Nur 101 - Test 3 - Chapter 4 - Vital Signs Test, Part II, 50 Questions

50 Questions  I  By Arnoldjr2
Foundations of Nursing By Christensen Kockrow, 6th Edition, pages 71 - 91 

  
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1.  Which of the following is the correct orthostatic method of assessing blood pressure?
A.
B.
C.
D.
2.  Which of the following conditions raises blood pressure? Select all that apply
A.
B.
C.
D.
E.
F.
G.
H.
I.
3.  Represents the ventricles contracting, forcing blood into the aorta and the pulmonary arteries It is indicated by the first sound heard on auscultation
A.
B.
C.
D.
4.  A 42 year old patient is suffering from a history of rheumatic heart disease. For an accurate assessment, what should the nurse obtain?
A.
B.
C.
D.
5.  Fifth intercostal space, left of the midclavicular line
A.
B.
C.
D.
6.  In order to confirm blood pressure reading, when the Korotkoff sounds are no longer audible, what should you do next?
A.
B.
C.
D.
7.  Factors that influence respiration. Select all that apply:
A.
B.
C.
D.
E.
8.  For some patients, in order to determine right dosage calculation, what do we need to measure? 
A.
B.
C.
D.
9.  When a patient's condition suddenly deteriorates which is the best site to locate a pulse quickly? 
A.
B.
C.
D.
10.  When obtaining blood pressure, applying the cuff to bare arms with patient's palm facing upward will normally have the same accurate reading as placing the cuff above the clothes. 
A.
B.
11.  Difference between radial and apical rates
A.
B.
C.
D.
12.  A higher, inaccurate reading will be obtained if too small a cuff is used. A lower inaccurate reading will be obtained if too large a cuff is used. In order to prevent this, which of the following needs to be implemented? 
A.
B.
C.
D.
13.  When a patient has a pulse rate above normal, which of the following related data would require further assessment?  
A.
B.
C.
D.
14.  Represents one cardiac cycle or heartbeat
A.
B.
C.
D.
15.  A patient's MAR indicates that he is taking cardiotonics and antihypertensives. As a nurse, what do you need to assess before the administration of these medication? Select all that aooky
A.
B.
C.
D.
16.  In patients with hypertension, the sounds usually heard over the brachial artery disappear as pressure is reduced and then reappear at a lower level. It occurs between the first and the second Korotkoff sounds. What is it called?
A.
B.
C.
D.
17.  The best time to assess a patient's respiration is when:  
A.
B.
C.
D.
18.  After responding to the call light of a new mother, she complains that her baby sometimes stops breathing for around 10 to 15 seconds. What would be your most appropriate response?  
A.
B.
C.
D.
19.  Amount of air inspired with each breath is ______ ml.
20.  Actual beating of the heart and is normally used when taking the pulse rate of an infant
A.
B.
C.
D.
21.  Which of the following statements regarding the assessment of blood pressure is true? Select all that apply.   
A.
B.
C.
D.
22.  When obtaining blood pressure, what would be the best way to avoid auscultatory gap?  
A.
B.
C.
D.
23.  A patient weighting 176 lbs says she lost around 2.2 pounds recently. She expressed that all she lost was water. How many liters of water did she lose?
A.
B.
C.
D.
24.  ‚ÄčExchange of gas at tissue level caused by the process of cellular oxidation (any process wherein the oxygen compound is increased)
A.
B.
C.
D.
25.  A 42 year old patient has a rectal temperature of 102.4 F. What would the oral temperature possible be?
A.
B.
C.
D.
26.  Electronic Blood pressure measurement is inappropriate for these patients. Select all that apply
A.
B.
C.
D.
E.
27.  A patient who is about to be admitted claims that her weight has always been 110 lbs and that there is no need to weigh her again. What would be the nurse's most appropriate response?
A.
B.
C.
D.
28.  Match the Pulse site on the left with its description on the right. 
A. Radial Pulse
A.
B. Brachial Pulse
B.
C. Femoral Pulse
C.
D. Popliteal Pulse
D.
E. Dorsalis Pedis Pulse
E.
F. Posterior Tibial Pulse
F.
29.  Antidysrhythmic medication could cause pulse rates to:
A.
B.
C.
D.
30.  The diagnosis of hypertension among adults is not made with only one random elevated reading. Which of the following is true? Select all that apply. 
A.
B.
C.
D.
31.  Pressure within the artery between beats; between contractions of the atria or the ventricles, when blood enters the relaxed chambers from the systemic circulation and the lungs
A.
B.
C.
D.
32.  With the following pre-exiting conditions, applying the cuff to obtain a blood pressure may complicate that condition. Which of these conditions should a cuff BE NOT APPLIED? Select all possible choices. 
A.
B.
C.
D.
E.
F.
33.  Pressure exerted by the circulating volume of blood on the arterial walls, the veins, and the chambers of the heart
A.
B.
C.
D.
34.  The rate of respiration is controlled by:
A.
B.
C.
D.
35.  Match the pattern of respiration on the left with is description on the right
A. apnea
A.
B. cheyne-stokes
B.
C. hyperventilation
C.
D. hypoventilation
D.
36.  Pulse Pressure
A.
B.
C.
D.
37.  A student nurse needs more teaching on how to obtain an accurate blood pressure when one of these is done. 
A.
B.
C.
D.
38.  When obtaining blood pressure, korotkoff sounds needed to determine the systolic and diastolic pressures are normally listened to at which site?
A.
B.
C.
D.
39.  Location of PMI
A.
B.
C.
D.
40.  A slow respiratory rate, below 10 per minute
A.
B.
C.
D.
41.  The most ideal time to weight a patient
A.
B.
C.
D.
42.  You were about the obtain the blood pressure of a patient when he told you that he just finished smoking while taking coffee less than 5 minutes ago. In order to obtain an accurate reading, what should you do next?  
A.
B.
C.
D.
43.  Talking to a patient when the blood pressure is being assessed increases readings 10 to 40 percent
A.
B.
44.  Normal respiratory range for an adult per minute:
A.
B.
C.
D.
45.  Which of the following conditions lowers blood pressure?
A.
B.
C.
D.
E.
F.
G.
H.
I.
46.  A 20-year old patient was admitted after a motor vehicle accident. The nurse assessing his pulse pressure also had a blood pressure reading as 130/90. What then would be the correct pulse pressure? 
A.
B.
C.
D.
47.  Which of the following are true about orthostatic hypotension? Select all that apply.
A.
B.
C.
D.
48.  A 12 year old child seems to be febrile early in the morning but goes to bed with a normal temperature. This has been happening for the past three days. How is the fever classified?
A.
B.
C.
D.
49.  Point of Maximal Impulse
A.
B.
C.
D.
50.  Breathing movements of a patient that a nurse observes
A.
B.
C.
D.
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