Correct Answers | Grade A+
The nurse is caring for an older adult patient with poor dietary intake and decreased mobility.
Which action is least effective in diminishing the risk of pressure injuries?
Offer the patient nutritional supplements high in protein and iron.
Offer the patient water before each meal.
Sit with the patient during mealtimes to encourage eating.
Assess the patient's ability to swallow.
🗸🗸: Offer the patient water before each meal.
Which of the following patients would require follow-up?
A) A child with a respiratory rate of 24 breaths per minute.
B) An adolescent with a respiratory rate of 16 breaths per minute.
C) An adult with a respiratory rate of 10 breaths per minute.
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,D) A newborn with a respiratory rate of 50 breaths per minute.
🗸🗸: C
Which of the following vital signs recorded for an older adult would be considered acceptable
(within normal limits)?
A) Temp 96.8° F, P-60, R-18, BP 160/90, O2 sat 93%.
B) Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
C) Temp 98.6 °F, P-56, R-20, BP 120/80, O2 sat 91%.
D) Temp 98.0 °F, P-76, R-22, BP 110/70, O2 sat 88%.
🗸🗸: B
A 56-year-old female patient has been admitted with a diagnosis of pneumonia. Which
information should be provided to the NAP delegated to take her temperature? (Select all that
apply.)
A) The patient's age.
B) The type of temperature required.
C) The patient's diagnosis.
D) The frequency for taking or monitoring the temperature.
E) What changes to report immediately to you, the physician, or their delegate.
🗸🗸: B D E
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,Which of the following situations may affect a patient's vital signs? (Select all that apply.)
A) Time of day.
B) Occupation.
C) Moving from lying to standing position.
D) Pain rated as a 7 on 1-10 pain scale.
E) Isolation precautions.
🗸🗸: A C D
You are supposed to take your patient's vital signs preoperatively and record them on the
patient's record as part of the patient's preparation for surgery. Why is it necessary to take
vital signs preoperatively? (Select all that apply.)
A) To see if the patient is "feeling funny."
B) To provide a set of vital signs to use for comparison during and after surgery.
C) To make sure the patient is not experiencing any complications such as a high fever that
may contraindicate surgery or require intervention at this time.
D) To provide the patient with reassurance that he or she is being cared for by a competent
staff.
🗸🗸: B C
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, Who would you expect to have the lowest body temperature?
A) A 16-year-old who ran 1 mile.
B) An 80-year-old who walked half a mile.
C) A toddler who is febrile.
D) A child playing softball.
🗸🗸: B
The NAP is preparing to measure a patient's vital signs. The patient reports having eaten a
bowl of warm soup. The NAP asks the RN what he should do. What is the best response?
A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's
oral temperature."
B) "Since the soup was not hot, go ahead and take the patient's temperature."
C) "Change to the red thermometer probe and take the patient's temperature rectally."
D) "Take the patient's temperature using the axillary route and when you record the reading,
add 1°F."
🗸🗸: A
For which patient would a tympanic thermometer be the preferred thermometer to use?
A) A marathon runner who developed weakness during the race.
B) A newborn in the intensive care unit who requires continuous temperature monitoring.
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