NURS 1327: VITAL SIGNS FOR NCLEX. AN ULTIMATE A+
QUESTIONS AND ANSWERS BREAKDOWN.
1. A nurse assesses an oral temperature for an adult patient. The patient's
temperature is 37.5°C (99.5°F). What term would the nurse use to report this
temperature?
a. Febrile
b. Hypothermia
c. Hypertension
d. Afebrile
d. Afebrile
2. 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 normal
vital sign? 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 bpm
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm
a. A 4-month old infant whose temperature is 38.1°C (100.5°F)
d. An adolescent whose pulse rate is 70 bpm
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm
3. A patient who is febrile may lose body heat through perspiration. The nurse
recognizes that this is an example of what mechanism of heat loss?
a. Evaporation
b. Convection
, c. Radiation
d. Conduction
a. Evaporation
4. The rectal temperature, a core temperature, is considered to be one of the most
accurate routes. In which cases would taking a rectal temperature be
contraindicated? Select all that apply.
a. A newborn who has hypothermia
b. A child who has pneumonia
c. An older patient who is post myocardial infarction (heart attack)
d. A teenager who has leukemia
e. A patient receiving erythropoietin to replace red blood cells
f. An adult patient who is newly diagnosed with pancreatitis
a. A newborn who has hypothermia
c. An older patient who is post myocardial infarction (heart attack)
d. A teenager who has leukemia
e. A patient receiving erythropoietin to replace red blood cells
5. While taking an adult patient's pulse, a nurse finds the rate to be 140 beats/min.
What should the nurse do next?
a. Check the pulse again in 2 hours.
b. Check the blood pressure.
c. Record the information.
d. Report the rate to the primary care provider.
d. Report the rate to the primary care provider.
6. A patient complains of severe abdominal pain. When assessing the vital signs,
the nurse would not be surprised to find what assessments? Select all that apply.
a. An increase in the pulse rate
b. A decrease in body temperature
c. A decrease in blood pressure
QUESTIONS AND ANSWERS BREAKDOWN.
1. A nurse assesses an oral temperature for an adult patient. The patient's
temperature is 37.5°C (99.5°F). What term would the nurse use to report this
temperature?
a. Febrile
b. Hypothermia
c. Hypertension
d. Afebrile
d. Afebrile
2. 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 normal
vital sign? 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 bpm
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm
a. A 4-month old infant whose temperature is 38.1°C (100.5°F)
d. An adolescent whose pulse rate is 70 bpm
e. An adult whose respiratory rate is 20 bpm
f. A 72-year old whose pulse rate is 42 bpm
3. A patient who is febrile may lose body heat through perspiration. The nurse
recognizes that this is an example of what mechanism of heat loss?
a. Evaporation
b. Convection
, c. Radiation
d. Conduction
a. Evaporation
4. The rectal temperature, a core temperature, is considered to be one of the most
accurate routes. In which cases would taking a rectal temperature be
contraindicated? Select all that apply.
a. A newborn who has hypothermia
b. A child who has pneumonia
c. An older patient who is post myocardial infarction (heart attack)
d. A teenager who has leukemia
e. A patient receiving erythropoietin to replace red blood cells
f. An adult patient who is newly diagnosed with pancreatitis
a. A newborn who has hypothermia
c. An older patient who is post myocardial infarction (heart attack)
d. A teenager who has leukemia
e. A patient receiving erythropoietin to replace red blood cells
5. While taking an adult patient's pulse, a nurse finds the rate to be 140 beats/min.
What should the nurse do next?
a. Check the pulse again in 2 hours.
b. Check the blood pressure.
c. Record the information.
d. Report the rate to the primary care provider.
d. Report the rate to the primary care provider.
6. A patient complains of severe abdominal pain. When assessing the vital signs,
the nurse would not be surprised to find what assessments? Select all that apply.
a. An increase in the pulse rate
b. A decrease in body temperature
c. A decrease in blood pressure
