NURS 1000 EXAM 1 REVIEW Questions with
Correct Answers
Which of the following patients would require follow-up?
a) A child with a respiratory rate of 24 breaths per minute
b) An adolescent with a respiratory rate of 16 breaths per minute
c) An adult with a respiratory rate of 10 breaths per minute
d) A newborn with a respiratory rate of 50 breaths per minute Correct
Answer-C
Which of the following vital signs recorded for an older adult would be
considered acceptable
(i.e., within normal limits)?
a) Temp 96.8° F, P 60, R 18, BP 160/90, O2 sat 93%
b) Temp 97.0° F, P 60, R 16, BP 116/78, O2 sat 95%
c) Temp 98.6° F, P 56, R 20, BP 120/80, O2 sat 91%
d) Temp 98.0° F, P 76, R 22, BP 110/70, O2 sat 88% Correct Answer-B
A 56-year-old female patient has been admitted with a diagnosis of
pneumonia. Which information should be provided to the NAP
delegated to take her temperature? (Select all that apply.)
a) The patient's age
b) The type of temperature required
c) The patient's diagnosis
d) The frequency for taking or monitoring the temperature
,e) What changes to report immediately to you, the physician, or their
delegate Correct Answer-B, D, E
Which of the following situations may affect a patient's vital signs?
a)Time of day
b) Occupation
c) Moving from a lying to a standing position
d) Pain rated
as a 7 on a 1 to 10 pain scale
e) Isolation precaution Correct Answer-A, C, D
You are supposed to take your patient's vital signs preoperatively and
record them on the patient's record as part of the patient's preparation for
surgery. Why is it necessary to take vital
signs preoperatively? (Select all that apply.)
a) To see if the patient is "feeling funny"
b) To provide a set of vital signs to use for comparison during and after
surgery
c) To make sure the patient is not experiencing any complications such
as a high fever that may contraindicate surgery or require intervention at
this time
d) To provide the patient with reassurance that he or she is being cared
for by a competent staff Correct Answer-B, C
Who would you expect to have the lowest body temperature?
,a) A 16 year old who ran 1 mile
b) An 80 year old who walked half a mile
c) A toddler who is febrile
d) A child who is playing softbal Correct Answer-B
The NAP is preparing to measure a patient's vital signs. The patient
reports having eaten a bowl of warm soup. The NAP asks the RN what
he should do. What is the best response?
a) "Ask the patient not to eat, drink, or smoke for 15 minutes, and then
assess the patient's oral temperature."
b) "Since the soup was not hot, go ahead and take the patient's
temperature."
c) "Change to the red thermometer probe, and take the patient's
temperature rectally."
d) "Take the patient's temperature using the axillary route, and when you
record the reading, add 1° F. Correct Answer-A
For which patient would a tympanic thermometer be the preferred
thermometer to use?
a) A marathon runner who developed weakness during the race
b) A newborn in the intensive care unit who requires continuous
temperature monitoring
c) A child who had tubes surgically placed in the ears
d) A tachypneic patient who is receiving oxygen by nasal cannula
Correct Answer-D
, Which of the following patients would you expect to need to monitor
their temperature more frequently? (Select all that apply)
a) A patient receiving a blood transfusion for chronic anemia
b) An elderly patient who needs assistance with feeding and dressing
c) A 43-year-old female who has undergone a hysterectomy
d) A child who is small for his age
e) A 19 year old with a white blood cell count of 15,00 Correct Answer-
A, C, E
A NAP reports that a patient's temperature is 39° C. Which of the
following are appropriate nursing actions? (Select all that apply)
a) Place the patient's feet in a tub of cool water with ice.
b) Apply a hyperthermia blanket as ordered.
c) Remove the patient's blankets.
d) Limit the patient's fluid intake.
e) Administer antipyretic to the patient as order Correct Answer-C, E
Which of the following actions, if made by the NAP would require
intervention and further instruction by the nurse? (Select all that apply)
a) The NAP inserts the red-tipped electronic thermometer probe into the
patient's mouth after applying a probe cover.
b) The NAP wipes the single-use chemical dot thermometer and places it
back in the patient's drawer for future use.
c) The NAP waits until a tone sounds to read the tympanic thermometer.
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