Nurs 200 - Exam 2 - Chapter 24: Vital Signs

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Vital Signs Quizzes & Trivia
Chapter 24, vital signs, from Fundamentals of Nursing by Taylor. For questions with more than one correct answer, select the best answer.

  
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  • 1. 
    _____ is reflected in the vital signs by indicating the status of the body's function, which is regulated through homeostatis mechanisms and falling within certain normal ranges.
    • A. 

      Lifestyle

    • B. 

      Vital signs

    • C. 

      Homeostasis

    • D. 

      Health status

    • E. 

      None of the above


  • 2. 
    How often are vital signs assessed in patients who are taking medications that affect cardiovascular or respiratory function or who have had surgery? Every:

  • 3. 
    True or false:A nurse can delegate to other healthcare personnel to do vital sign assessment of patients.
    • A. 

      True

    • B. 

      False


  • 4. 
    Body temperature indicates the difference between the ____ of heat and the ____ of heat. (separate answers with a space)

  • 5. 
    Core body temperature is normally maintained within the rage of ____ degrees F to _____ degrees F. (separate answers with a space)

  • 6. 
    Core body temperature is highest at:
    • A. 

      Early morning

    • B. 

      Noon

    • C. 

      Late afternoon

    • D. 

      Evening

    • E. 

      Night


  • 7. 
    Core body temperature is ____ surface body temperature.
    • A. 

      Less than

    • B. 

      Higher than

    • C. 

      Equal to

    • D. 

      None of the above


  • 8. 
    Core temperatures are not measured at:
    • A. 

      Tympanic site

    • B. 

      Rectal site

    • C. 

      Bladder

    • D. 

      Sublingual site

    • E. 

      Pulmonary artery site


  • 9. 
    Core body temperature is normally maintained within a rage of ____ degrees C and ____ degrees C. (separate answers with a space)

  • 10. 
    A newborn's temperature should be
    • A. 

      37 degrees Celcius (oral)

    • B. 

      37 degrees Celcium (axillary)

    • C. 

      37.7 degrees Celcius (rectal)

    • D. 

      36.8 degrees Celcius (axillary)

    • E. 

      36.8 degrees Celcius (rectal)


  • 11. 
    A normal temperature for a child between 1-3 years of age is:
    • A. 

      37.7 degrees Celcius (axillary)

    • B. 

      36.8 degrees Ceclius (rectal)

    • C. 

      37.7 degrees Celcius (rectal)

    • D. 

      36.8 degrees Celcius (axillary)

    • E. 

      36 degrees Celcius (orally)


  • 12. 
    The normal temperature for an adult is:
    • A. 

      37 degrees Celcius (axillary)

    • B. 

      37 degrees Celcius (oral)

    • C. 

      36 degrees Celcius (oral)

    • D. 

      37.7 degrees Celcius (oral)

    • E. 

      36.8 degrees Celcius (axillary)


  • 13. 
    The average temperature of an adult older than 70 years of age is _____ degrees celcius orally.

  • 14. 
    The average pulse for a teen is
    • A. 

      80-180 bpm

    • B. 

      75-110 bpm

    • C. 

      80-140 bpm

    • D. 

      60-120 bpm

    • E. 

      60-100 bpm


  • 15. 
    The primary source of heat in the body is _____

  • 16. 
    ____ is produced as a byproduct of metabolic activities that generate energy for cellular functions.

  • 17. 
    When additional heat is required to maintain balance, epinephrine and norepinephrine (sympathetic neurotransmitters) are released and alter metabolism so that energy production ____ and heat production ____. (separate answers with a space)

  • 18. 
    Which hormone increases metabolism and heat production, but over a much longer time period than epinephrine and norepinephrine.

  • 19. 
    _____ is a response that increases the production of heat; it is initiated by the hypothalamus and results in muscle tremours.

  • 20. 
    ______ occurs with shivering, causing "goose bumps" and reducing the size of the surface to minimize heat loss.

  • 21. 
    Shivering and piloerection are forms of:
    • A. 

      Heat loss

    • B. 

      Heat production

    • C. 

      Environmental temperature

    • D. 

      Fever

    • E. 

      None of the above


  • 22. 
    Connections in the skin that remain open to allow heat to dissipate to the skin or close to retain heat in the body are called

  • 23. 
    Which of the following controls the opening and closing of the arteriovenous shunts in response to changes in core body temperature and in environmental temperature.
    • A. 

      Autonomic nervous system

    • B. 

      Parasympathetic nervous system

    • C. 

      Sympathetic nervous system

    • D. 

      All of the above

    • E. 

      None of the above


  • 24. 
    True or False:Heat production also occurs through warming and humidigying of inspired air and elimination of urine and feces.
    • A. 

      True

    • B. 

      False


  • 25. 
    Which group's body temperature changes more rapidly in response to both heat and cold air temperatures?
    • A. 

      Infants and children

    • B. 

      Older adults

    • C. 

      Women

    • D. 

      Men

    • E. 

      None of the above


  • 26. 
    Which group lose some thermoregulatory control and are at risk for harm from extremes of temperature?
    • A. 

      Infants and children

    • B. 

      Older adults

    • C. 

      Women

    • D. 

      Men

    • E. 

      None of the above


  • 27. 
    Which group tends to have more fluctuations in body temperature, probably due to the result of changes in hormones/ The increase in progesterone secretion increases body temperature as much as 0.5F to 1.0F.

  • 28. 
    When one is exposed to extreme cold without adequate protective clothing, heat loss may be increased to the point of _____, which can lead to serious illness or death.

  • 29. 
    When one is exposed to extreme heat for long periods of time _____ may result, which can lead to serious illness or death.

  • 30. 
    When the body gives off waves of heat from uncovered surfaces, it is called

  • 31. 
    ____ occurs when oscillating fan blows currents of cool air across the surfaces of a warm body.

  • 32. 
    The conversion of a liquid to vapour is called

  • 33. 
    The transfer of heat to another object during direct contact is called _____

  • 34. 
    An example of ____ is when the body transfers heat to an ice pack, causing the ice to melt.

  • 35. 
    When a person has a normal body temperature it is called
    • A. 

      Afebrile

    • B. 

      Febrile

    • C. 

      Pyrexia

    • D. 

      Hyperpyrexia

    • E. 

      Hypothermia


  • 36. 
    Two terms synonymous to "fever" are:(separate answers with a space)

  • 37. 
    A mild elevation in temperature might indicate a serious infection in infants younger than _____ of age who do not have a well-developed temperture-control mechanism.
    • A. 

      2 months

    • B. 

      3 months

    • C. 

      6 months

    • D. 

      1 year

    • E. 

      2 years


  • 38. 
    The difference between hyperthermia and pyrexia is: Fever occurs when the body temperature is raised without the consent of the heat control centers. A hyperthermia occurs when the body sets the core temperatures to a higher temperature, through the action of the pre-optic region of the hypothalamus.
    • A. 

      True

    • B. 

      False


  • 39. 
    A temperature less than 95 degrees F is termed

  • 40. 
    A temperature between 100.5 and 105 degrees F is termed

  • 41. 
    A temperature above 105.8 is termed

  • 42. 
    In older adults, fever may be an [early or later] sign of illness.

  • 43. 
    When the set point is increased, as in fever, the hypothalamus inatiates
    • A. 

      Sweating

    • B. 

      Shivering

    • C. 

      Vasoconstriction

    • D. 

      A and C

    • E. 

      B and C


  • 44. 
    True or False:Most fevers are not self-limiting.
    • A. 

      True

    • B. 

      False


  • 45. 
    Hyperthermia differs from fever in that the hypothalamic set point is changed, and in situations of extreme heat exposure the mechanisms that control the body temperature are ineffective.
    • A. 

      True

    • B. 

      False


  • 46. 
    If the cause of any type of fever is difficult to determine, it is often diagnosed as

  • 47. 
    Drugs, such as aspirin or acetaminophen, are believed to lower the elevated set point regulated by the hypothalamus are called _____. They do not affect body temperature when it is within normal range.

  • 48. 
    Apart from administering antipyretic drugs, name one possible nursing intervention used to lower body temperature.

  • 49. 
    Which type of fever is defined as: the body temperature alternates regularly between a period of fever and a period of normal or subnormal temperature.

  • 50. 
    Which type of fever is defined as: The body temperature fluctuates several degrees more than 2 degrees C (3.6 F) above normal but does not reach normal betwenn fluctuations.

  • 51. 
    Which type of fever is defined as: the body temperature remains consistently elevated and fluctuates less than 2 degrees C (3.6 F)

  • 52. 
    What terms used to describe fever is defined as: The fever returns to normal suddenly

  • 53. 
    What term that describes fever is defined as: The fever retruns to normal gradually.

  • 54. 
    Non-mercury glass thermometers may be either spirit-filled (using a petroleum-based liquid) or alcohol-based; the bulb contains a liquid that _____ with heat and rises within the stem.

  • 55. 
    Some disposable single-use thermometers, that are commonly applied to abdomen or forehead, often of young children and toddlers, have a temperature-senstive patch or tape what changes ______

  • 56. 
    This type of thermometer is swiped across the skin over the respective artery, taking 1000 readings per second and selecting the most accurate.
    • A. 

      Carotid artery thermometer

    • B. 

      Subclavian artery thermometer

    • C. 

      Maxillary artery thermometer

    • D. 

      Temporal artery thermometer

    • E. 

      None of the above


  • 57. 
    Many enironmental and physiologic processes occur in repeated cycles of time, such as _____  _______ which is 24-hour intervals.

  • 58. 
    A throbbing sensation that can be palpated over a peripheral artery or auscultated over the apex of the heart is called a

  • 59. 
    The pulse is regulated by the autonomic nervous system through the cardiac sinoatrial (SA) node. ______ stimulation of the SA node via the vagus nerve decreases the heart rate, and _______ stimulation of the SA node increases the heart rate and force of contraction.
    • A. 

      Sympathetic; somatic

    • B. 

      Sympathetic; parasympathetic

    • C. 

      Parasympathetic; sympathetic

    • D. 

      Parasympathetic; somatic

    • E. 

      None of the above


  • 60. 
    Parasympathetic stimulation of the SA node via the ______ nerve decreases the heart rate.

  • 61. 
    _______ mechanisms attempt to maintain a sufficient supply of blood to the cells at all times.

  • 62. 
    Normal pulse rate for adolescences and adults rangers from _____ to _____ beats per minute.
    • A. 

      60 - 90 bpm

    • B. 

      50 - 100 bpm

    • C. 

      60 - 120 bpm

    • D. 

      50 - 110 bpm

    • E. 

      None of the above


  • 63. 
    What is the term used to describe decreased cardiac filling time, which, in turn, decreases stroke volume and cardiac output, due to rapid rate.

  • 64. 
    Tachycardia is a pulse rate between ____ and ___ bpm. (separate answers with a space)

  • 65. 
    Which of the following does not contribute to tachycardia.
    • A. 

      Medications

    • B. 

      Elevated temperature

    • C. 

      Increased blood pressure

    • D. 

      Anemia

    • E. 

      Prolonged application of heat


  • 66. 
    What is the term used to describe a pulse rate below 60 bpm

  • 67. 
    WHich of the following doesn't contribute to bradycardia
    • A. 

      Obesity

    • B. 

      Medications

    • C. 

      Being alseep

    • D. 

      Being a man

    • E. 

      None of the above


  • 68. 
    Bradycardia is a pulse rate below ___ bpm

  • 69. 
    Sinus bradycardia results from the ____  ____ creating a slower-than-normal impulse rate.

  • 70. 
    Sinus bradycardia is not caused by which of the following:
    • A. 

      TImes when metabolic needs are decreased

    • B. 

      During sleep

    • C. 

      Severe pain

    • D. 

      Hyperthermia

    • E. 

      Vagal stimulation


  • 71. 
    Emergency treatment for severe bradycardia is the administration of _____ intravenously to block vagal stimulation and to restore normal heart rate.

  • 72. 
    The pulse amplitude describes the quality of the pulse in terms of its fullness and reflects the strength of _____ contraction
    • A. 

      Right ventricle

    • B. 

      Left ventricle

    • C. 

      Aorta

    • D. 

      Right atrium

    • E. 

      Left atrium


  • 73. 
    An irregular pattern of heartbeats is called a _____

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