Intro Test #1 Review Questions Nursing Skills Online Exam Questions And Answers

Intro Test #1 Review Questions Nursing Skills Online Exam Questions And Answers /.Which of the following patients is exhibiting abnormal vital sign values for their age? Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41, pulse oximetry 99% Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse oximetry 100% Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry 84% Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse oximetry 95% - Answer-adult --- These are abnormal vital sign values for an adult. For the healthy adult, the average oral temperature is 37º C (99.5º F) (range of 36º C to 38º C or 96.8º F to 100.4º F), heart rate 60 to 100 beats per minute, respiratory rate 12 to 20 breaths per minute, average BP less than 120/80, and pulse oximetry 90% to 100%. /.Which of the following patients would require follow-up? a) A child with a respiratory rate of 20 breaths per minute. b) An adolescent with a respiratory rate of 16 breaths per minute. c) An adult with a respiratory rate of 10 breaths per minute. d) A newborn with a respiratory rate of 40 breaths per minute. /.Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limits)? a) Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. b) Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%. c) Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%. d) Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%. /.The nurse has delegated the task of temperature assessment to the NAP. Which information should be provided to the NAP? (Select all that apply.) a) The patient's age. b) The type of temperature required. c) The patient's diagnosis. d) The frequency for taking or monitoring the temperature. e) What changes to report immediately to the nurse. /.Which of the following situations may affect a patient's vital signs? (Select all that apply.) a) Time of day. b) Occupation. c) Moving from lying to standing position. d) Pain rated as a 7 on 0-10 pain scale. e) Isolation precautions. /.The nurse will take the patient's vital signs preoperatively and record them as part of the patient's preparation for surgery. Why is it necessary to take vital signs preoperatively? (Select all that apply.) a) To determine whether the patient is "feeling funny" b) To provide a set of vital signs to use for comparison during and after surgery. c) To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention. d) To provide the patient with reassurance that he or she is being cared for by a competent staff. e) To ensure the equipment is appropriately calibrated and functional. /.The NAP reports to the nurse a 65-year-old patient s blood pressure is 160/98. What is the appropriate initial response of the nurse? a) Ask the NAP if the patient is nauseous. b) Assess the patient s blood pressure. c) Instruct the NAP to obtain a full set of vital signs. d) Document this as a normal finding in an elderly adult. /.Which patient would it be appropriate for the nurse to delegate vital signs? a) New admission to the hospital. b) Patient transferred from ICU. c) Elderly nursing home resident. d) Patient with recent complaint of headache. /.Which person would be expected to have the lowest body temperature? a) A 16-year-old who ran 1 mile. b) An 80-year-old who walked half a mile. Correct c) A toddler who is febrile. d) A child playing softball. /.