NSG 555 Test 1 Vitals Study Questions and Correct Answers
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Course
NSG 555
Institution
NSG 555
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep breaths. She has smoked for 35 years and recently lost over 10lbs. Her vital signs on admission are: HR 112 BP 138/82 RR 22 tympanic temperature 36.8 degrees C (98.2 F), and O2 saturation is 94%. She is receivin...
NSG 555 Test 1 Vitals Study Questions
and Correct Answers
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with
deep breaths. She has smoked for 35 years and recently lost over 10lbs. Her vital signs
on admission are: HR 112 BP 138/82 RR 22 tympanic temperature 36.8 degrees C
(98.2 F), and O2 saturation is 94%. She is receiving oxygen at 2L via a nasal cannula.
Which vital sign reflects positive outcome of the oxygen therapy?
1. Temperature: 37 degrees C (98.6 F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. O2 saturation: 96%
5. Blood pressure: 134/78 ✅4. O2 saturation
The licensed practical nurse provides you with a change-of-shift vital signs on four of
your patients. Which patient do you need to address first?
1. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
2. 54-year-old woman admitted after surgery for fractured arm, BP 160/86 HR 72
3. 63-year-old man with venous ulcers from diabetes, temperature 99.1 F, HR 84
4. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 ✅1. 84-
year-old man recently admitted with pneumonia, RR 28, SpO2 89%
A 55-year-old female patient was in a motor vehicle accident and is admitted to the
surgical unit after repair of a fractured left arm and left leg. She also has a laceration on
her forehead. An IV line is infusing in the right antecubital fossa, and pneumatic
compression stockings are on the right lower leg. She is receiving oxygen via a simple
face mask. Which sites do you instruct the nursing assistant to use for obtaining the
patient's BP and temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery ✅1. Right antecubital and tympanic membrane
The nurse observes a nursing student taking a blood pressure on a patient. The nurse
notes that the student very slowly deflates the cuff in an attempt to hear the sounds.
The patient's BP range over the past 24 hours is 132/64 to 126/72. Which of the
following BP readings made by the student is most likely caused by an incorrect
technique?
1. 96/40
2. 110/66
3. 130/90
4. 156/82 ✅3. 130/90
, As you are obtaining the O2 saturation on a 19-year-old college student with severe
asthma, you note that she has black nail polish on her nails. You remove the polish from
one nail, and she asks you why her nail polish had to be removed. What is the best
response?
1. Nail polish attracts microorganisms and contaminates the finger sensor
2. Nail polish increases O2 saturation
3. Nail polish interferes with sensor function
4. Nail polish creates excessive heat in sensor probe ✅3. Nail polish interferes with
sensor function
A patient has been hospitalized for the past 48 hours with a fever of unknown origin.
Her medical record indicates tympanic temperatures of 101.6 F (0400), 97.9 F (0800),
98.4 F (1200), 99.6 F (1600), and 100.9 F (2000). How would you describe this pattern
of temperature measurements?
1. Usual range of circadian rhythm measurements
2. Sustained fever pattern
3. Intermittent fever pattern
4. Resolving fever pattern ✅3. Intermittent fever pattern
A patient presents in the clinic with dizziness and fatigue. The nursing assistant reports
a slow but regular radial pulse of 44. What is your priority intervention?
1. Request that the nursing assistant repeat the pulse check
2. Call for a stat ECG
3. Assess the patient's apical pulse and evidence of a pulse deficit
4. Prepare to administer cardiac-stimulating medications ✅3. Assess the patient's
apical pulse and evidence of a pulse deficit
Which patient is at the highest risk for tachycardia?
1. A healthy basketball player during warmup exercises
2. A patient admitted with hypothermia
3. A patient with a fever of 103 F
4. A 90-year-old male taking beta blockers ✅3. A patient with a fever of 103 F
Which of the following patients are at most risk for tachypnea? Select all that apply.
1. Patient just admitted with four rib fractures
2. Woman who is 9 months' pregnant
3. Adult who has consumed alcoholic beverages
4. Adolescent waking from sleep
5. Three-pack-per-day smoker with pneumonia ✅1. Patient just admitted with four rib
fractures, 2. Woman who is 9 months pregnant, 5. Three-pack-per-day smoker with
pneumonia
A patient has been admitted for stroke. She cannot move her right arm, and she has a
right-sided facial droop. She is able to eat with her dentures in place and swallow safely.
The nursing assistive personnel (NAP) reports to you that the patient will not keep the
oral thermometer probe in her mouth. What direction do you provide?
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