Chapter 17: Vital Signs - Nurselytic

Questions 16

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 17 : Vital Signs Questions

Question 1 of 5

What four assessments should you make when assessing respirations?

Correct Answer: A

Rationale: When assessing respirations, evaluate rate (breaths per minute), depth (shallow or deep), rhythm (regular or irregular), and effort (ease or difficulty of breathing).

Question 2 of 5

There are a total of six vital signs: five objective and one subjective. Four of the five objective vital signs include the blood pressure, temperature, pulse, and respirations. What is the fifth objective vital sign? What is the one subjective vital sign?

Correct Answer: A

Rationale: Oxygen saturation (SpO2) is the fifth objective vital sign, measured via pulse oximetry. Pain is the subjective vital sign, assessed through patient self-report.

Question 3 of 5

Based on the circadian rhythm, the body's temperature normally drops 1°F to 2°F in the late afternoon.

Correct Answer: B

Rationale: False. Body temperature typically peaks in the late afternoon and drops at night, not specifically in the late afternoon.

Question 4 of 5

Antipyretics are medications given for hypertension.

Correct Answer: B

Rationale: False. Antipyretics are medications used to reduce fever, not hypertension.

Question 5 of 5

When auscultated, the heart sounds should sound muffled and distant.

Correct Answer: B

Rationale: False. Normal heart sounds (S1 and S2) should be clear and distinct, not muffled or distant, which may indicate pathology.

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