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. Gas exchange in the blood occurs where?
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.
Femoral
in the alveoli - tiny thin-walled sacs
Convection

2. Fever above 100.2 F
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
hypoxia
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
pyrexia

3. Stage 1 hypertension
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
140-159/90-99
about 1 degree lower than oral temperatures
Dorsalis pedis

4. Excessive sweat production
Diaphoresis
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
97.5 to 99.5
orthostatic hypertension

5. Elderly respiration
16-20
temperature - pulse - respiration - blood pressure - and pain level.
popliteal
140-159/90-99

6. Signs and symptoms of shock
from drug therapy - a neurologic problem or dehydration.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
Posterior tibial
remittent

7. Breathing is an involuntary automatic function controlled by the respiratory center located where?
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.
Pons and Medulla of the brainstem
Stroke volume
Tall - slender people mayy ave a slower pulse rate than short - stout persons

8. 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

9. Elevated temperature
raises BP.
fever
Korotkoff sounds
The pulse rate gradually diminishes from birth to adulthood

10. 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.
3 in the right lung and 2 lobes in the left
hypoxemia
12-20
+2

11. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
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.
stridor
Acute anxiety stimulate the nervous system - raising the pulse.
Respiration

12. How should baby's temperature be taken?
intermittent
+2
Axillary.
Pons and Medulla of the brainstem

13. 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.
oximeter
Stroke volume
Tachypnea
the rate - the rhythm - and volume

14. Adolescent
Sinoatrial node (SA NODE)
It increases to push the blood through more rigid pathways.
16-20
Acute anxiety stimulate the nervous system - raising the pulse.

15. When should rectal temperatures NOT be used?
cardiac patients or patients who have had rectal surgery.
BMR
Hyperthermia related to infection or excessive heat exposure
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.

16. Barely palpable
Feeble
lysis
cardiac patients or patients who have had rectal surgery.
12-20

17. Those at risk for hypothermia include
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.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
hyperoxia

18. How do emotions increase the pulse rate?
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
Diastolic pressure
Conduction
Acute anxiety stimulate the nervous system - raising the pulse.

19. Heart
72 bpm
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.
97.5 to 99.5
Apical

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

21. What should you do if you cannot determine BP by ausculation?
fever
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.
^160/^100
Pons and Medulla of the brainstem

22. Drop in blood pressure when arising to a standing position.
Hyperthermia related to infection or excessive heat exposure
96.5 to 97.5
orthostatic hypertension
hypoxemia

23. 2nd stage of fever is?
120/70
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
palpate
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.

24. Measurement of oxygen
oximetry
crackles
low BP
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

25. Korotkoff sounds Phase I: Tapping
temperature - pulse - respiration - blood pressure - and pain level.
carotid
Korotkoff sounds Phase V: Silence
systolic pressure indicated by faint - clear sound that gradually grow louder.

26. Side of forehead
Temporal
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
bradypnea
hypoxia

27. High oxygen
hyperoxia
^160/^100
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

28. What affects does aging do to the respiratory rate?
120/80
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

29. 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.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Cardiac Output

30. When warm skin touches a cool object - heat is lost to the object.
Conduction
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
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.
the lungs

31. Korotkoff sounds Ausculatatory gap:
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
arrhythmia

32. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
hypoxemia
the lungs
hypotension
oximeter

33. Feel
about 1 degree higher than oral temperatures
men - African Americans - under a lot of stress - obese
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
palpate

34. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
Stroke Volume
low BP
12-20
Temporal

35. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Evaporation
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.
Core Temperature

36. Bend of knee
blood pressure is lowest in the morning. and higher in the afternoone
popliteal
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.

37. Louder knocking sound that occurs wit each heartbeat
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
Korotkoff sounds Phase III: Knocking
Cheyenne-Stokes
140-159/90-99

38. Taking a rectal temperature
Hypothermia
Diastolic pressure
Pons and Medulla of the brainstem
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.

39. Why would patients experience orthostatic hypotenstion?
Temperature will remain below 102 degrees with use of hypothermia blanket
oximetry
Hyperthermia related to infection or excessive heat exposure
from drug therapy - a neurologic problem or dehydration.

40. Disappearance of sound. (marks diastolic pressure in adults)
12-20
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
120/70
Korotkoff sounds Phase V: Silence

41. Rectal temperature are
Blood pressure increases because there is more volume of blood in the vascular system.
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.
about 1 degree higher than oral temperatures
Conduction

42. How does external respiration occur?
Stroke Volume
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
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
intermittent

43. Healthly adult
hypertension
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
12-20
cardiac patients or patients who have had rectal surgery.

44. What are the 5 vital signs?
lysis
temperature - pulse - respiration - blood pressure - and pain level.
palpate
It increases to push the blood through more rigid pathways.

45. Whats the best position to take a rectal temperature?
carotid
left Sims position
Acute anxiety stimulate the nervous system - raising the pulse.
120/80

46. State of insufficient oxygen
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.
low
lysis

47. How should respirations be counted?
about 1 degree higher than oral temperatures
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.
arrhythmia
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

48. The average temperature in the older adult
Brachial
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.
Hyperthermia related to infection or excessive heat exposure
96.5 to 97.5

49. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
absent
Biot's respirations
96.5 to 97.5

50. The rate at which heat is produced when the body is at rest.
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.
BMR
intermittent
hypertension