1
Vital Signs (pretest and posttest
Questions and Answers (100% Correct
Answers) Already Graded A+)
A nurse is preparing to record the difference
between a client's systolic and diastolic blood
pressure. Which of the following terms defines
this information when documenting?
© 2026 Assignment
Ans: Pulse pressure
Guru01 - Stuvia
**The difference between the systolic and
Expert
diastolic pressures is the pulse pressure. If the
client's blood pressure is 130/85mmHg, the
pulse pressure is 45mmHg. Pulse pressure can
be a predictor of heart conditions, especially in
older adults. For example, an elevated pulse
pressure usually reflects stiffness and reduced
elasticity of the aorta, most often due to
hypertension or atherosclerosis.
A nurse is taking an adult client's temperature
rectally. Which of the following actions should
the nurse take?
Ans: Insert the probe about 2.5 cm (1 in) into the
client's anus.
**An insertion depth of 2.5 to 3.5 (1 to 1.5 in) for
an adult ensures sufficient exposure of the
, 2
probe to the blood vessels in the rectal wall.
Positioning the probe against the blood vessels
enables it to measure heat maximally and
accurately.
A nurse is preparing to obtain a client's blood
pressure. Which of the following actions should
the nurse take to measure the blood pressure
accurately?
© 2026 Assignment
Ans: Use a cuff of the appropriate size for the
Guru01 - Stuvia
client.
Expert
**Using the wrong cuff size for the client will
result in an erroneous reading. A cuff that is too
small will result in a reading that is falsely high
and using a cuff that is too big will record a false
low. One way to select a cuff is to make sure that
the width of the cuff is 40% of the arm
circumference where the cuff will be wrapped.
The bladder, which is inside the cuff, should
surround 80% of the arm circumference.
A nurse is measuring a client's temperature
orally. Which of the following actions should the
nurse take?
Ans: Place the probe in the posterior lingual
pocket lateral to the midline.
Vital Signs (pretest and posttest
Questions and Answers (100% Correct
Answers) Already Graded A+)
A nurse is preparing to record the difference
between a client's systolic and diastolic blood
pressure. Which of the following terms defines
this information when documenting?
© 2026 Assignment
Ans: Pulse pressure
Guru01 - Stuvia
**The difference between the systolic and
Expert
diastolic pressures is the pulse pressure. If the
client's blood pressure is 130/85mmHg, the
pulse pressure is 45mmHg. Pulse pressure can
be a predictor of heart conditions, especially in
older adults. For example, an elevated pulse
pressure usually reflects stiffness and reduced
elasticity of the aorta, most often due to
hypertension or atherosclerosis.
A nurse is taking an adult client's temperature
rectally. Which of the following actions should
the nurse take?
Ans: Insert the probe about 2.5 cm (1 in) into the
client's anus.
**An insertion depth of 2.5 to 3.5 (1 to 1.5 in) for
an adult ensures sufficient exposure of the
, 2
probe to the blood vessels in the rectal wall.
Positioning the probe against the blood vessels
enables it to measure heat maximally and
accurately.
A nurse is preparing to obtain a client's blood
pressure. Which of the following actions should
the nurse take to measure the blood pressure
accurately?
© 2026 Assignment
Ans: Use a cuff of the appropriate size for the
Guru01 - Stuvia
client.
Expert
**Using the wrong cuff size for the client will
result in an erroneous reading. A cuff that is too
small will result in a reading that is falsely high
and using a cuff that is too big will record a false
low. One way to select a cuff is to make sure that
the width of the cuff is 40% of the arm
circumference where the cuff will be wrapped.
The bladder, which is inside the cuff, should
surround 80% of the arm circumference.
A nurse is measuring a client's temperature
orally. Which of the following actions should the
nurse take?
Ans: Place the probe in the posterior lingual
pocket lateral to the midline.
