Nurse 202: Vital Signs Reading NCLEX
Questions
The rectal temperature, a cover temperature, is considered to be one of of the most
accurate routes. In which cases would taking a rectal temperature be contraindicated?
Select all that apply - CORRECT ANSWER-1) A newborn who has hypothermia
2) A child who has pneumonia
3) An older patient who is post myocardial infarction (heart attack)
4) A teenager who has leukemia
5) A patient receiving erythropoietin to replace red blood cells
6) An adult patient who is newly diagnosed with pancreatitis
--> 1, 3, 4, 5
While taking an adult patient's pulse, a nurse finds the rate to be 140bpm. What should
the nurse do next? - CORRECT ANSWER-1) Check the pulse again in 2 hours
2) Check the blood pressure
3) Record the information
4) Report the rate to the primary care provider
--> 4
A patient complains of severe abdominal pain. When assessing the vital signs, the
nurse would not be surprised to find the assessments? Select all that applies -
CORRECT ANSWER-1) An increase in the pulse rate
2) A decrease in body temperature
3) A decrease in blood pressure
4) An increase in respiratory depth
5) An increase in respiratory rate
6) An increase in body temperature
--> 1, 5
The Nurses are taking apical-radial pulse and not a difference in pulse rate of 8bpm.
The nurse would document this difference as which of the following? - CORRECT
ANSWER-1) Pulse deficit
2) Pulse Amplitude
3) Ventricular rhythm
4) Heart Arrhythmia
--> 1
The nurse instructor is teaching student nurses about the factors that may affect a
patient's blood pressure. Which statements accurately describe these factors? Select all
that apply - CORRECT ANSWER-1) Blood pressure decrease with age
2) Blood pressure is usually lowest on arising in the morning
Questions
The rectal temperature, a cover temperature, is considered to be one of of the most
accurate routes. In which cases would taking a rectal temperature be contraindicated?
Select all that apply - CORRECT ANSWER-1) A newborn who has hypothermia
2) A child who has pneumonia
3) An older patient who is post myocardial infarction (heart attack)
4) A teenager who has leukemia
5) A patient receiving erythropoietin to replace red blood cells
6) An adult patient who is newly diagnosed with pancreatitis
--> 1, 3, 4, 5
While taking an adult patient's pulse, a nurse finds the rate to be 140bpm. What should
the nurse do next? - CORRECT ANSWER-1) Check the pulse again in 2 hours
2) Check the blood pressure
3) Record the information
4) Report the rate to the primary care provider
--> 4
A patient complains of severe abdominal pain. When assessing the vital signs, the
nurse would not be surprised to find the assessments? Select all that applies -
CORRECT ANSWER-1) An increase in the pulse rate
2) A decrease in body temperature
3) A decrease in blood pressure
4) An increase in respiratory depth
5) An increase in respiratory rate
6) An increase in body temperature
--> 1, 5
The Nurses are taking apical-radial pulse and not a difference in pulse rate of 8bpm.
The nurse would document this difference as which of the following? - CORRECT
ANSWER-1) Pulse deficit
2) Pulse Amplitude
3) Ventricular rhythm
4) Heart Arrhythmia
--> 1
The nurse instructor is teaching student nurses about the factors that may affect a
patient's blood pressure. Which statements accurately describe these factors? Select all
that apply - CORRECT ANSWER-1) Blood pressure decrease with age
2) Blood pressure is usually lowest on arising in the morning
