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

50 Questions | Total Attempts: 310

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Study Guide Quizzes & Trivia

Foundations of Nursing By Christensen Kockrow, 6th Edition, pages 71 - 91


Questions and Answers
  • 1. 
    When a patient's condition suddenly deteriorates which is the best site to locate a pulse quickly? 
    • A. 

      Ulnar

    • B. 

      Carotid

    • C. 

      Apical

    • D. 

      Brachial

  • 2. 
    Actual beating of the heart and is normally used when taking the pulse rate of an infant
    • A. 

      Carotid pulse

    • B. 

      Apical pulse

    • C. 

      Brachial pulse

    • D. 

      Radial pulse

  • 3. 
    Represents one cardiac cycle or heartbeat
    • A. 

      Lubb-dupp

    • B. 

      Sytole-dystole

    • C. 

      Cardiac perfusion

    • D. 

      Cardiac tamponade

  • 4. 
    Difference between radial and apical rates
    • A. 

      Radial deficit

    • B. 

      Apical deficit

    • C. 

      Pulse deficit

    • D. 

      Heart rate difference

  • 5. 
    When a patient has a pulse rate above normal, which of the following related data would require further assessment?  
    • A. 

      Digoxin intoxication

    • B. 

      Pain, fear anxiety, low blood pressure

    • C. 

      Pallor or loss of consciousness

    • D. 

      Tissue perfusion

  • 6. 
    Antidysrhythmic medication could cause pulse rates to:
    • A. 

      Go down below normal

    • B. 

      Increase

    • C. 

      Remain the same

    • D. 

      Go up and down

  • 7. 
    Point of Maximal Impulse
    • A. 

      Angle of Louis

    • B. 

      Apical area

    • C. 

      Thoracic region

    • D. 

      Chest cavity

  • 8. 
    Fifth intercostal space, left of the midclavicular line
    • A. 

      Site for apical pulse

    • B. 

      Site for femoral pulse

    • C. 

      Site for popliteal pulse

    • D. 

      Site for radial pulse

  • 9. 
    Location of PMI
    • A. 

      Apex of the heart

    • B. 

      Base of the heart

    • C. 

      Periphery of the heart

    • D. 

      Surface of the heart

  • 10. 
    ‚ÄčExchange of gas at tissue level caused by the process of cellular oxidation (any process wherein the oxygen compound is increased)
    • A. 

      Internal respiration

    • B. 

      External respiration

    • C. 

      Metabolism

    • D. 

      Oxygenation

  • 11. 
    Breathing movements of a patient that a nurse observes
    • A. 

      Inspiration

    • B. 

      Expiration

    • C. 

      Internal respiration

    • D. 

      External respiration

  • 12. 
    The rate of respiration is controlled by:
    • A. 

      Medulla oblongata

    • B. 

      Hypothalamus

    • C. 

      Pituitary gland

    • D. 

      Cerebellum

  • 13. 
    Factors that influence respiration. Select all that apply:
    • A. 

      Nicotine

    • B. 

      Gender

    • C. 

      Acute pain

    • D. 

      Hyperpyrexia

    • E. 

      Sublimation

  • 14. 
    Normal respiratory range for an adult per minute:
    • A. 

      16-30

    • B. 

      10-16

    • C. 

      12-20

    • D. 

      20-40

  • 15. 
    A slow respiratory rate, below 10 per minute
    • A. 

      Tachypnea

    • B. 

      Bradypnea

    • C. 

      Orthopnea

    • D. 

      Dyspnea

  • 16. 
    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. 

      "Short apneic spells of less than 20 seconds are normal in a newborn"

    • B. 

      "You need to talk to the pediatrician immediately"

    • C. 

      "Let me call the supervisor and tell her about it"

    • D. 

      "How is your baby doing?"

  • 17. 
    Amount of air inspired with each breath is ______ ml.
  • 18. 
    The best time to assess a patient's respiration is when:  
    • A. 

      Counting a radial or an apical pulse

    • B. 

      The patient is asleep

    • C. 

      A head to toe assessment is being done

    • D. 

      After a bed bath

  • 19. 
    Pressure exerted by the circulating volume of blood on the arterial walls, the veins, and the chambers of the heart
    • A. 

      Metabolic Pressure

    • B. 

      Air Pressure

    • C. 

      Cardiac Pressure

    • D. 

      Blood Pressure

  • 20. 
    Represents the ventricles contracting, forcing blood into the aorta and the pulmonary arteries It is indicated by the first sound heard on auscultation
    • A. 

      Cardiac Output

    • B. 

      Pulse Pressure

    • C. 

      Diastolic Pressure

    • D. 

      Systolic Pressure

  • 21. 
    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. 

      Diastolic pressure

    • B. 

      Systolic pressure

    • C. 

      Cardiac pressure

    • D. 

      Pulse pressure

  • 22. 
    Pulse Pressure
    • A. 

      Pressure in the radial pulse

    • B. 

      Difference between systolic and diastolic pressures

    • C. 

      Difference between apical and radial pulse

    • D. 

      Pressure in the apical pulse

  • 23. 
    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. 

      An average of 90 mm HG or higher on two or more diastolic readings on at least two subsequent visits is necessary

    • B. 

      An average higher than 140 mm Hg of two or more systolic readings on at least two visits.

    • C. 

      Patient should have a high elevated reading for the past 6 months

    • D. 

      Patient has a chronic elevated reading during a week or more

  • 24. 
    Which of the following are true about orthostatic hypotension? Select all that apply.
    • A. 

      A drop of 25 mm Hg in systolic pressure when person moves from lying to a sitting or from a sitting to a standing position

    • B. 

      A drop of 10 mm Hg in diastolic pressure when a person moves from lying to a sitting or a sitting to a standing position.

    • C. 

      The patient frequently feels light headed and unstable

    • D. 

      Orthostatic hypotension can be caused by excessive excitement

  • 25. 
    When obtaining blood pressure, korotkoff sounds needed to determine the systolic and diastolic pressures are normally listened to at which site?
    • A. 

      Brachial artery

    • B. 

      Radial artery

    • C. 

      Femoral artery

    • D. 

      Carotid artery

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