Exam (elaborations)
Chapter 11 Vital Signs
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 11 Vital Signs
[Show more]
Content preview
Chapter 11: Vital SignsMULTIPLE CHOICE
1. What part of the body maintains a balance between heat production and heat loss, regulating
body temperature?
a. Thymus
b. Thyroid
c. Hypothalamus
d. Adrenal glands
ANS: C
Body temperature is regulated by the hypothalamus.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 257
OBJ: 9 | 13 TOP: Vital signs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. What type of body temperature remains relatively constant?
a. Surface
b. Rectal
c. Oral
d. Core
ANS: D
The core body temperature remains relatively constant.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 257
OBJ: 2 TOP: Vital signs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3. The nurse uses cooling techniques to keep the body temperature below 105° F. What can
result from an elevated temperature?
a. Excessive thirst
b. Excessive perspiration
c. Damage to body cells
d. Increased heart rate
ANS: C
If the temperature exceeds 105° F, normal body cells may be damaged.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 258
OBJ: 8 TOP: Vital signs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. The emergency department nurse quickly assesses the temperature of an unconscious patient
who has been outside all night in below-freezing temperatures. What temperature is the nurse
aware of that can lead to death?
a. 95.2° F
b. 93.0° F
, c. 93.2° F
d. 90.8° F
ANS: C
Death can occur if the temperature falls below 93.2° F.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 258
OBJ: 9 TOP: Vital signs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. What is the term for a fever that rises and falls but does not return to normal until the patient
is well?
a. Constant
b. Intermittent
c. Remittent
d. Elevated
ANS: C
A remittent fever does not return to normal until the patient becomes well.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 258
OBJ: 9 TOP: Remittent fever
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
6. How should the nurse position the ear pinna when using the tympanic thermometer on a
child?
a. Upward and back
b. Parallel
c. Downward and back
d. Upward and forward
ANS: C
Using the tympanic thermometer for a child, the nurse will tug the ear pinna down and back.
PTS: 1 DIF: Cognitive Level: Application REF: Page 262, Skill 11-1
OBJ: 3 | 9 TOP: Tympanic thermometer for a child
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
7. How should the nurse position the earpieces on a stethoscope to ensure optimum reception?
a. Backward
b. Parallel to the ears
c. Toward the face
d. Downward
ANS: C
To ensure the best reception of sound, place earpieces pointing toward the face.
PTS: 1 DIF: Cognitive Level: Application REF: Page 264
OBJ: 9 | 12 TOP: Vital signs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
8. What does the nurse use the diaphragm of the stethoscope to best assess?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mentor2000. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77858 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now