Nur 304 -Vital Signs Questions and All
Correct Answers.
A student nurse deflates a cuff too slowly while measuring blood pressure. Which effect would
slow deflation of the cuff have on blood pressure reading?
a. False low reading.
b. False high systolic reading.
c. False high diastolic reading.
d. No effect on blood pressure reading. - Answer c. False high diastolic reading.
When taking a manual blood pressure and deflating the cuff too slow, it will result in a false high
diastolic reading. Because the brachial artery is still under pressure (constricted by the pressure
from the cuff) for a prolonged period of time which makes it difficult to determine when the
sound of the heart beat disappears.
All of the following factors may affect pulse oxygen saturation (SpO2) readings EXCEPT:
a. Age of the patient.
b. Nail polish.
c. Skin pigmentation.
d. Temperature in the room. - Answer a. Age of the patient.
When should a nurse take the client's vital signs? (Select all that apply):
a. On admission to the hospital.
b. Before or after a procedure.
c. When the patient's condition changes.
d. Before the patient goes to sleep.
e. After giving a patient a bed bath. - Answer a. On admission to the hospital.
b. Before or after a procedure.
c. When the patient's condition changes.
You are caring for four patients and need to prioritize care based on your patient's vital signs.
Which patient should you assess first?
, a. A 72 year old female complaining of a headache and all vital signs are within normal range.
b. An 84 year old man with a history of high blood pressure that is well controlled with
medication
c. A 55 year old construction worker complaining of being very tired, with an increase temp and
respiratory rate.
d. A 32 year old pregnant woman in her last trimester of pregnancy with normal vital signs. -
Answer c. A 55 year old construction worker complaining of being very tired, with an
increase temp and respiratory rate.
rationale:
Patients with abnormal vital signs should be assessed first.
A 52 year old woman just had a double mastectomy and you need to obtain vital signs on this
patient. Which of the choices below is the best method of obtaining vital signs on this patient.
a. Oral temperature, B/P on left arm, count RR, and check radial pusle.
b. Oral temperature, B/P on right arm, count RR, and check radial pusle.
c. Axillary temperature, B/P on left arm, count RR, and check radial pusle.
d. Oral temperature, B/P on leg, count RR, and check radial pulse. - Answer d. Oral
temperature, B/P on leg, count RR, and check radial pulse.
rationale:
The nurse should not take blood pressures on either arm if a patient just had a double
mastectomy .
Which of the following clients is most at risk of tachycardia?
a. Healthy professional tennis player.
b. Patient admitted with hypothermia.
c. Patient with a temperature of 39.8o C (103o F).
d. A client taking beta blockers for blood pressure. - Answer c. Patient with a temperature of
39.8 C (103 F).
Which vital sign finding in an adult client would the nurse report to the health care provider
immediately?
a. Pulse: 63 beats per minute.
b. Oral temperature: 97o F
Correct Answers.
A student nurse deflates a cuff too slowly while measuring blood pressure. Which effect would
slow deflation of the cuff have on blood pressure reading?
a. False low reading.
b. False high systolic reading.
c. False high diastolic reading.
d. No effect on blood pressure reading. - Answer c. False high diastolic reading.
When taking a manual blood pressure and deflating the cuff too slow, it will result in a false high
diastolic reading. Because the brachial artery is still under pressure (constricted by the pressure
from the cuff) for a prolonged period of time which makes it difficult to determine when the
sound of the heart beat disappears.
All of the following factors may affect pulse oxygen saturation (SpO2) readings EXCEPT:
a. Age of the patient.
b. Nail polish.
c. Skin pigmentation.
d. Temperature in the room. - Answer a. Age of the patient.
When should a nurse take the client's vital signs? (Select all that apply):
a. On admission to the hospital.
b. Before or after a procedure.
c. When the patient's condition changes.
d. Before the patient goes to sleep.
e. After giving a patient a bed bath. - Answer a. On admission to the hospital.
b. Before or after a procedure.
c. When the patient's condition changes.
You are caring for four patients and need to prioritize care based on your patient's vital signs.
Which patient should you assess first?
, a. A 72 year old female complaining of a headache and all vital signs are within normal range.
b. An 84 year old man with a history of high blood pressure that is well controlled with
medication
c. A 55 year old construction worker complaining of being very tired, with an increase temp and
respiratory rate.
d. A 32 year old pregnant woman in her last trimester of pregnancy with normal vital signs. -
Answer c. A 55 year old construction worker complaining of being very tired, with an
increase temp and respiratory rate.
rationale:
Patients with abnormal vital signs should be assessed first.
A 52 year old woman just had a double mastectomy and you need to obtain vital signs on this
patient. Which of the choices below is the best method of obtaining vital signs on this patient.
a. Oral temperature, B/P on left arm, count RR, and check radial pusle.
b. Oral temperature, B/P on right arm, count RR, and check radial pusle.
c. Axillary temperature, B/P on left arm, count RR, and check radial pusle.
d. Oral temperature, B/P on leg, count RR, and check radial pulse. - Answer d. Oral
temperature, B/P on leg, count RR, and check radial pulse.
rationale:
The nurse should not take blood pressures on either arm if a patient just had a double
mastectomy .
Which of the following clients is most at risk of tachycardia?
a. Healthy professional tennis player.
b. Patient admitted with hypothermia.
c. Patient with a temperature of 39.8o C (103o F).
d. A client taking beta blockers for blood pressure. - Answer c. Patient with a temperature of
39.8 C (103 F).
Which vital sign finding in an adult client would the nurse report to the health care provider
immediately?
a. Pulse: 63 beats per minute.
b. Oral temperature: 97o F
