Basic Nursing Skills Vital Signs & Patient Monitoring 3

Question 1

Normal adult oral temperature is approximately:

Accepted Answer

37.0°C (98.6°F)

Answer

35.5°C (95.9°F)

Answer

36.0°C (96.8°F)

Answer

38.0°C (100.4°F)

Question 2

Fever in an adult is defined as a temperature above:

Accepted Answer

38.0°C (100.4°F)

Answer

37.2°C (99.0°F)

Answer

37.8°C (100.0°F)

Answer

39.0°C (102.2°F)

Question 3

The apical pulse is assessed by placing the stethoscope at which location?

Accepted Answer

Fifth intercostal space, midclavicular line

Answer

Second intercostal space, right sternal border

Answer

Third intercostal space, left sternal border

Answer

Seventh intercostal space, right midaxillary line

Question 4

Which nursing action is performed when monitoring for orthostatic hypotension?

Accepted Answer

Take BP lying, sitting, and standing

Answer

Take BP in the dominant arm only

Answer

Take BP after exercise

Answer

Compare BP in both arms simultaneously

Question 5

What is tachypnea?

Accepted Answer

Respiratory rate above 20 breaths/min

Answer

Respiratory rate below 12 breaths/min

Answer

Cessation of breathing for >10 seconds

Answer

Labored or difficult breathing

Question 6

When is an apical-radial pulse deficit assessment performed?

Accepted Answer

To identify cardiac dysrhythmias such as atrial fibrillation

Answer

To detect hypertension

Answer

To assess peripheral vascular disease

Answer

To evaluate respiratory function