Considered the 5th vital sign:

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Vital Signs Health Assessment Questions

Question 1 of 5

Considered the 5th vital sign:

Correct Answer: D

Rationale: Pain, is correct as its widely recognized as the fifth vital sign in modern healthcare, alongside temperature, pulse, respiration, and blood pressure. Pain assessment (often via a 0-10 scale) helps evaluate patient comfort and guide treatment, especially post-surgery or in chronic conditions. Height and weight, are metrics, not vital signs. Respiration, is a core vital sign (not fifth). Body mass index, derived from height and weight, isnt directly measured as a vital sign. Since the 1990s, pains inclusion reflects its impact on health status, making D the correct answer per nursing standards emphasizing holistic care.

Question 2 of 5

A nurse attempts to count the respiratory rate for a patient via inspection and finds that the patient is breathing at such a shallow rate that it cannot be counted. What is an alternative method of determining the respiratory rate for this patient?

Correct Answer: A

Rationale: Shallow breathing obscures visual counting, requiring alternatives. Auscultating lung sounds detects air movement, allowing a 30-second count doubled to 60 seconds, a reliable method. Palpating thorax excursion is less precise for rate. Pulse oximetry measures oxygen, not rate directly. Arterial blood gases assess gases, not frequency. Choice A is correct, per nursing practice, ensuring accurate respiratory assessment when inspection fails.

Question 3 of 5

The patient is admitted with shortness of breath and chest discomfort. Which laboratory value could account for the patient's symptoms?

Correct Answer: B

Rationale: Shortness of breath and chest discomfort suggest reduced oxygen delivery. Hemoglobin of 8.0 g/dL indicates anemia (normal 12-16 g/dL), impairing oxygen transport. RBC 5.0 million/mm3 and hematocrit 45% are normal. Oximetry 95% is adequate. Choice B is correct, linking anemia to symptoms per nursing pathophysiology.

Question 4 of 5

According to the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, high blood pressure for adults is defined as...

Correct Answer: D

Rationale: NHLBI defines hypertension as 140 mmHg systolic or 90 mmHg diastolic , aligning with clinical standards (e.g., JNC 8). 120/80 is normal/prehypertension. 100/50 is low. 150/100 exceeds but isn't the threshold. Choice D is correct, reflecting NHLBI criteria nurses use to identify and manage high BP, a major cardiovascular risk factor.

Question 5 of 5

Will you attend the Regional Nursing Meeting to obtain the Continuing Nursing Education (CNE) unit for this Health & Safety Alert?

Correct Answer: A

Rationale: Nurses seeking CNE credits would likely attend for professional growth tied to the alert. Attending regardless splits intent. No or not a nurse opts out, less likely for engaged nurses. Choice A is correct, as CNE motivates attendance, per nursing licensure requirements, assuming interest in the topic.

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