
Fund Exam 2: Ch. 16 11th Edition
Quiz by Darwin
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- Q1
A nurse takes a patients vital signs. Which of the following is considered a vital sign?
mental status
visual acuity
blood pressure
urinary output
60s - Q2
Which of the following patients should have their vital signs monitored at least every 4 hours?
a patient in a critical care unit
a patient hospitalized for high blood pressure
a resident in a long-term care facility
a long-term care resident on Medicare A
60s - Q3
In which of the following situations is it protocol for the nurse to take a patients vital signs? Select all that apply.
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A nurse has an order to take the core temperature of a patient. At which of the following sites would a core body temperature be measured?
tympanic
oral
axillary
skin surface
60s - Q5
Which of the following is the primary source of heat in the body?
hormones
metabolism
blood circulation
muscles
60s - Q6
A nurse places a fan in the room of a patient who is overheated. This is an example of heat loss related to which of the following mechanisms of heat transfer?
evaporation
radiation
conduction
convection
60s - Q7
Which of the following is an average normal temperature in Centigrade for a healthy adult?
oral: 37.0C
rectal: 36.5C
axillary: 37.5C
tympanic: 34.4C
60s - Q8
What anatomic site regulates the pulse rate and force?
thermoregulatory center
cardiac sinoatrial node
cardiac atria and valves
peripheral chemoreceptors
60s - Q9
A patient is constipated and trying to have a bowel movement. How does holding the breath and pushing down (the Valsalva maneuver) affect the pulse?
left ventricle pumps more forcefully; pulse is stronger
stimulates the vagus nerve to increase the rate
stimulates the vagus nerve to decrease the rate
right ventricle is less efficient; pulse is thready
60s - Q10
The arterial blood gases for a patient in shock demonstrate increased carbon dioxide and decreased oxygen. What type of respirations would the nurse expect to assess based on these findings?
absent and infrequent
shallow and slow
rapid and deep
noisy and difficult
60s - Q11
A nurse walks into a patients room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
Take vital signs again in 15 to 30 minutes.
Document the data and report it later.
Ask the patient if he is anxious or afraid.
Report findings to the physician immediately.
60s - Q12
Which of the following pathologic conditions would result in release of ADH by the posterior pituitary?
hemorrhage
allergies
obesity
asthma
60s - Q13
A student is reading the medical record of an assigned patient and notes the patient has been afebrile for the past 12 hours. What does the term afebrile indicate?
normal body temperature
decreased body temperature
increased body temperature
fluctuating body temperature
60s - Q14
A nurse is assessing a patient who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would be likely?
bradycardia
tachycardia
dysrhythmia
bigeminal
60s - Q15
While assessing vital signs of a patient with a head injury and increased intracranial pressure (IICP), a nurse notes that the patients respiratory rate is 8 breaths/min. How will the nurse interpret this finding?
bradypnea is uncommon in patient with IICP
IICP most commonly results in tachypnea
bradypnea is a response to IICP
this is a normal respiratory rate
60s