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28 Cards in this Set
- Front
- Back
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Which of the following is not classified as a classic vital sign?
a) pulse b) sensorium c) blood pressure d) repsiratory rate |
b) sensorium
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How often should vital signs be recorded in the non-intensive care hospitalized patient?
a) every hour b) every 2 hours c) every 4 to 6 hours d) every 12 hours |
c) every 4 to 6 hours
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Which if the following statements reguarding vital signs is most accurate?
a) vital signs are used to establish a baseline b) vital signs monitor only response to therapy c) vital signs trends are far more important than a single measurement d) vital signs at beaseline should never be compared to those obtained 24 hours before |
c) vital signs trends are far more important than a single measurement
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Which of the following statements best reflects the importance of comparing change in vital signs?
a) it allows assessment of important subjective patient data b) it allows recognition of the development of a particular problem c) it allows detection of additional symptoms d) it does not allow changes in therapy |
b) it allows recognition of the development of a particular problem
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When vital signs are compared to other signs and symptoms to arrive at a conclusion about what is wrong with the patient, this is known as the:
a) review of systems b) differential diagnosis c) general clinical presentation d) objective assessment information |
b) differential diagnosis
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If dehydrations is suspected in a patient, which of the following parameters should be monitored often?
a) height b) weight c) fluid intake and output d) blood pressure |
c) fluid intake and output
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The patient's general clinical presentation indicates that they are in distress. The first step should be:
a) call a code and stand by to assist with CPR b) do a complete physical examination to determine the precise cause of the stress c) evaluate the problem quickly and intervene or find help d) follow the procedure learned in class to introduce him/herself to the patient and ask the patient what is wrong |
c) evaluate the problem quickly and intervene or locate someone to assist the patient
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A well-written description of initial observations is beneficial because:
a) shows established rapport with patient b) helps them to plan care based on patient's needs c) decreases time of stay and cuts costs d) allows them to read the information quickly |
b) helps them know how to plan care and relate to the patient's needs
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Assessing the patient's LOC is important because it:
a) suggests the types of questions to be asked b) evaluates the adequacy of cerebral effusion and oxygenation c) indicates whether pt will take active role in their care d) documents the mental status at time of physical |
b) evaluates the adequacy of cerebral effusion and oxygenation
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Which of the following scales is the gold standard for assessing trends in the neurological function fo patients who have suffered head trauma?
a) Murray b) PRISM c) APACHE d) Glasgow |
d) Glasgow
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The normal range for oral body temperature in most people is _______deg F to _______deg F
a) 97.0;99.5 b) 96.7; 98.5 c) 98.7;100.5 d) 97.7;98.5 |
a) 97.0;99.5
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Fever is defined as an:
a) infection in the body b) elevation of body temperature above normal c) increase in the oxygen requirements of the body d) elevation of body temperature above normal because of disease |
d) elevation of body temperature above normal because of disease
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What is the most common cause of fever above 102 def F?
a) aspiration pneumonitis b) infection c) blood transfusion reaction d) head injury |
b) infection
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For every 1 deg C elevation in body temperature, oxygen consumption and carbon dioxide production increase by approximately _______%
a) 2 b) 5 c) 10 d) 20 |
c) 10
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Which of the following conditions causes hypothermia?
a) damage to hypothalmus b) excessive shivering a vasoconstriction c) exposure to hot environmental temperatures d) invasion of the body by microorganisms that produce and infection |
a) damage to the hypothalmus
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Which of the following is not considered a typical site for temperature measurement?
a) oral b) rectal c) axillary d) fingertip |
d) fingertip
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What site is used to measure temperature in comatose patients?
a) oral b) axillary c) rectal d) ear |
c) rectal
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Which of the following is the method of choice for measuring temperature in neonates?
a) oral b) rectal c) axillary d) tympanic |
c) axillary
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Which of the following statements is true reguarding oral temperature measurements?
a) they are the most convenient to obtain and are most readily accepted by alert adults b) they are useful in infants c) they are acceptable in orally intubated patients d) they are affected by deliver of oxygen by nasal cannula |
a) they are the most convenient to obtain and are most readily accepted by alert adults
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What is the main advantage of tympanic thermometry over the classic forms of temperature measurement?
a) it is fast and noninvasive b) multiple studies have shown a high correlation with core temperature c) it is the preferred method of temperature measurement in teh pediatric population d) it uses infrared emissions from teh surface fo the tympanic membran and is not in contact with skin or other tissue |
a) it is fast, clean and non-invaqsive
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Which of the following reasons has been listed as the number one concern reguarding use of the tymapnic site for body temperature measurement?
a) speed b) safety c) accuracy d) cost |
c) accuracy
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The normal pulse rate for adults is _______ beats/min
a) 60-100 b) 70-110 c) 80-120 d) 90-160 |
a) 60-100
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A pulse rate above the normal range is a definition of which of the following terms?
a) tachypnea b) arrythmia c) bradycardia d) tachycardia |
d) tachycardia
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What is am important reason to monitor the heart rate in patients with lung disease?
a) a heart rate above or below normal range is dangerous b) as the heart rate increases, the tissues demand for oxygen increases c) the more efficiently the heart is pumping, the lower is the resting pulse rate d) tachycardia is a common finding when hypoxemia is present |
d) tachycardia is a commone finding when hypoxemia is present
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Which of the following characteristics should be included in the assessment of a patient's pulse?
a) age rate and strength b) rate, rhythm and strength c) age, rhythm and status d) stength, amplitude and volume of pulse |
b) rate, rhytm and strength
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Which of the following arteries is most appropraite for measuring the pulse of a patient with very low blood pressure?
a) radial artery b) popliteal artery c) brachial artery d) femoral artery |
d) femoral artery
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What term is used ot describe a significant decrease in pulse pressure during spontaneous inspiration?
a) pulsus alternans b) pulsus paradoxus c) pulsus respiratory d) pulsus asymmetrical |
b) pulsus paradoxus
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An alternating succession of strong and weak pulses that usually is not related to respiratory disease is known as pulsus:
a) tardus b) alternans c) paradoxus d) asymmetrical |
b) alternans
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