Vital Signs

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75 Questions

Which of the following is the most common route for measuring body temperature?

Oral

Which term is used to indicate an elevated body temperature?

Febrile

What is the normal range for heart rate in beats per minute?

60-100 bpm

Which pulse site is commonly used to measure heart rate during routine measurement?

Radial pulse

What is the term for the difference between the apical and peripheral pulse?

Pulse deficit

What is the normal range for respiratory rate in ventilations per minute?

12-20 rpm

What is the term for a slower-than-normal respiratory rate at rest?

Bradypnea

Which of the following is NOT considered a vital sign?

Oxygen Saturation (SpO2)

When should vital signs be measured?

During medication administration

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 assessment site has the highest equivalent temperature in Fahrenheit?

Rectal

Which assessment site has the highest equivalent temperature in Celsius?

Rectal

What is the average body temperature in both Fahrenheit and Celsius?

98.6°F (37.0°C)

Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing with periods of apnea increasing?

Cheyne-Stokes

Which of the following is a breathing pattern characterized by increased rate and depth of respiration, with long, strong, blowing or grunting exhalations?

Kussmaul's

Which of the following is a breathing pattern characterized by faster, deeper, and irregular respirations with periods of apnea?

Biot's

How should the respiratory rate be measured?

Count the number of breaths for an entire minute

What is the systolic blood pressure?

Pressure during active phase of contraction of the ventricles

What is the diastolic blood pressure?

Pressure of blood within the arteries when the ventricles are at rest

How should the blood pressure cuff be placed on the client's arm?

Directly on the arm

Which 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 pain scales are widely used?

Numerical Scale & the Wong-Baker FACES Pain Rating Scale

What is the purpose of the written record in healthcare?

To ensure client safety and continuity of care

Which method of charting involves writing information about the client and client care in chronological order?

Narrative charting

What is the purpose of the SBAR technique in healthcare communication?

To improve the effectiveness of communication through standardization of communication process

What does nursing documentation include?

Assessment data, client care needs, routine care, and outcomes of treatment

What is a Kardex in nursing documentation?

A quick reference for current information centrally at the nursing station

Which of the following routes provides the closest reading to the core temperature?

Rectal

What is the normal range for heart rate in beats per minute?

60-100 bpm

Which pulse site is commonly used to measure heart rate during routine measurement?

Radial pulse

What is the normal range for respiratory rate in ventilations per minute?

14-18 rpm

Which of the following is a breathing pattern characterized by faster, deeper, and irregular respirations with periods of apnea?

Tachypnea

What is the term for the difference between the apical and peripheral pulse?

Pulse deficit

Which of the following is a characteristic of hypotension?

Low blood pressure

Which of the following is NOT a vital sign?

Oxygen Saturation

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

What is the average body temperature in both Fahrenheit and Celsius?

98.6°F (37°C)

What is the Fahrenheit equivalent of an axillary temperature of 36.4°C?

97.5°F

What is the Celsius equivalent of a rectal temperature of 99.5°F?

37.5°C

What is the formula to convert Fahrenheit to Celsius?

C = (F - 32) / 1.8

Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing with periods of apnea increasing?

Cheyne-stokes

What is the term for a breathing pattern characterized by increased rate and depth of respiration, with long, strong, blowing or grunting exhalations?

Kussmaul's

What is the term for a breathing pattern characterized by faster, deeper, and irregular respirations with periods of apnea?

Biot's

How should the respiratory rate be measured?

Count for 1 minute.

What is the systolic blood pressure?

The pressure during active phase of contraction of the ventricles.

What is the diastolic blood pressure?

The pressure of blood within the arteries when the ventricles are at rest.

How should the blood pressure cuff be placed on the client's arm?

Above the elbow with the arrow aligned with the brachial pulse site.

Which of the following is a method of charting that involves organizing information according to the client's health problems?

Problem-oriented records

What is the purpose of the SBAR technique in healthcare communication?

To improve the effectiveness of communication through standardization

Which of the following is NOT a method of charting?

SBAR technique

What is the normal range for oxygen saturation?

95-100%

Which of the following is a characteristic of hypotension?

Blood pressure below 100/60 mm Hg

What is the normal range for heart rate in beats per minute?

60-80 bpm

What is the normal range for respiratory rate in ventilations per minute?

10-20 vpm

What is the normal range for body temperature in Fahrenheit?

98.6-100.6 °F

What is the normal range for body temperature in Celsius?

36.5-37.5 °C

Which of the following is the correct formula to convert Fahrenheit to Celsius?

$C = (F - 32) \times \frac{5}{9}$

Which of the following is NOT considered a vital sign?

Oxygen Saturation (SpO2)

What is the normal range for body temperature in Fahrenheit?

98.6° to 37.0°F

Which of the following is NOT a method used to measure heart rate?

Observation

Which of the following is NOT a characteristic of hypothermia?

Morphine sulfate

Which of the following is the most reliable method used to measure heart rate?

Auscultation

Which of the following is a breathing pattern characterized by alternating periods of apnea and deep rapid breathing with periods of apnea increasing?

Cheyne-Stokes

What is the correct formula to measure the respiratory rate if counting for 30 seconds and multiplying that number by two?

(\text{{Respiratory rate}} = \text{{number of breaths counted}} \times 2)

What is the correct formula to calculate the pulse pressure?

(\text{{Pulse Pressure}} = \text{{Systolic BP}} - \text{{Diastolic BP}})

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 in nursing documentation?

All of the above

Which of the following is NOT included in nursing documentation?

Client's social security number

Which of the following is a characteristic of hypotension?

CRT longer than 2 seconds

What is the normal range for oxygen saturation?

96-100%

What is the term for a breathing pattern characterized by faster, deeper, and irregular respirations with periods of apnea?

Cheyne-Stokes respiration

Study Notes

Test your knowledge on breathing patterns and abnormal characteristics in this quiz! Learn about conditions like apnea, dyspnea, and orthopnea, and understand their impact on respiration. Explore how these abnormalities can affect oxygen levels in the blood and potentially lead to serious cardiac issues.

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