NUR164 ECPI Ch 25 (Vital Signs) Questions With Complete
Solutions
___ ___ movement of air in and out of lungs-
Inhalation: breathing in-
Exhalation: breathing out Correct Answers Pulmonary
ventilation
___ is the conversion of a liquid to a vapor. diaphoresis,
sweating Correct Answers evaporation
___ is the transfer of heat to another object during direct contact.
Correct Answers Conduction
____ is the dissemination of heat by motion between areas of
unequal density. Correct Answers Convection
A nurse assesses an oral temperature for an adult patient and
records that the patient is "afebrile." What would be the nurse's
best response to this finding?
a. Check the patient record for prescribed antipyretic
medication.
b. Report the finding to the primary care provider.
c. Take the patient temperature using a different method.
d. No action is necessary; this is a normal reading. Correct
Answers d. Afebrile means without fever. Therefore the
temperature assessed is within the normal range for an adult.
The nurse does not need to perform any other actions based on
this finding.
, A nurse assesses orthostatic hypotension in an older adult. What
would be an appropriate intervention for this patient?
a. Encourage the patient to rise from a sitting position quickly to
improve blood flow.
b. Allow the patient to "dangle" for a few minutes prior to rising
to a standing position.
c. If the patient feels faint or dizzy, return the patient to bed and
place in Fowler's position.
d. Administer a beta-adrenergic blocker to increase blood
pressure. Correct Answers b. Allowing the patient to "dangle"
on the edge of the bed prior to rising might prevent orthostatic
hypotension. Arising and moving about slowly, especially after
a period of bed rest, might also prevent orthostatic hypotension.
If a patient becomes dizzy or feels faint, the nurse should return
the patient to bed and place in a supine position, which restores
blood flow to the brain.
A nurse is assessing the vital signs of patients who presented at
the emergency department. Based on the knowledge of age-
related variations in normal vital signs, which patients would the
nurse document as having a vital sign within normal limits?
Select all that apply.
a. A 4-month-old infant whose temperature is 38.1°C (100.5°F)
b. A 3-year-old whose blood pressure is 118/80
c. A 9-year-old whose temperature is 39°C (102.2°F)
d. An adolescent whose pulse rate is 70 beats/min
e. An adult whose respiratory rate is 20 breaths/min
f. A 72-year-old whose pulse rate is 42 beats/min Correct
Answers a. A 4-month-old infant whose temperature is 38.1°C
(100.5°F)
d. An adolescent whose pulse rate is 70 beats/min
Solutions
___ ___ movement of air in and out of lungs-
Inhalation: breathing in-
Exhalation: breathing out Correct Answers Pulmonary
ventilation
___ is the conversion of a liquid to a vapor. diaphoresis,
sweating Correct Answers evaporation
___ is the transfer of heat to another object during direct contact.
Correct Answers Conduction
____ is the dissemination of heat by motion between areas of
unequal density. Correct Answers Convection
A nurse assesses an oral temperature for an adult patient and
records that the patient is "afebrile." What would be the nurse's
best response to this finding?
a. Check the patient record for prescribed antipyretic
medication.
b. Report the finding to the primary care provider.
c. Take the patient temperature using a different method.
d. No action is necessary; this is a normal reading. Correct
Answers d. Afebrile means without fever. Therefore the
temperature assessed is within the normal range for an adult.
The nurse does not need to perform any other actions based on
this finding.
, A nurse assesses orthostatic hypotension in an older adult. What
would be an appropriate intervention for this patient?
a. Encourage the patient to rise from a sitting position quickly to
improve blood flow.
b. Allow the patient to "dangle" for a few minutes prior to rising
to a standing position.
c. If the patient feels faint or dizzy, return the patient to bed and
place in Fowler's position.
d. Administer a beta-adrenergic blocker to increase blood
pressure. Correct Answers b. Allowing the patient to "dangle"
on the edge of the bed prior to rising might prevent orthostatic
hypotension. Arising and moving about slowly, especially after
a period of bed rest, might also prevent orthostatic hypotension.
If a patient becomes dizzy or feels faint, the nurse should return
the patient to bed and place in a supine position, which restores
blood flow to the brain.
A nurse is assessing the vital signs of patients who presented at
the emergency department. Based on the knowledge of age-
related variations in normal vital signs, which patients would the
nurse document as having a vital sign within normal limits?
Select all that apply.
a. A 4-month-old infant whose temperature is 38.1°C (100.5°F)
b. A 3-year-old whose blood pressure is 118/80
c. A 9-year-old whose temperature is 39°C (102.2°F)
d. An adolescent whose pulse rate is 70 beats/min
e. An adult whose respiratory rate is 20 breaths/min
f. A 72-year-old whose pulse rate is 42 beats/min Correct
Answers a. A 4-month-old infant whose temperature is 38.1°C
(100.5°F)
d. An adolescent whose pulse rate is 70 beats/min
