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. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
about 1 degree higher than oral temperatures
arrhythmia
thready
shallow or slow breathing

2. Adolescent
apnea
16-20
+2
Onset - which may occur gradually or suddenly. the body responds to a pyrogen by trying to conserve and manufacture heat to raise the set point for core temperature. The person will feel cold - and will add clothes or covers - curl up in a ball - and

3. State of insufficient oxygen
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
Biot's respirations
hypoxia
Increases as body tries to remove excess heat

4. A normal - relaxed breathing pattern
fever
Eupnea
hypoxia
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.

5. This affects the character of the pulse.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Stroke Volume
higher

6. Blood pressure for any adult should be no higher than
120/80
the lungs
fever
It will also fall

7. What happens to the blood if overhydration occurs?
Brachial
Sinoatrial node (SA NODE)
Blood pressure increases because there is more volume of blood in the vascular system.
about 1 degree lower than oral temperatures

8. What patients should not use a glass thermometer orally?
higher
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
hyperoxia
uncooperative patient - children - combative patients - dementia

9. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
males have higher bp - until menopause then they are the same
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.
constant
30-80

10. Prehypertension
120-139/80-89
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
16-20
bradypnea

11. Bend of knee
left Sims position
popliteal
bradypnea
120-139/80-89

12. How do you measure the apical pulse?
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
Eupnea
thready
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

13. How do drugs affect pulse?
palpate
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
absent
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

14. When is apicial pulse used?
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.
Femoral
fever
96.5 to 97.5

15. Heart
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Apical
from drug therapy - a neurologic problem or dehydration.

16. Excessive sweat production
carotid
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.
shallow or slow breathing
Diaphoresis

17. Full and bounding (even beats wit strong force)
Vascular resistance drops and the blood pressure decreases
+3
Conduction
Dorsalis pedis

18. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
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.
wheeze
12-20
about 1 degree lower than oral temperatures

19. Korotkoff sounds Phase I: Tapping
systolic pressure indicated by faint - clear sound that gradually grow louder.
Dorsalis pedis
Pedal pulse
Feeble

20. Stage 1 hypertension
lysis
Convection
140-159/90-99
Eupnea

21. Gradual return to a normal temperature
lysis
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
bradypnea
crackles

22. Healthly adult
Tall - slender people mayy ave a slower pulse rate than short - stout persons
97.5 to 99.5
remittent
12-20

23. A sudden change or muffling of the sound. (indicates diastolic pressure in children and some adults)
Cheyenne-Stokes
Korotkoff sounds Phase IV: Muffling
Posterior tibial
wheeze

24. right arm vs. left arm/ arm vs. leg BP?
Feeble
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Brachial
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

25. 3rd stage of fever?
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.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Pons and Medulla of the brainstem
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.

26. 2nd stage of fever is?
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.
Sinoatrial node (SA NODE)
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
lysis

27. Bend of elbow
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Brachial
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
bradypnea

28. 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
140-159/90-99
Convection
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.

29. Lobes in the lungs?
thready
3 in the right lung and 2 lobes in the left
Tall - slender people mayy ave a slower pulse rate than short - stout persons
^160/^100

30. 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
Korotkoff sounds Phase IV: Muffling
pyrogens
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

31. How does menstrual cycle and pregnancy raise the body's temperature?
shallow or slow breathing
Pedal pulse
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
in the alveoli - tiny thin-walled sacs

32. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Rhonchi
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
the rate - the rhythm - and volume
Conduction

33. 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

34. Measurement of oxygen
Pulse
Hypothermia
oximetry
120/70

35. Why would patients experience orthostatic hypotenstion?
+1
from drug therapy - a neurologic problem or dehydration.
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.
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

36. Average pulse rate for an adult
72 bpm
bradypnea
wheeze
Dorsalis pedis

37. How does the time of day (circadian rhythm) affect the body's temperature?

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

38. People most at risk for hypertension
Vascular resistance drops and the blood pressure decreases
Feeble
men - African Americans - under a lot of stress - obese
+2

39. The maximum pressure exerted on the artery during left ventricular contraction.
Cheyenne-Stokes
Systolic pressure
Dorsalis pedis
It will also fall

40. Disappearance of sound. (marks diastolic pressure in adults)
Korotkoff sounds Phase V: Silence
Hyperthermia related to infection or excessive heat exposure
hypotension
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

41. Pulse above 100 beats per minute
Cardiac Output
tachycardia
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
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.

42. Decreased levels of oxygen in the blood - often seen in patients wo are under medical sedation - who are recovering from anesthesia or abdominal surgery - or who are in a weak or debiliated condition.
about 1 degree higher than oral temperatures
popliteal
hypoxemia
Pulse pressure

43. Fast - deep respirations with abrupt pauses

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

44. Weak and regular (even beats wit poor force)
Rhonchi
raises BP.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
+1

45. The rate at which heat is produced when the body is at rest.
low
The emotions increase hormone secretion - and the body activities required for this increase heat production.
BMR
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

46. Air movemtn causes heat to be transferred from the skin to the air molecules.
Hypothermia
uncooperative patient - children - combative patients - dementia
Convection
Pons and Medulla of the brainstem

47. Abrupt decline in fever
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
absent
oximeter

48. Taking a rectal temperature
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
men - African Americans - under a lot of stress - obese
Tachypnea
apnea

49. 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.
fever
remittent
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Cheyenne-Stokes

50. Feel
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
palpate
higher
Hyperventilation