Vital Signs Measurement

When measuring a patient's oral temperature, which action would lead to an inaccurate reading?

Which factor would most likely cause a falsely low blood pressure reading?

A patient with pneumonia is breathing rapidly. How would you accurately assess their respiratory rate?

Which clinical situation is a contraindication for using the temporal artery to assess temperature?

What is the rationale for using a systematic approach during a physical assessment?

During a general survey, which observation would be most concerning and require immediate follow-up?

When performing auscultation of the abdomen, in which order should you assess?

Which assessment finding is an example of subjective data?

In which abdominal quadrant would you expect to palpate the liver?

Which consideration is most important for the nurse to assess in an elderly patient during a physical examination?

What nursing assessment should be prioritized before assisting a patient with a shower?

What is the primary rationale for using clean gloves during a patient's bed bath?

A patient with limited mobility is being bathed. Which area requires special attention to prevent skin breakdown?

During perineal care for a female patient, in which direction should the nurse cleanse?

An elderly patient with dementia is resisting oral hygiene. What is the most appropriate nursing intervention?

When providing denture care, what step is essential to ensure patient safety?

A patient consistently refuses a bath. What is the nurse's priority action?

What is an essential teaching point to include when educating a patient about foot care, particularly for those with diabetes or circulatory issues?

Which location is generally considered most accurate for measuring core body temperature?

What change should be made when taking blood pressure on a patient who has had a double mastectomy with lymph node removal?

Which action is most important when performing a head-to-toe assessment?

A patient is experiencing acute shortness of breath. Which assessment should be completed first?

Which statement describes objective data obtained during a physical assessment?

When assessing the carotid arteries, what is most important for the nurse to do?

Which factor should the nurse be most aware of when assessing pedal pulses in a patient with peripheral vascular disease?

Which assessment finding indicates a risk for falls in an older adult?

Which action demonstrates appropriate safety measures during a bed bath?

For a patient receiving oxygen via nasal cannula, which area needs frequent monitoring?

A patient who is NPO (nothing by mouth) requires frequent oral care. What is the most appropriate intervention?

A nurse is preparing to administer a medication to a patient. Which action is most crucial to ensure patient safety?

Which assessment is completed to determine the neurovascular status of a limb?

A patient reports feeling anxious prior to a procedure. What is the nurse's best initial response?

What is the primary technique used to assess skin turgor?

The nurse can use the Glasgow Coma Scale when assessing what?

Which action is most important when delegating hygiene care to assistive personnel?

A patient is scheduled to have a blood draw. What information is important for the nurse to verify about the blood draw?

What question is most important for the nurse to ask a patient before administering a new medication?

A patient with a fever is shivering. What is the rationale for providing an extra blanket?

When assessing peripheral edema, what location is most commonly assessed?

Which technique is used to assess the size, shape, and consistency of abdominal organs?

Which patient is most at risk for developing a pressure injury?

A patient has a right arm cast that extends to the elbow. What assessment finding should be immediately reported?