Documenting Vital Signs

1.

Maria presents with c/o abdominal pain, nausea and vomiting. The physician requests that you obtain a rectal temperature. Her temperature is 102.7. How do you document her temperature?

Correct Answer(s)
T 102.7 (R)
2.

When you take Maria's blood pressue, her systolic pressure is 90 and her diastolic is 50. How do you chart her blood pressure?

Correct Answer(s)
BP 90/50
3.

Maria's respirations are 24. This is a normal range for respirations.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
4.

Correctly document Maria's respirations. The previous question stated that they are 24.

Correct Answer
R 24
5.

Maria has now begun to have diarrhea. It has been 45 minutes since she was given a Tylenol suppository for her fever. The doctor asks you to evaluate her response to the Tylenol by rechecking her temperature. What method will you use?
- A.
  
  Oral
- B.
  
  Axillary
- C.
  
  Rectal
- D.
  
  Aural
Correct Answer(s)
B. Axillary
D. Aural
6.

The temperature recheck is 101.1. How should you document the temperature?

Correct Answer(s)
T 101.1 (T)
T 101.1 (Ax)
7.

Maria's pulse rate is 100. This is a normal pulse rate.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
8.

How do you correctly document Maria's pulse of 100?

Correct Answer
P 100
9.

Martin is 6 months old. You have been tasked to obtain his height and weight. He will not remain still on the scale and you are afraid that he will roll off. You improvise......you weigh his Mom and she is 165.3 pounds. You weigh Mom again while she is holding Martin. Together they weigh 177.8 pounds. How do you document Martin's weight?

Correct Answer
Wt 12.5 lbs
WT 12.5 lbs
10.

To get Martin's height, you lay him on the exam table and mark the paper at the top of his head and his out-stretched heel. You measure the distance between the marks and get 28 inches. Document his height.

Correct Answer
Ht 28"
HT 28"
Ht 2 ft 4 in
HT 2 ft 4 in
Ht 2' 4"
HT 2' 4"
Ht 28 in
HT 28 in

Documenting Vital Signs

Maria presents with c/o abdominal pain, nausea and vomiting. The physician requests that you obtain a rectal temperature. Her temperature is 102.7. How do you document her temperature?

When you take Maria's blood pressue, her systolic pressure is 90 and her diastolic is 50. How do you chart her blood pressure?

Maria's respirations are 24. This is a normal range for respirations.

Correctly document Maria's respirations. The previous question stated that they are 24.

Maria has now begun to have diarrhea. It has been 45 minutes since she was given a Tylenol suppository for her fever. The doctor asks you to evaluate her response to the Tylenol by rechecking her temperature. What method will you use?

The temperature recheck is 101.1. How should you document the temperature?

Maria's pulse rate is 100. This is a normal pulse rate.

How do you correctly document Maria's pulse of 100?

To get Martin's height, you lay him on the exam table and mark the paper at the top of his head and his out-stretched heel. You measure the distance between the marks and get 28 inches. Document his height.