105 Questions
Which of the following is the most reliable method used to measure heart rate?
Auscultation
Which pulse site is commonly used during routine measurement of heart rate?
Radial
Which of the following is true about the respiratory rate?
Normal respiratory rate is 12-20 rpm
Which pulse site is used to measure blood pressure?
Brachial
Which pulse site is used when the radial pulse is not accessible?
Temporal
Which pulse site determines leg circulation?
Femoral
Which of the following is true about fever?
Fever is the term to indicate an elevated body temperature
Which of the following is NOT considered a vital sign?
Oxygen Saturation (SpO2)
When should vital signs be measured?
All of the above
What is the normal range for body temperature in Fahrenheit?
97.0° to 99.5°F
What is the normal range for body temperature in Celsius?
36.0° to 37.5°C
Which site is commonly used to measure body temperature?
Oral
What is the equivalent temperature range for axillary measurement in Fahrenheit?
97.5°
What is the equivalent temperature range for tympanic membrane measurement in Celsius?
36.4°
Which one of the following is a characteristic of hypotension?
Blood pressure suddenly falls 20 mm Hg to 30 mm Hg below the patient's normal BP
What is the normal range for oxygen saturation?
96-100%
What does a CRT longer than 2 seconds suggest?
Poor perfusion due to peripheral vasoconstriction
Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?
Cheyne-Stokes
What are two widely used pain scales?
Numerical Scale and Wong-Baker FACES Pain Rating Scale
What is the correct formula for calculating the respiratory rate?
Count the number of breaths for 1 minute
What is the purpose of a medical record?
All of the above
What is the difference between systolic and diastolic blood pressure readings?
Systolic pressure is the pressure during the active phase of ventricular contraction, while diastolic pressure is the pressure of blood within the arteries when the ventricles are at rest
What is the purpose of the SBAR technique?
All of the above
What are Korotkoff sounds?
Sounds heard while taking blood pressure with a sphygmomanometer over the brachial artery
What does SOAP charting stand for?
Subjective, Objective, Assessment, Plan
Where should the cuff be placed when measuring blood pressure?
On the brachial pulse site
What does charting by exception involve?
Charting only abnormal assessment findings or care that deviates from a standard norm
How should the cuff be inflated when measuring blood pressure?
Inflate the cuff 30 mmHg beyond the previously obtained baseline measurement
What is a Kardex used for?
To provide a quick reference for current information centrally at the nursing station
What is considered high blood pressure?
Systolic reading consistently above 130 or a diastolic reading consistently over 80
What is the normal range for heart rate in beats per minute (bpm)?
80-100 bpm
Which pulse site is commonly used to measure blood pressure?
Brachial pulse
What is the most reliable method used to measure heart rate?
Auscultation
What is the normal range for respiratory rate in ventilations per minute (rpm)?
16-20 rpm
Which of the following is NOT a factor to assess in respiratory rate?
Temperature
What is the equivalent temperature range for oral measurement in Fahrenheit?
98-100°F
What is the correct formula for calculating pulse deficit?
Apical pulse rate - Radial pulse rate
Which of the following is NOT considered a vital sign?
Temperature
What is the normal range for body temperature in Celsius?
36.0°C to 37.5°C
What is the equivalent temperature range for rectal measurement in Fahrenheit?
98.5°F to 99.0°F
Which pulse site is commonly used during routine measurement of heart rate?
Radial
What is the purpose of a medical record?
To communicate with other healthcare providers
What does a CRT longer than 2 seconds suggest?
Dehydration
What is the correct formula for converting Fahrenheit to Celsius?
$C = (F - 32) \times \frac{5}{9}$
Which of the following is a characteristic of Cheyne-Stokes respiration?
Periods of apnea and deep rapid breathing
What is the correct formula for calculating the respiratory rate?
Count the number of breaths for 1 minute
What is the purpose of a sphygmomanometer in measuring blood pressure?
To listen to Korotkoff sounds
What is the correct procedure for measuring blood pressure?
Deflate the cuff at a rate of 2-3 mmHg per second
What is the systolic blood pressure?
The measurement of the first audible sound
What is the diastolic blood pressure?
The measurement of the last audible sound
What is considered high blood pressure?
Systolic reading consistently above 130
Which of the following is NOT a method of charting?
Vital Signs charting
What is the purpose of the SBAR technique?
To improve nurse-physician communication
Which of the following is NOT a component of nursing documentation?
Medical treatments prescribed by the physician
What is the normal range for oxygen saturation?
96-100%
What does a CRT longer than 2 seconds suggest?
Poor perfusion due to peripheral vasoconstriction
What is the purpose of the Written Record?
All of the above
What is the normal range for body temperature in Fahrenheit?
98.6-100.4°F
What is considered high blood pressure?
140/90 mm Hg
What is the difference between systolic and diastolic blood pressure readings?
Systolic pressure is the pressure in the arteries when the heart is contracting, while diastolic pressure is the pressure in the arteries when the heart is at rest.
Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?
Cheyne-Stokes
What is the normal range for blood pressure readings?
Systolic: 120-139 mmHg, Diastolic: 80-89 mmHg
What is the purpose of a sphygmomanometer in measuring blood pressure?
To listen to the Korotkoff sounds
What is the correct procedure for measuring blood pressure?
Deflate the cuff at a rate of 1-2 mmHg per second
What is the normal range for respiratory rate in ventilations per minute (rpm)?
12-20 rpm
What is the purpose of the Written Record?
To record medical history
Which pulse site is commonly used to measure blood pressure?
Brachial artery
Which of the following is NOT considered a vital sign?
Oxygen Saturation
What is the normal range for body temperature in Celsius?
36.0°C to 37.5°C
Which site is commonly used to measure body temperature?
Oral
What is the equivalent temperature range for rectal measurement in Fahrenheit?
99.5°F to 37.0°F
What is the most reliable method used to measure heart rate?
Listening to the apical pulse with a stethoscope
What is the correct formula for converting Fahrenheit to Celsius?
(°C = (°F - 32) \times \frac{5},{9})
What is the normal range for oxygen saturation?
97.0% to 99.5%
Which of the following is NOT a commonly used route for measuring body temperature?
Axillary
What is the normal range for respiratory rate in ventilations per minute (rpm)?
12-20 rpm
Which of the following is NOT a factor to assess in respiratory rate?
Frequency
What is the normal range for heart rate in beats per minute (bpm)?
60-100 bpm
Which of the following is NOT a pulse site commonly used to measure heart rate?
Femoral
What is the correct formula for calculating pulse deficit?
Pulse deficit = Apical pulse - Radial pulse
What is the correct formula for converting Fahrenheit to Celsius?
C = (F - 32) / 1.8
Which of the following is NOT a method of charting?
Cardex
What is the purpose of the SBAR technique?
To improve the effectiveness of communication through standardization
What is the normal range for oxygen saturation?
96-100%
What is the normal range for body temperature in Celsius?
35-37°C
What does a CRT longer than 2 seconds suggest?
Poor perfusion due to peripheral vasoconstriction
Which pulse site is commonly used to measure blood pressure?
Radial pulse
What is the purpose of the Written Record?
All of the above
What is the equivalent temperature range for rectal measurement in Fahrenheit?
99-101°F
What is the equivalent temperature range for oral measurement in Fahrenheit?
97-99°F
Which of the following is NOT a method of charting?
Source-oriented records
What is the purpose of the SBAR technique?
To improve the effectiveness of communication through standardization of communication process
What is the normal range for heart rate in beats per minute (bpm)?
60-100 bpm
What is the normal range for oxygen saturation?
95%
What does a CRT longer than 2 seconds suggest?
Poor perfusion due to peripheral vasoconstriction
Which of the following is a method of charting that involves writing information about the client and client care in chronological order?
Narrative charting
What is the purpose of the SBAR technique?
All of the above
Which pulse site is commonly used during routine measurement of heart rate?
Radial
What does a CRT longer than 2 seconds suggest?
Poor perfusion due to peripheral vasoconstriction
Which of the following is a characteristic of Cheyne-Stokes respiration?
Life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing
What is the normal range for body temperature in Celsius?
36.5-37.5°C
What is the equivalent temperature range for rectal measurement in Fahrenheit?
98.6-100.4°F
What is the correct formula for calculating pulse deficit?
Pulse deficit = Apical pulse rate - Radial pulse rate
What does charting by exception involve?
Charting only abnormal assessment findings or care that deviates from a standard norm
What is a Kardex used for?
Quick reference for current information centrally at the nursing station
Study Notes
Test your knowledge on breathing patterns and abnormal characteristics with this quiz. Learn about apnea, dyspnea, and orthopnea and their effects on the body. Discover the potential life-threatening consequences of apnea and the difficulties associated with dyspnea and orthopnea.
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