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. Signs and symptoms of shock
3 in the right lung and 2 lobes in the left
140-159/90-99
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
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.

2. 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.
temperature - pulse - respiration - blood pressure - and pain level.
higher
It increases to push the blood through more rigid pathways.
remittent

3. The maximum pressure exerted on the artery during left ventricular contraction.
Sinoatrial node (SA NODE)
about 1 degree higher than oral temperatures
oximetry
Systolic pressure

4. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
popliteal
Diastolic pressure
Stertor
Korotkoff sounds Phase IV: Muffling

5. How is pulse best found?
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
oximetry
absent

6. A normal - relaxed breathing pattern
Eupnea
pyrexia
low BP
Pulse pressure

7. 3rd stage of fever?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Temporal
shallow or slow breathing
Hyperthermia related to infection or excessive heat exposure

8. Fast - deep respirations with abrupt pauses

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

9. Korotkoff sounds Ausculatatory gap:
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
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
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.
Apical

10. High oxygen
bradypnea
hyperoxia
cardiac patients or patients who have had rectal surgery.
30-80

11. 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.
Evaporation
Stertor
Korotkoff sounds Phase III: Knocking

12. An example of a nursing diagnoses
Pedal pulse
Hyperthermia related to infection or excessive heat exposure
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
Vascular resistance drops and the blood pressure decreases

13. Elderly respiration
males have higher bp - until menopause then they are the same
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Core Temperature
16-20

14. 2nd stage of fever is?
in the alveoli - tiny thin-walled sacs
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.
remittent
wheeze

15. Taking axillary temperature
Dorsalis pedis
dyspnea
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.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

16. Side of wrist
Femoral
Radial
arrhythmia
Cheyenne-Stokes

17. How should respirations be counted?
about 1 degree higher than oral temperatures
Korotkoff sounds Phase III: Knocking
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

18. High BP
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.
hypertension
Blood pressure increases because there is more volume of blood in the vascular system.
arrhythmia

19. An example of nursing planning
dyspnea
Temperature will remain below 102 degrees with use of hypothermia blanket
BMR
Diaphoresis

20. If the cardiac output falls what will happen to the BP?
low
orthostatic hypertension
systolic pressure indicated by faint - clear sound that gradually grow louder.
It will also fall

21. State of insufficient oxygen
Hyperventilation
hypoxia
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
thready

22. When should rectal temperatures be used?
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
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Temperature will remain below 102 degrees with use of hypothermia blanket
Pulse

23. Sex BP?
Acute anxiety stimulate the nervous system - raising the pulse.
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.
temperature - pulse - respiration - blood pressure - and pain level.
males have higher bp - until menopause then they are the same

24. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
20-30
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
It increases to push the blood through more rigid pathways.
Apical

25. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
Cheyenne-Stokes
hypoxia
low BP
orthostatic hypertension

26. 3 yr old
97.5 to 99.5
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
hypoxia
20-30

27. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Korotkoff sounds Phase III: Knocking
Diastolic pressure
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
3 in the right lung and 2 lobes in the left

28. 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.
the lungs
ausculatation
96.5 to 97.5

29. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.

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

30. Slow and shallow breathing - leads to hypoxemia.
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.
pyrogens
72 bpm
bradypnea

31. Side of neck
Kussmaul's respiration
Pulse
Axillary.
carotid

32. 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
16-20
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
dyspnea

33. Abrupt decline in fever
Crisis
Korotkoff sounds Phase V: Silence
oximetry
Blood pressure increases because there is more volume of blood in the vascular system.

34. right arm vs. left arm/ arm vs. leg BP?
oximeter
Rhonchi
palpate
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

35. 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
left Sims position
Conduction
Hyperventilation
120/80

36. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
hypoxemia
low BP
oximetry
Korotkoff sounds

37. Symptoms of hypoxia
Increases as body tries to remove excess heat
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
+3

38. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Rhonchi
Relapsing
Convection

39. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
oximeter
blood pressure is lowest in the morning. and higher in the afternoone
Stroke volume

40. 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

41. What happens to the blood if overhydration occurs?
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
wheeze
Blood pressure increases because there is more volume of blood in the vascular system.
left Sims position

42. How do emotions increase the pulse rate?
Crisis
Sinoatrial node (SA NODE)
Posterior tibial
Acute anxiety stimulate the nervous system - raising the pulse.

43. How does increased body temperature increase the pulse?
Axillary.
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Conduction
Posterior tibial

44. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
arrhythmia
systolic pressure indicated by faint - clear sound that gradually grow louder.
uncooperative patient - children - combative patients - dementia
tachycardia

45. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
the blood pressure will rise in order to push the blood along.
Acute anxiety stimulate the nervous system - raising the pulse.
constant

46. Prehypertension
absent
Korotkoff sounds Phase III: Knocking
120-139/80-89
^160/^100

47. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
97.5 to 99.5
Biot's respirations
Stertor
crackles

48. How does age affect pulse?
males have higher bp - until menopause then they are the same
Korotkoff sounds Phase V: Silence
intermittent
The pulse rate gradually diminishes from birth to adulthood

49. The temperature of the deep tissues of the body
Core Temperature
shallow or slow breathing
+1
crackles

50. Healthly adult
Tachypnea
12-20
It increases to push the blood through more rigid pathways.
Temporal