Vital Signs NCLEX Questions: Practice For Perfect Scores

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Vital Signs NCLEX Questions: Practice For Perfect Scores - Quiz


Want to test your nursing knowledge? Our quiz containing the Vital Signs NCLEX Questions is perfect for anyone looking to grasp the basics of vital signs, a fundamental aspect of nursing and healthcare. Vital signs are critical indicators that provide quick snapshots of a patient's health. They include body temperature, pulse rate, respiratory rate, and blood pressure. Understanding these signs is crucial for assessing the overall condition of a patient and making informed medical decisions.

In this quiz, you'll encounter fundamentals of nursing vital signs practice questions designed to test your knowledge and deepen your understanding of how to measure Read moreand interpret these vital signs accurately. Each question is crafted to enhance your learning and prepare you for practical scenarios you might face in a healthcare setting.


Vital Signs NCLEX Questions and Answers

  • 1. 

    To ensure the best reception of sound, in which direction should the earpieces of the stethoscope point when in place?

    • A.

      Away from your face when the stethoscope is in place

    • B.

      Towards your face when the stethoscope is in place

    • C.

      Parallel to the temporal lobe of the head

    • D.

      Perpendicular to the occiput

    Correct Answer
    B. Towards your face when the stethoscope is in place
    Explanation
    When using a stethoscope, the earpieces should point toward your face when the stethoscope is in place to ensure optimal sound reception. This orientation aligns the earpieces with the natural direction of the ear canal, allowing sound waves to travel directly into the ear without obstruction. Proper alignment minimizes external noise interference and enhances the clarity of the sounds from the heart, lungs, or other body parts being examined. This setup is crucial for accurate diagnosis and effective monitoring.

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  • 2. 

    Which are the major parts of the stethoscope? (Check all that apply)

    • A.

      Earpieces

    • B.

      Tubing

    • C.

      Chest piece

    • D.

      Binaural

    Correct Answer(s)
    A. Earpieces
    B. Tubing
    C. Chest piece
    D. Binaural
    Explanation
    A stethoscope consists of several key components that work together to transmit sound from the patient to the healthcare provider's ears. The earpieces fit into the ears to isolate sound. The tubing connects the earpieces to the rest of the stethoscope and carries the sound waves. The chest piece usually consists of a diaphragm and/or a bell that picks up sound from the body. The binaural are the metal tubes to which the earpieces are attached; they separate the sound paths to each ear, aiding in sound clarity and direction. Each component is crucial for the stethoscope’s function.

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  • 3. 

    Which definition most accurately describes vital signs?

    • A.

      Signs and symptoms of a disease

    • B.

      An indication of basic body functioning

    • C.

      A part of human composition

    • D.

      Physiology and anatomy

    Correct Answer
    B. An indication of basic body functioning
    Explanation
    Vital signs are measurements that indicate the state of a person's essential body functions. These include body temperature, pulse rate (or heart rate), respiration rate (or breathing rate), and blood pressure. They are called "vital" because they are indicators of critical bodily functions that are necessary for life. Monitoring these signs helps healthcare providers assess the general physical health of a person, detect possible diseases, and determine the necessity of further medical treatment. This makes vital signs fundamental in medical assessments both in clinical settings and in emergency care.

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  • 4. 

    When body temperature falls below 93.2 degrees Fahrenheit, what extreme condition is the person suffering from?

    • A.

      Hyperthermia

    • B.

      Hypothermia

    • C.

      Orthopnea

    • D.

      Dyspnea

    Correct Answer
    B. Hypothermia
    Explanation
    Hypothermia occurs when the body loses heat faster than it can produce it, causing the body temperature to fall below the normal range. A body temperature below 93.2 degrees Fahrenheit indicates severe hypothermia. This condition can be life-threatening and requires immediate medical attention. Hypothermia can lead to several health complications, including frostbite, heart problems, respiratory issues, and in extreme cases, death. It's vital to recognize the symptoms early and respond promptly to prevent further decline in body temperature and associated risks.

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  • 5. 

    At which time of day would we typically record the lowest body temperature?

    • A.

      4 pm to 6 pm

    • B.

      4 am to 6 am

    • C.

      8 pm to 12 midnight

    • D.

      1 am to 4 am

    Correct Answer
    B. 4 am to 6 am
    Explanation
    The human body follows a circadian rhythm that affects various physiological processes, including body temperature. Typically, the lowest body temperature occurs during the early morning hours, around 4 am to 6 am. This drop in temperature is due to the decreased metabolic rate and the reduction in physical activity during the sleep cycle. Recognizing this natural dip is important for assessing temperature readings accurately and can also aid in diagnosing abnormal temperature fluctuations that may indicate illness.

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  • 6. 

    What is the difference between the Bell and the Diaphragm portions of the chest piece in a stethoscope?

    • A.

      Diaphragm is circular and flat surfaced, bell is bowl-shaped.

    • B.

      Bell is circular and flat-surfaced, and the diaphragm is bowl-shaped.

    • C.

      Bell and diaphragm have the same shape.

    • D.

      Bell transmits high-pitched sounds.

    Correct Answer
    A. DiapHragm is circular and flat surfaced, bell is bowl-shaped.
    Explanation
    The chest piece of a stethoscope includes two parts: the diaphragm and the bell. The diaphragm is a larger, flat, circular piece used to listen to high-frequency sounds such as heartbeats and normal breath sounds. In contrast, the bell is smaller, concave or bowl-shaped, and is used to pick up lower-frequency sounds like certain heart murmurs or abnormal lung sounds. The design differences between these two parts allow healthcare providers to hear a broad range of bodily sounds by simply alternating the pressure and the part of the chestpiece they use.

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  • 7. 

    Why do acute pain and anxiety increase pulse rates?

    • A.

      Sympathetic nerves are suppressed

    • B.

      Parasympathetic nerves are suppressed

    • C.

      Parasympathetic nerves are stimulated

    • D.

      Sympathetic nerves are stimulated

    Correct Answer
    D. Sympathetic nerves are stimulated
    Explanation
    Acute pain and anxiety trigger the body's fight-or-flight response, which is controlled by the sympathetic nervous system. When this system is activated, it releases stress hormones like adrenaline, leading to an increase in heart rate, among other physiological changes. This response prepares the body to either confront or flee from perceived threats. The stimulation of sympathetic nerves rapidly accelerates heart rate to ensure that blood is quickly circulated to vital organs and muscles, providing the energy and oxygen needed to respond to the stressor.

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  • 8. 

    A student nurse needs more training when taking care of a patient with an abnormal body temperature if he/she does which of the following?

    • A.

      Monitor the patient's temperature at least every 4 hours or PRN.

    • B.

      Discourages a patient from drinking fluids to avoid excessive activity

    • C.

      Cover the patient with more blankets, and close room doors or windows.

    • D.

      Further, assess for the possible site of localized infection

    Correct Answer
    B. Discourages a patient from drinking fluids to avoid excessive activity
    Explanation
    Discouraging a patient from drinking fluids, especially when they have an abnormal body temperature, is incorrect and could be harmful. Hydration is crucial for regulating body temperature and supporting overall health, particularly in cases of fever or hypothermia. Dehydration can worsen the patient's condition by thickening the blood and reducing the body's ability to regulate temperature. Adequate fluid intake helps to maintain blood volume and allows efficient heat transfer within the body. This oversight in care indicates a need for further training in basic patient management and care principles.

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  • 9. 

    What is the term for a pulse rate faster than 100 beats per minute?

    • A.

      Bradycardia

    • B.

      CVA

    • C.

      Tachycardia

    • D.

      Orthopnea

    Correct Answer
    C. Tachycardia
    Explanation
    Tachycardia refers to a condition where the heart rate exceeds 100 beats per minute when at rest. It can result from various factors, including stress, anxiety, fever, heart conditions, or the use of certain medications. Tachycardia can be a normal physiological response to situations that increase the body's demand for oxygen, such as exercise or emotional distress. However, when observed without an obvious reason, it may indicate an underlying health issue that requires medical evaluation. Monitoring and managing heart rate is crucial for maintaining cardiovascular health and preventing complications.

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  • 10. 

    What classification is given to an adult blood pressure reading of 120/80 mm Hg?

    • A.

      Prehypertension

    • B.

      Hypotensive

    • C.

      Normal

    • D.

      Hypertensive

    Correct Answer
    C. Normal
    Explanation
    A blood pressure reading of 120/80 mm Hg in adults is considered normal. This measurement comprises two numbers: 120 mm Hg systolic (the pressure when the heart beats and pumps blood) and 80 mm Hg diastolic (the pressure when the heart is at rest between beats). These figures are within the standard range for healthy blood pressure, indicating efficient heart function and vascular health. Maintaining blood pressure within this range helps to prevent cardiovascular diseases and supports overall long-term health. Regular monitoring can ensure that any deviations are noticed and managed promptly.

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  • 11. 

    What is the term for a pulse rate slower than 60 beats per minute?

    • A.

      Bradycardia

    • B.

      CVA

    • C.

      Tachycardia

    • D.

      Orthopnea

    Correct Answer
    A. Bradycardia
    Explanation
    Bradycardia is defined as a slower-than-normal heart rate, typically fewer than 60 beats per minute in a resting adult. It can be a normal finding in well-trained athletes who have a more efficient cardiovascular system, or it could be indicative of an underlying health issue. Conditions that can cause bradycardia include problems with the heart's electrical system, hypothyroidism, or the effects of certain medications. While not always problematic, if bradycardia is accompanied by symptoms like dizziness, fatigue, or fainting, it may require medical evaluation and intervention.

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  • 12. 

    Which condition may produce a subnormal temperature?

    • A.

      Cerebral palsy

    • B.

      Infection

    • C.

      Hypothyroidism

    • D.

      Fever

    Correct Answer
    C. Hypothyroidism
    Explanation
    Hypothyroidism, a condition where the thyroid gland is underactive and does not produce enough thyroid hormones, can lead to a subnormal body temperature. Thyroid hormones play a critical role in regulating metabolism, and a deficiency can slow metabolic processes, resulting in reduced heat production by the body. This can cause the body temperature to drop below the normal range. Other symptoms of hypothyroidism include fatigue, weight gain, and cold intolerance. Monitoring and treating hypothyroidism are important for maintaining overall health and preventing further complications.

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  • 13. 

    Which of the following traits are typical among the elderly? (Check all that apply)

    • A.

      Infection is often afebrile

    • B.

      Heart sounds are muffled

    • C.

      Skin is more fragile

    • D.

      Decreased heart rate at rest

    • E.

      Libido is normally heightened

    Correct Answer(s)
    A. Infection is often afebrile
    B. Heart sounds are muffled
    C. Skin is more fragile
    Explanation
    In the elderly, several physiological changes occur that are typical and expected. For instance, infections may present without fever (afebrile), due to a decreased immune response. Heart sounds can become muffled as a result of increased chest wall thickness or changes in heart function. Additionally, the skin becomes more fragile with age due to a decrease in elasticity and thinning of the dermis. These traits highlight the need for careful monitoring and adaptation of healthcare practices to accommodate the unique medical needs of older adults.

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  • 14. 

    When measuring the rectal temperature of an adult, how deep would the thermometer probe be inserted into the rectum?  

    • A.

      1.5 inches

    • B.

      2.5 inches

    • C.

      0.5 inches

    • D.

      1.5 centimeters

    Correct Answer
    A. 1.5 inches
    Explanation
    When measuring the rectal temperature of an adult, the thermometer probe should be inserted into the rectum to a depth of approximately 1 to 1.5 inches, or about 2.5 to 4 centimeters. This depth is sufficient to obtain an accurate reading of the core body temperature, as the rectal mucosa is highly vascular and provides a good reflection of the body's internal temperature.

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  • 15. 

    What is the most appropriate position for obtaining a rectal temperature in an adult?

    • A.

      Supine

    • B.

      Fowler's

    • C.

      Sim's

    • D.

      Lateral

    Correct Answer
    C. Sim's
    Explanation
    The Sim's position is considered the most appropriate and effective for obtaining a rectal temperature in adults. This position involves the patient lying on their left side with the right knee bent toward the chest and the left arm positioned behind the body. This positioning not only provides easy access to the rectum but also helps relax the anal sphincter, facilitating the safe and comfortable insertion of the thermometer. The Sim's position is commonly used in clinical settings due to its effectiveness in maintaining patient dignity while allowing accurate temperature measurement.

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  • 16. 

    What kind of temperature would the lower axilla record when an infant is in a side-lying position using an electronic axillary thermometer?

    • A.

      Higher temperature

    • B.

      Lower temperature

    • C.

      Consistent temperature

    • D.

      Variable temperature

    Correct Answer
    B. Lower temperature
    Explanation
    When measuring an infant's temperature in a side-lying position using an axillary (underarm) thermometer, the lower axilla tends to record a lower temperature. This occurs because the arm positioned against the body may reduce airflow and exposure, leading to slightly higher temperatures on that side due to trapped body heat. Conversely, the lower axilla, with potentially more exposure to the surrounding air, records a lower temperature. This variation highlights the importance of proper technique and positioning in obtaining accurate temperature readings from different body sites.

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  • 17. 

    Which structure acts as the regulator of body temperature?

    • A.

      Medulla

    • B.

      Sebaceous glands

    • C.

      Hypothalamus

    • D.

      Wernicke's area

    Correct Answer
    C. Hypothalamus
    Explanation
    The hypothalamus plays a crucial role in regulating body temperature, functioning as the body's thermostat. Located in the brain, it receives and processes information from the nervous system about the body's current temperature. If the temperature deviates from a set point (typically around 98.6°F or 37°C), the hypothalamus initiates processes to adjust it. This includes mechanisms such as sweating to cool down or shivering to generate heat, maintaining a stable internal environment despite external temperature changes. This regulatory function is vital for ensuring normal bodily functions and maintaining homeostasis.

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  • 18. 

    By how many beats per minute will the pulse rate increase with a rise of 1 degree Fahrenheit in temperature?

    • A.

      3

    • B.

      10

    • C.

      5

    • D.

      6

    Correct Answer
    A. 3
    Explanation
    Typically, a rise in body temperature by 1 degree Fahrenheit results in an increase in pulse rate by about 3 beats per minute. This physiological response is due to the body's effort to manage the increased metabolic rate associated with higher temperatures. As the body heats up, metabolic processes accelerate, requiring more oxygen and nutrients to be transported via the bloodstream. Consequently, the heart works harder to meet these demands, resulting in an increased pulse rate. This relationship is important for clinicians to monitor, as changes in temperature and pulse can indicate health status changes.

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  • 19. 

    How should a tympanic thermometer be inserted into an adult's ear to ensure correct placement and get an accurate reading?

    • A.

      Perpendicular to the head

    • B.

      Pulling pinna upward

    • C.

      Figure-8 fashion

    • D.

      Pulling pinna downward

    Correct Answer
    B. Pulling pinna upward
    Explanation
    For an accurate reading with a tympanic thermometer, which measures temperature from the ear, the correct technique in adults involves pulling the pinna (the outer part of the ear) upward and backward. This maneuver straightens the ear canal, allowing the thermometer to be inserted directly towards the eardrum without obstruction. Proper alignment is crucial because it ensures the infrared sensor in the thermometer can accurately detect the heat emanating from the eardrum, reflecting the body’s core temperature. Incorrect positioning can lead to inaccurate readings, potentially impacting clinical decisions.

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  • 20. 

    Which of the following are possible causes of tachycardia? (Check all that apply)

    • A.

      Shock

    • B.

      Hemorrhage leading to hypovolemia

    • C.

      Epinephrine

    • D.

      Unrelieved severe pain

    Correct Answer(s)
    A. Shock
    B. Hemorrhage leading to hypovolemia
    C. EpinepHrine
    D. Unrelieved severe pain
    Explanation
    Tachycardia, or an abnormally high heart rate, can be caused by various factors:
    Shock: This causes the heart to speed up to compensate for decreased blood pressure and ensure vital organs receive blood.
    Hemorrhage leading to hypovolemia: Loss of blood decreases blood volume, causing the heart to pump faster to distribute limited blood more efficiently.
    Epinephrine: This hormone, released during stress, naturally stimulates the heart rate.
    Unrelieved severe pain: Pain can trigger the sympathetic nervous system, increasing heart rate as part of the body's stress response.
    Understanding these triggers is crucial for managing and treating tachycardia effectively.

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  • 21. 

    When temperatures are compared with normal temperature ranges, what is normally revealed?  

    • A.

      Medical history of the patient

    • B.

      Presence of abnormalities

    • C.

      The need to repeat the reading

    • D.

      Accurate vital signs

    Correct Answer
    B. Presence of abnormalities
    Explanation
    Comparing body temperatures to normal ranges is crucial for assessing health. Normal body temperature hovers around 98.6°F (37°C), but variations occur based on factors like age and time of day. Deviations from these norms signal potential abnormalities. An elevated temperature may indicate fever and infection, while a low temperature can suggest hypothermia. This comparison guides healthcare professionals in identifying early signs of illness and informs appropriate interventions, emphasizing the importance of body temperature as a key vital sign in monitoring overall health.

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  • 22. 

    Which of the following are possible causes of bradycardia? (Check all that apply)

    • A.

      Pain

    • B.

      Beta-blockers

    • C.

      Supine position

    • D.

      Sleeping

    Correct Answer(s)
    B. Beta-blockers
    D. Sleeping
    Explanation
    Bradycardia, characterized by a slower-than-normal heart rate, can be caused by:
    Beta-blockers: These medications are commonly prescribed to manage heart conditions and hypertension. They work by slowing down the heart rate as they inhibit the action of adrenaline on the heart.
    Sleeping: During sleep, the body’s metabolic rate decreases, and there is less demand for oxygen, which often results in a lower heart rate. This is a normal physiological response.
    Pain typically increases heart rate rather than decreasing it, and the supine position does not generally cause bradycardia unless associated with specific medical conditions.

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  • 23. 

    What do the colored probes of an electronic thermometer indicate?

    • A.

      Blue and red are both for rectal.

    • B.

      Blue and red are both for oral.

    • C.

      Blue is for rectal, and red is for oral.

    • D.

      Blue is for oral, and red is for rectal.

    Correct Answer
    D. Blue is for oral, and red is for rectal.
    Explanation
    In medical settings, electronic thermometers often use color-coded probes to prevent cross-contamination between different methods of temperature measurement. The blue probe is typically used for oral temperature measurements, while the red probe is used for rectal temperature measurements. This color-coding helps healthcare providers quickly and safely select the correct probe for the intended method of temperature measurement.

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  • 24. 

    Does decreased efficiency of respiratory muscles result in breathlessness at low exercise levels?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Decreased efficiency of respiratory muscles, such as those found in conditions like muscular dystrophy or chronic obstructive pulmonary disease (COPD), can lead to breathlessness during low levels of exercise. As these muscles weaken, their ability to expand and contract the lungs efficiently diminishes, reducing the lung capacity and the body's ability to intake oxygen and expel carbon dioxide effectively. This scenario forces the individual to experience shortness of breath even during mild physical activities that normally wouldn't challenge the respiratory system significantly. This breathlessness is a critical factor in managing physical activity and medical treatment for affected individuals.

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  • 25. 

    Which factors affect body temperature? (Select all that apply)

    • A.

      Stress

    • B.

      Age

    • C.

      Hormones

    • D.

      Smoking

    • E.

      Height

    Correct Answer(s)
    A. Stress
    B. Age
    C. Hormones
    D. Smoking
    Explanation
    Several factors influence body temperature, reflecting a complex interaction between physiological processes and external conditions. Stress can elevate body temperature by increasing metabolic rate and the production of hormones like cortisol and adrenaline, which prepare the body for a "fight or flight" response. Age also plays a role; infants and elderly individuals often have less stable body temperatures due to their bodies' differing abilities to regulate heat. Hormonal changes, such as those during the menstrual cycle or from thyroid dysfunction, can cause fluctuations in body temperature due to their impact on metabolism. Additionally, smoking influences body temperature through its effects on blood flow and metabolic rate, with substances like nicotine altering the body’s thermoregulatory processes. Each of these factors contributes uniquely to how the body manages its core temperature, highlighting the complexity of temperature regulation in different environmental and physiological contexts.

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  • 26. 

    What does the volume of the pulse refer to?

    • A.

      Amount of blood pushing against the wall of the artery with each beat

    • B.

      Amount of beats that the heart exerts every time we breath

    • C.

      Amount of dubs that we hear every time we expire and inspire

    • D.

      Amount of blood that circulates through the cardio-pulmonary system

    Correct Answer
    A. Amount of blood pushing against the wall of the artery with each beat
    Explanation
    The volume of the pulse, often referred to in clinical settings, measures the force with which blood is pushed against the walls of the arteries with each heartbeat. This pulse volume gives healthcare providers an insight into the heart's pumping efficiency and the arterial wall's condition. A strong pulse indicates a healthy amount of blood being pumped with each beat, whereas a weak pulse may suggest issues with cardiac output or blockages in the arteries. Monitoring pulse volume is crucial for assessing cardiovascular health and can guide interventions if irregularities are detected.

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  • 27. 

    Which method is considered the least accurate for measuring temperature?

    • A.

      Axillary

    • B.

      Tympanic

    • C.

      Rectal

    • D.

      Oral

    Correct Answer
    A. Axillary
    Explanation
    The axillary (underarm) method of measuring body temperature is generally considered the least accurate compared to other methods like oral, rectal, or tympanic (ear). This inaccuracy is due to the axillary area's exposure to external conditions, which can significantly influence the temperature reading. For example, the underarm might not be fully closed against the body, allowing ambient air to affect the thermometer's sensor. Additionally, sweat and improper placement of the thermometer can lead to less reliable readings. While convenient and non-invasive, the axillary method is best used for quick screenings rather than precise measurements.

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  • 28. 

    Which of the following statements about temperature readings is true?

    • A.

      Axillary readings are 1 degree Fahrenheit higher than oral readings.

    • B.

      Rectal readings are 1 degree Fahrenheit lower than oral readings.

    • C.

      Axillary readings are 1 degree Fahrenheit lower than oral readings.

    • D.

      Rectal readings are 1 degree Fahrenheit higher than oral readings.

    Correct Answer(s)
    C. Axillary readings are 1 degree Fahrenheit lower than oral readings.
    D. Rectal readings are 1 degree Fahrenheit higher than oral readings.
    Explanation
    Temperature readings vary depending on the method used, with each site having typical differences due to the body's varied heat distribution. Axillary (underarm) temperature readings tend to be about 1 degree Fahrenheit lower than oral readings because the underarm is an external part of the body and not as influenced by core temperature. Conversely, rectal temperatures are generally considered about 1 degree Fahrenheit higher than oral temperatures because this method measures closer to the core body temperature, providing a slightly higher reading. This knowledge is crucial for interpreting temperature readings correctly in medical settings.

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  • 29. 

    What are constant, remittent, and intermittent classifications of?

    • A.

      Pain

    • B.

      Fever

    • C.

      Headache

    • D.

      Anxiety

    Correct Answer
    B. Fever
    Explanation
    The terms constant, remittent, and intermittent are classifications used primarily to describe the patterns of fever, helping to differentiate how body temperature fluctuates over time in response to underlying conditions. A constant fever maintains a consistently elevated temperature without significant fluctuation throughout the day. Remittent fever is noted for temperatures that vary more significantly, typically over 2 degrees Fahrenheit within a 24-hour period, yet without returning to normal levels. Intermittent fever is characterized by episodes of elevated temperatures that drop back to normal or even subnormal between episodes. These classifications are crucial for medical professionals as they can provide insights into the potential causes of the fever and guide further diagnostic and therapeutic measures. Each pattern may suggest different underlying health issues, ranging from infections to autoimmune diseases, and understanding them helps in tailoring the most effective treatment approaches.

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  • 30. 

    Upon admission, who is the most appropriate person to check a patient's vital signs?

    • A.

      RN

    • B.

      LPN

    • C.

      PCT

    • D.

      CNA

    Correct Answer
    A. RN
    Explanation
    Upon a patient's admission to a healthcare facility, a Registered Nurse (RN) is typically the most appropriate professional to check the patient's vital signs. RNs are highly trained in assessing and interpreting vital signs, which include temperature, pulse, respiration rate, and blood pressure. Their extensive training and scope of practice allow them to not only record these measurements but also to evaluate the results in the context of the patient's overall health status. This initial assessment is crucial as it can determine immediate care priorities and potential interventions. Furthermore, RNs are equipped to handle any abnormalities detected during this initial check, providing a comprehensive and safe approach to patient care right from admission.

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  • 31. 

    What is considered the 5th vital sign?

    • A.

      Height and weight

    • B.

      Respiration

    • C.

      Body mass index

    • D.

      Pain

    Correct Answer
    D. Pain
    Explanation
    Pain is commonly referred to as the 5th vital sign in medical settings, highlighting its importance in patient assessments. This designation emphasizes that pain should be measured with the same priority and frequency as traditional vital signs like heart rate, blood pressure, respiratory rate, and temperature. Recognizing and evaluating pain systematically allows healthcare providers to address and manage it effectively, improving patient outcomes and comfort. The inclusion of pain as a vital sign reflects a broader understanding of its critical role in diagnosing conditions, monitoring treatment effectiveness, and ensuring holistic care.

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  • 32. 

    Why do older adults experience an increase in systolic pressure?

    • A.

      Increased vessel flexibility

    • B.

      Decreased vessel elasticity

    • C.

      Enlarged vessel dexterity

    • D.

      Diminished vessel porosity

    Correct Answer
    B. Decreased vessel elasticity
    Explanation
    As individuals age, their blood vessels tend to lose elasticity due to changes in the connective tissue that makes the vessel walls less compliant. This decreased elasticity means that the vessels cannot expand as readily when blood is pumped through them by the heart, particularly during systole, which is when the heart pumps blood out into the arteries. Consequently, this resistance to expansion causes an increase in systolic pressure. High systolic pressure in older adults is a common issue and can contribute to the risk of cardiovascular diseases, making monitoring and managing blood pressure an essential aspect of healthcare for the elderly.

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  • 33. 

    Which of the following statements about fever is not true?

    • A.

      Fever is a sign of illness.

    • B.

      It is the same as pyrexia or hyperthermia.

    • C.

      It is reflected through an increase in body temperature.

    • D.

      It does not do anything to defend the body.

    Correct Answer
    D. It does not do anything to defend the body.
    Explanation
    The statement that fever "does not do anything to defend the body" is incorrect. Fever is actually a natural defense mechanism against infection. When the body detects a threat such as bacteria or viruses, the immune system responds by releasing chemicals that increase body temperature. This elevated temperature can inhibit the growth of pathogens and enhance the body’s immune response by speeding up the production of white blood cells and other factors. This makes fever a beneficial response in many cases, aiding the body in fighting off infections more effectively.

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  • 34. 

    Which instrument is placed against a patient's chest to hear both lung and heart sounds?

    • A.

      Stethoscope

    • B.

      Sphygmomanometer

    • C.

      Otoscope

    • D.

      Telescope

    Correct Answer
    A. Stethoscope
    Explanation
    A stethoscope is the primary tool used by healthcare providers to listen to lung and heart sounds. It consists of a chest piece that picks up sound vibrations from the body, tubes that carry the sound to the earpieces, and earpieces that allow the user to hear these sounds clearly. This instrument is vital for performing physical assessments, allowing medical professionals to detect normal and abnormal sounds in the heart and lungs. These sounds can provide critical information about a patient’s cardiovascular and respiratory health, aiding in diagnosis and monitoring.

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  • 35. 

    What is the normal temperature range of 96.0 to 99.5 degrees Fahrenheit for which age group?

    • A.

      Toddler

    • B.

      Adolescent

    • C.

      Neonate

    • D.

      Adult

    Correct Answer
    D. Adult
    Explanation
    The normal body temperature range of 96.0 to 99.5 degrees Fahrenheit typically applies to adults. Adult body temperatures can vary slightly based on various factors, including the time of day, the individual’s activity level, and the method of measurement (oral, rectal, tympanic, etc.). This range represents what is considered normal for a healthy adult, with slight variations not usually indicating serious health issues. Understanding these normal ranges is crucial for accurately assessing an adult's health status and determining when a deviation might suggest a need for medical attention.

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  • Current Version
  • Nov 18, 2024
    Quiz Edited by
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  • Feb 17, 2013
    Quiz Created by
    Arnoldjr2
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