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Fund Exam 2: Ch. 16 11th Edition

Quiz by Darwin

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34 questions
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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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    60s
  • Q4

    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

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