles
wheeze
about 1 degree lower than oral temperatures
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.

39. When the heart contracts How many mLs of blood is propelled into the aorta?
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.
60 to 70 mL
the rate - the rhythm - and volume
dyspnea

40. How does increased body temperature increase the pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Pulse
BMR

41. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
Hypothermia
It increases to push the blood through more rigid pathways.
120/70
oximetry

42. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
blood pressure is lowest in the morning. and higher in the afternoone

43. Gas exchange in the blood occurs where?
in the alveoli - tiny thin-walled sacs
shallow or slow breathing
Tall - slender people mayy ave a slower pulse rate than short - stout persons
120/80

44. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
Diaphoresis
+2
Pulse
Pulse pressure

45. Alternating rise and fall of the temperature.
intermittent
pyrogens
Posterior tibial
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

46. The temperature falls to normal and then rises again in a repeating pattern.
Biot's respirations
Relapsing
16-20
Hypothermia

47. This affects the character of the pulse.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Stroke Volume
Febrile stage - the body temperature rises to a new set point established by the hypothalamus and remains there until there is a resolution to the cause of fever.
Kussmaul's respiration

48. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
97.5 to 99.5
Biot's respirations
Evaporation
intermittent

49. 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.
Cardiac Output
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Feeble
Diaphoresis

50. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
60 to 70 mL
Korotkoff sounds Phase III: Knocking
Hypothermia
arrhythmia