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. Abrupt decline in fever
97.5 to 99.5
bradycardia
Crisis
72 bpm

2. When is apicial pulse used?
Stroke Volume
3 in the right lung and 2 lobes in the left
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.
apnea

3. Pulse lower than 60 beats per minute
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
bradycardia
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
120/70

4. 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.
Stroke volume
Hypothermia
Cardiac Output
Posterior tibial

5. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
dyspnea
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
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

6. Bend of elbow
Pons and Medulla of the brainstem
Brachial
Kussmaul's respiration
Korotkoff sounds Phase II Swishing

7. Newborn
30-80
+2
Vascular resistance drops and the blood pressure decreases
Brachial

8. An example of a nursing diagnoses
Hyperthermia related to infection or excessive heat exposure
Sinoatrial node (SA NODE)
palpate
The emotions increase hormone secretion - and the body activities required for this increase heat production.

9. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
palpate
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.
Apical

10. The temperature of the deep tissues of the body
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Core Temperature
Tall - slender people mayy ave a slower pulse rate than short - stout persons
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.

11. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
low BP
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
popliteal
intermittent

12. How does menstrual cycle and pregnancy raise the body's temperature?
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
about 1 degree lower than oral temperatures
raises BP.
Hyperthermia related to infection or excessive heat exposure

13. Average blood pressure should be
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.
+1
120/70
Rhonchi

14. Lobes in the lungs?
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
Cardiac Output
Biot's respirations
3 in the right lung and 2 lobes in the left

15. Weak and may be irregular
Irregular
12-20
thready
Hypothermia

16. Excessive sweat production
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.
Systolic pressure
remittent
Diaphoresis

17. What patients should not use a glass thermometer orally?
uncooperative patient - children - combative patients - dementia
+3
pyrogens
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

18. Why would patients experience orthostatic hypotenstion?
Systolic pressure
dyspnea
the lungs
from drug therapy - a neurologic problem or dehydration.

19. The volume of blood pushed into the aorta per heartbeat.
Convection
cardiac patients or patients who have had rectal surgery.
Stroke volume
+3

20. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Respiration
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
shallow or slow breathing
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.

21. Korotkoff sounds Phase I: Tapping
systolic pressure indicated by faint - clear sound that gradually grow louder.
remittent
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.
hypoxemia

22. Groin area
Kussmaul's respiration
hypotension
Temperature will remain below 102 degrees with use of hypothermia blanket
Femoral

23. Fast - deep respirations with abrupt pauses

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

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

25. Murmur or swishing sounds that increase as the cuff is deflated
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Korotkoff sounds Phase II Swishing
apnea
popliteal

26. Absence of breathing
apnea
The pulse rate gradually diminishes from birth to adulthood
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Nursing interventions to reduce fever

27. Sex BP?
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
fever
males have higher bp - until menopause then they are the same
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

28. Barely palpable
Pulse
constant
wheeze
Feeble

29. Stage 1 hypertension
140-159/90-99
Eupnea
in the alveoli - tiny thin-walled sacs
the blood pressure will rise in order to push the blood along.

30. 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
dyspnea
96.5 to 97.5
orthostatic hypertension
Hyperventilation

31. How should respirations be counted?
intermittent
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
3 in the right lung and 2 lobes in the left
crackles

32. Stress & emotions. BP?
higher
Temporal
temperature - pulse - respiration - blood pressure - and pain level.
+1

33. Rectal temperature are
about 1 degree higher than oral temperatures
the rate - the rhythm - and volume
Systolic pressure
Korotkoff sounds

34. Measurement of oxygen
The pulse rate gradually diminishes from birth to adulthood
palpate
oximetry
Korotkoff sounds

35. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
the lungs
pyrexia
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
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.

36. Symptoms of hypoxia
It will also fall
men - African Americans - under a lot of stress - obese
Rhonchi
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds

37. Are infants blood pressure low or high?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
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.
the rate - the rhythm - and volume
low

38. 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.
remittent
The pulse rate gradually diminishes from birth to adulthood
12-20
popliteal

39. What pulse is checked to determine whether there is any blockage of circulation in the artery up to that point - especially in patients who have had cardiac catherization using the femoral artery for the insertion of the catheter or those who had sur
Pedal pulse
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
raises BP.
The pulse rate gradually diminishes from birth to adulthood

40. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Stertor
Hyperthermia related to infection or excessive heat exposure
hyperoxia
Diastolic pressure

41. Disappearance of sound. (marks diastolic pressure in adults)
Feeble
higher
Korotkoff sounds Phase V: Silence
systolic pressure indicated by faint - clear sound that gradually grow louder.

42. How do you measure the apical pulse?
Evaporation
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
The emotions increase hormone secretion - and the body activities required for this increase heat production.
The pulse rate gradually diminishes from birth to adulthood

43. Average pulse rate for an adult
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
72 bpm
+2
absent

44. The rate at which heat is produced when the body is at rest.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
BMR
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
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

45. No pulse palpable or heard on ausculation
temperature - pulse - respiration - blood pressure - and pain level.
hypoxemia
Temporal
absent

46. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
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.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
cardiac patients or patients who have had rectal surgery.

47. Substances tat cause fever
pyrogens
Cheyenne-Stokes
temperature - pulse - respiration - blood pressure - and pain level.
hypoxia

48. 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.
in the alveoli - tiny thin-walled sacs
Convection
crackles
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.

49. How is shock caused?
Feeble
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Eupnea
blood pressure is lowest in the morning. and higher in the afternoone

50. Inside ankle
Posterior tibial
males have higher bp - until menopause then they are the same
uncooperative patient - children - combative patients - dementia
Pulse pressure