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. What are the 5 vital signs?
Dorsalis pedis
Vascular resistance drops and the blood pressure decreases
temperature - pulse - respiration - blood pressure - and pain level.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients

2. Pulse above 100 beats per minute
crackles
dyspnea
tachycardia
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

3. Head injury BP?
cardiac patients or patients who have had rectal surgery.
the blood pressure will rise in order to push the blood along.
the rate - the rhythm - and volume
raises BP.

4. Side of neck
cardiac patients or patients who have had rectal surgery.
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
carotid
Relapsing

5. People most at risk for hypertension
men - African Americans - under a lot of stress - obese
hypoxia
Acute anxiety stimulate the nervous system - raising the pulse.
Stroke Volume

6. Taking a rectal temperature
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
popliteal
absent
+3

7. Pulse lower than 60 beats per minute
Korotkoff sounds
bradycardia
The pulse rate gradually diminishes from birth to adulthood
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

8. Encourage a large fluid intake - lower room temperature - increase air circulation - remove items of clothes - control or reduce the amount of body activity - carry out physicians orders
cardiac patients or patients who have had rectal surgery.
higher
raises BP.
Nursing interventions to reduce fever

9. An example of nursing planning
Evaporation
Posterior tibial
Temperature will remain below 102 degrees with use of hypothermia blanket
Axillary.

10. The temperature falls to normal and then rises again in a repeating pattern.
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
tachycardia
Convection
Relapsing

11. Normal body temperature ranges?
97.5 to 99.5
ausculatation
crackles
wheeze

12. 2nd stage of fever is?
Hypothermia
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
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.
hypoxemia

13. Blood pressure for any adult should be no higher than
Diastolic pressure
Stroke volume
Korotkoff sounds
120/80

14. Bend of elbow
30-80
Brachial
carotid
Evaporation

15. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
Korotkoff sounds Phase V: Silence
Eupnea
orthostatic hypertension

16. The average temperature in the older adult
3 in the right lung and 2 lobes in the left
96.5 to 97.5
the blood pressure will rise in order to push the blood along.
120/80

17. Slow and shallow breathing - leads to hypoxemia.
Convection
bradypnea
apnea
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.

18. Feel
hyperoxia
It increases to push the blood through more rigid pathways.
palpate
shallow or slow breathing

19. Axillary temperature are
It will also fall
60 to 70 mL
+3
about 1 degree lower than oral temperatures

20. State of insufficient oxygen
Pons and Medulla of the brainstem
Pulse
hypoxia
systolic pressure indicated by faint - clear sound that gradually grow louder.

21. Sex BP?
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
males have higher bp - until menopause then they are the same
hypoxia
+2

22. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
The pulse rate gradually diminishes from birth to adulthood
Axillary.
dyspnea
the rate - the rhythm - and volume

23. Hearing
higher
ausculatation
Pedal pulse
in the alveoli - tiny thin-walled sacs

24. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
Temperature will remain below 102 degrees with use of hypothermia blanket
bradycardia
Diastolic pressure
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

25. How does size affect pulse?
in the alveoli - tiny thin-walled sacs
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
the blood pressure will rise in order to push the blood along.

26. No pulse palpable or heard on ausculation
Hyperventilation
systolic pressure indicated by faint - clear sound that gradually grow louder.
absent
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

27. Average pulse rate for an adult
Pulse pressure
Convection
72 bpm
Cardiac Output

28. Groin area
Femoral
Korotkoff sounds Phase III: Knocking
Eupnea
shallow or slow breathing

29. Enviromental temperature BP?
hyperoxia
ausculatation
Femoral
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

30. How does physical exercise raise the body's temperature?
Sinoatrial node (SA NODE)
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.
Relapsing
raises BP.

31. Signs and symptoms of shock
Temperature will remain below 102 degrees with use of hypothermia blanket
^160/^100
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

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

33. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Rhonchi
constant
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Hyperthermia related to infection or excessive heat exposure

34. Top of left foot
hypoxemia
Dorsalis pedis
72 bpm
higher

35. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
It increases to push the blood through more rigid pathways.
Nursing interventions to reduce fever
arrhythmia
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

36. Heart
systolic pressure indicated by faint - clear sound that gradually grow louder.
It increases to push the blood through more rigid pathways.
Apical
the blood pressure will rise in order to push the blood along.

37. Whats the best position to take a rectal temperature?
The pulse rate gradually diminishes from birth to adulthood
Tachypnea
left Sims position
60 to 70 mL

38. Korotkoff sounds Phase I: Tapping
crackles
the blood pressure will rise in order to push the blood along.
Korotkoff sounds Phase III: Knocking
systolic pressure indicated by faint - clear sound that gradually grow louder.

39. 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
3 in the right lung and 2 lobes in the left
Increases as body tries to remove excess heat
120-139/80-89

40. Louder knocking sound that occurs wit each heartbeat
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
from drug therapy - a neurologic problem or dehydration.
Korotkoff sounds Phase III: Knocking
Blood pressure increases because there is more volume of blood in the vascular system.

41. Both strong and weak beats occur within 1 minute
Irregular
hypertension
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Kussmaul's respiration

42. Gradual return to a normal temperature
lysis
bradycardia
oximetry
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.

43. A normal - relaxed breathing pattern
Eupnea
Acute anxiety stimulate the nervous system - raising the pulse.
Tachypnea
Posterior tibial

44. Full and bounding (even beats wit strong force)
the lungs
hypoxia
+3
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.

45. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
bradycardia
about 1 degree lower than oral temperatures
Pulse

46. The difference between the systolic pressure and the diastolic pressure
in the alveoli - tiny thin-walled sacs
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
It increases to push the blood through more rigid pathways.
Pulse pressure

47. Side of forehead
carotid
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
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
Temporal

48. The volume of blood pushed into the aorta per heartbeat.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Posterior tibial
Stroke volume
Korotkoff sounds Phase II Swishing

49. Risk for prolonged hypertension
60 to 70 mL
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Axillary.
Biot's respirations

50. Those at risk for hypothermia include
16-20
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
men - African Americans - under a lot of stress - obese
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.