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NR 224 Nursing Skill: Vital Signs EDAPT exam questions and
answers with complete solutions verified latest update 2025/2026
When determining the -an arteriovenous shunt is present
best site for blood -intravenous fluids infusing in right forearm
pressure measurement, -mastectomy on left side
which scenarios require
the nurse to choose an
alternative site?
The nurse knows using wide, low
a blood pressure cuff
that is too ---- can lead
to a false ---- reading
When assessing the oral -the client has eaten within the last 20 minutes
temperature of an adult -a hot or cold beverage consumed in the last 20
client, which findings minutes
indicate an -the client is chewing gum
alternate route is the client smoked in the last 20 minutes
needed?
Upon review of the rectal
client's chart, which
site/method of
temperature
measurement would
you avoid for this
client?
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, 6/28/25, 10:00
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INDICATED
- pulse oximeter
- disinfectant wipes
- watch with second hand
Review the table below. - stethoscope
Mark each supply as
indicated for
performing vital signs
return NOT INDICATED
- penlight
- betadine
Client has an arteriovenous shunt on their left
arm: Find an alternate site to measure blood
Reflect on the vital signs pressure.
video and CASE
Moments video clips Client just came back from smoking: Avoid measuring
you just watched. temperature orally.
Utilize your critical
thinking and clinical
Client has artificial nails with dark polish on their
judgement to determine fingers: Avoid measuring temperature orally.
what you should do if
the following things
Client is unstable: Do not delegate vital signs.
occur. Match the
situation with the
nursing action to take.
05/26/YYYY 1530: Routine 6/10
vital signs tachyca
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