NCLEX/HESI Vital Signs Exam
Questions and Answers 100% Pass
what is the normal adult body temperature? in F and C - ANSWER-98.6 F or 37 C
what is the normal adult body temperature range? in F and C - ANSWER-96.4F to
99.1F
OR
35.5C to 37.3C
to maintain temperature accuracy, how long would you wait if client drank liquids
prior to assessment? - ANSWER-wait 15 minutes if drank
to maintain temperature accuracy, how long would you wait if client just smoked
prior to assessment? - ANSWER-wait 2 minutes if smoked
if nurse just gave patient tylenol for fever, how long would you wait to check the
temperature again? - ANSWER-take temperature 30 minutes after tylenol was
administered
how often would you check the temperature of a patient if he/she has a fever? -
ANSWER-every 4 hours you take patient's temperature
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, how deep is the rectal thermometer inserted? - ANSWER-2-3cm or about 1 inch
what things need to be recorded/ documented when writing patient's temperature?
- ANSWER-1. time
2. Temperature C/F
3. Route (O, Ax, TA, R, T)
e.g 12pm T98.6F (O)
how long do you count beats for when measuring an irregular pulse rhythm? -
ANSWER-count irregular pulse for 1 minute total
what is a normal adult pulse rate? - ANSWER-50 to 90 bpm
*always compare to pulse hx
at what pulse rate is it considered bradycardia? - ANSWER-below 60 bpm
at what pulse rate is it considered tachycardia? - ANSWER-above 100 bpm
what factors are noted when assessing pulse? - ANSWER-1. rhythm= regular,
irregular
2. force/strength=
a.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
what is the normal adult body temperature? in F and C - ANSWER-98.6 F or 37 C
what is the normal adult body temperature range? in F and C - ANSWER-96.4F to
99.1F
OR
35.5C to 37.3C
to maintain temperature accuracy, how long would you wait if client drank liquids
prior to assessment? - ANSWER-wait 15 minutes if drank
to maintain temperature accuracy, how long would you wait if client just smoked
prior to assessment? - ANSWER-wait 2 minutes if smoked
if nurse just gave patient tylenol for fever, how long would you wait to check the
temperature again? - ANSWER-take temperature 30 minutes after tylenol was
administered
how often would you check the temperature of a patient if he/she has a fever? -
ANSWER-every 4 hours you take patient's temperature
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, how deep is the rectal thermometer inserted? - ANSWER-2-3cm or about 1 inch
what things need to be recorded/ documented when writing patient's temperature?
- ANSWER-1. time
2. Temperature C/F
3. Route (O, Ax, TA, R, T)
e.g 12pm T98.6F (O)
how long do you count beats for when measuring an irregular pulse rhythm? -
ANSWER-count irregular pulse for 1 minute total
what is a normal adult pulse rate? - ANSWER-50 to 90 bpm
*always compare to pulse hx
at what pulse rate is it considered bradycardia? - ANSWER-below 60 bpm
at what pulse rate is it considered tachycardia? - ANSWER-above 100 bpm
what factors are noted when assessing pulse? - ANSWER-1. rhythm= regular,
irregular
2. force/strength=
a.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
