AM
SKILLS EAQ QUESTIONS VITAL SIGNS CHAP. 30 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE 2025/2026
Terms in this set (241)
At which age does the respiratory system begin to
decline in healthy people? 20 years
25 years
45 years
25 years
60 years
Which statement about vital signs in older adults is correct?
Pedal pulse is easy to palpate in older adults.
Identification of an acceptable
pulse
oximeter probe site is difficult Older adults are less susceptible to hyperthermia.
with older adults.
Scoliosis in older adults may increase the tidal volume.
Identification of an acceptable pulse oximeter probe site is
difficult with older adults.
When does the respiratory system
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mature in healthy people? 25 years
20 years 20 years
The respiratory system
matures by the age of 20 35 years
years in healthy people. At
the age of 25, the
50 years
respiratory system starts to
decline. At the ages of 35
and 50 years, people can
breathe effortlessly as
long as they are
healthy.
A patient has been transferred to your unit from the
respiratory intensive care unit, where he has been for
baseline vital
the past 2 weeks recovering from pneumonia. He is
signs Rationale
receiving oxygen via 4 L nasal cannula. His respiratory
The patient's baseline vital
rate is 26 breaths/minute, and his oxygen saturation is
signs would be most helpful in
92%. In planning his care, which information is most
determining your priority
helpful in
nursing intervention. The
determining your priority nursing interventions?
other choices are
important to your
patient's care plan, but
are not the most important in
Activity
this particular patient at this
order
time.
Medicati
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on list
Baseline vital signs
Patient's perception of dyspnea
Which manifestation is often called
the fifth vital sign? Pain
Pulse
Temperature
pain
Blood pressure
Capnography (EtCO 2) 32 mm Which vital sign finding in an adult patient should the
Hg nurse report to the primary health care provider
immediately?
Rationale
The acceptable range of
maximum Pulse 63
beats/minute
concentration of carbon
Oral temperature
dioxide (EtCO2) by
97° F
capnography is 35-45 mm
Respiratory rate 19
Hg. A value of 32 mm Hg
breaths/minute
is abnormal and should
Capnography (EtCO 2)
be reported to the
32 mm Hg
primary health care
provider immediately. The
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acceptable
pulse rate is 60 to 100
beats/min. The oral
temperature is within the
acceptable range that is
96.8-100.4° F. The respiratory
rate of 19 breaths/minute is
within the normal range of
12 to 20 breaths/minute.
30° C (86° F) Which temperature indicates moderate hypothermia?
Rationale
The temperature range for
29° C (84.2° F)
moderate
hypothermia is 30 to 34° C
30° C (86° F)
(86 to 93.2° F). The
temperature of severe
hypothermia is less than 35° C (95° F)
30°C (86° F). Therefore, a
temperature of 29° C (84.2°
36° C (96.8° F)
F) indicates severe
hypothermia. The
temperature range of mild
hypothermia is 34 to 36° C
(93.2 to 96.8° F).
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