Vital signs questions and answers new! With
complete solution RATED A+ 2025/2026 UPDATED
The nurse obtains vital signs on a 42yr old man having his annual physical examination. He has
no medical conditions and states that his health is excellent. Using an automated blood pressure
device, his blood pressure is measured as 62/40. Which action by the nurse is most
appropriate?
A. Obtain a different cuff and take the blood pressure again
B. take the blood pressure again using the auscultation method
C. place the patient in a supine position and take the pressure on the leg
D. record the blood pressure and continue with the examination
B
Which set of vital signs should the nurse recognize as out of the expected range?
A. 42yr old male; BP 114/82, pulse 74 beats/min, respiration , 16 breaths/min, temperature
38.6C
B. 11yr old female; pulse 88 beats/min, respiration 22 breaths/min, temperature 36.7C
C. 3yr old male; pulse 130 beats/min, respiration 44 breaths/min, temperature 36.7C
D. 2mo old female; pulse 120 beats/min, respiration 42 breaths/min, temperature 36.7C
C
The nurse records the following general inspection findings on a patient: "41-year-old Hispanic
male in no distress; very thin, skin tone slightly jaundiced, disheveled appearance, and appears
older than stated age. Patient with flat affect and makes minimal eye contact." What additional
information should be added to this general inspection?
A. Body movement
B. Family history
C. Estimated size of his liver
D. Palpation of pulses
A
A patient is brought to the emergency department in severe respiratory distress. Which method
of temperature measurement would be the most appropriate?
A. Oral
B. Axillary
C. Temporal
D. Rectal
, C
A 62yr old patient tells the nurse that he has recently had frequent fainting spells. After
palpating the radial pulse, 13 pulsations are counted in 15 seconds with a regularly irregular
rhythm. What is the most appropriate action for the nurse to take at this time?
A. reassess the pulse rate after he walks around the room for several minutes
B. reassess the pulse rate for 15 seconds using the carotid artery
C. take an apical pulse for 5 full minutes, counting the number of skipped beats
D. palpate the pulse for 1 minute and determine the pattern to the irregularity
D
What is the most reliable way to assess pain in a patient who is cognitively intact?
A. type the frequency of analgesic medications the patient takes
B. patient's most recent vital signs (e.g., blood pressure and pulse rate)
C. extent of tissue damage the patient has experienced
D. report by the patient describing the pain experienced
D
A patient had a knee replaced because of arthritis. He reports that he has not slept bell for
several nights. He states that he can't get comfortable. Today he is asking for pain medication
more often. What could be a reason for this increase in pain?
A. Arthritis pain is variable; it can be mild one day and severe the next
B. pain tolerance decreases with sleep deprivation
C. the anesthesia from surgery is wearing off
D. the patient is using the pain medication to help him sleep during the day
B
A patient complains of chest pain. Which question has the highest priority to obtain additional
information?
A. what were you doing when the pain first occurred?
B. do you have shortness of breath with the chest pain?
C. what does the pain feel like?
D. has anyone in your family ever had similar pain?
C
A patient complains of leg pain. Which question is pertinent to ask to gain additional
information?
A. what were you doing when the pain first occurred?
B. how do you feel about having this pain?
complete solution RATED A+ 2025/2026 UPDATED
The nurse obtains vital signs on a 42yr old man having his annual physical examination. He has
no medical conditions and states that his health is excellent. Using an automated blood pressure
device, his blood pressure is measured as 62/40. Which action by the nurse is most
appropriate?
A. Obtain a different cuff and take the blood pressure again
B. take the blood pressure again using the auscultation method
C. place the patient in a supine position and take the pressure on the leg
D. record the blood pressure and continue with the examination
B
Which set of vital signs should the nurse recognize as out of the expected range?
A. 42yr old male; BP 114/82, pulse 74 beats/min, respiration , 16 breaths/min, temperature
38.6C
B. 11yr old female; pulse 88 beats/min, respiration 22 breaths/min, temperature 36.7C
C. 3yr old male; pulse 130 beats/min, respiration 44 breaths/min, temperature 36.7C
D. 2mo old female; pulse 120 beats/min, respiration 42 breaths/min, temperature 36.7C
C
The nurse records the following general inspection findings on a patient: "41-year-old Hispanic
male in no distress; very thin, skin tone slightly jaundiced, disheveled appearance, and appears
older than stated age. Patient with flat affect and makes minimal eye contact." What additional
information should be added to this general inspection?
A. Body movement
B. Family history
C. Estimated size of his liver
D. Palpation of pulses
A
A patient is brought to the emergency department in severe respiratory distress. Which method
of temperature measurement would be the most appropriate?
A. Oral
B. Axillary
C. Temporal
D. Rectal
, C
A 62yr old patient tells the nurse that he has recently had frequent fainting spells. After
palpating the radial pulse, 13 pulsations are counted in 15 seconds with a regularly irregular
rhythm. What is the most appropriate action for the nurse to take at this time?
A. reassess the pulse rate after he walks around the room for several minutes
B. reassess the pulse rate for 15 seconds using the carotid artery
C. take an apical pulse for 5 full minutes, counting the number of skipped beats
D. palpate the pulse for 1 minute and determine the pattern to the irregularity
D
What is the most reliable way to assess pain in a patient who is cognitively intact?
A. type the frequency of analgesic medications the patient takes
B. patient's most recent vital signs (e.g., blood pressure and pulse rate)
C. extent of tissue damage the patient has experienced
D. report by the patient describing the pain experienced
D
A patient had a knee replaced because of arthritis. He reports that he has not slept bell for
several nights. He states that he can't get comfortable. Today he is asking for pain medication
more often. What could be a reason for this increase in pain?
A. Arthritis pain is variable; it can be mild one day and severe the next
B. pain tolerance decreases with sleep deprivation
C. the anesthesia from surgery is wearing off
D. the patient is using the pain medication to help him sleep during the day
B
A patient complains of chest pain. Which question has the highest priority to obtain additional
information?
A. what were you doing when the pain first occurred?
B. do you have shortness of breath with the chest pain?
C. what does the pain feel like?
D. has anyone in your family ever had similar pain?
C
A patient complains of leg pain. Which question is pertinent to ask to gain additional
information?
A. what were you doing when the pain first occurred?
B. how do you feel about having this pain?
