CKE Vital Signs and Basic Assessment 3

Question 1

A resting heart rate above 100 beats per minute in an adult is termed:

Accepted Answer

Tachycardia

Answer

Bradycardia

Answer

Dysrhythmia

Answer

Palpitation

Question 2

A blood pressure of 180/120 mmHg is classified as a hypertensive crisis. What is the priority action?

Accepted Answer

Notify the nurse or provider immediately for urgent evaluation

Answer

Repeat the measurement in 30 minutes and document

Answer

Encourage the patient to rest quietly and increase fluid intake

Answer

Apply a cold compress to the patient's forehead

Question 3

An adult patient has a temperature of 104°F (40°C). What is the most appropriate priority action?

Accepted Answer

Notify the nurse or physician and initiate cooling measures as ordered

Answer

Apply a warm blanket to prevent shivering

Answer

Recheck the temperature in 4 hours per protocol

Answer

Offer hot fluids to promote perspiration

Question 4

A respiratory rate of 28 breaths per minute in a resting adult is classified as:

Accepted Answer

Tachypnea

Answer

Bradypnea

Answer

Eupnea

Answer

Apnea

Question 5

Hypotension in adults is generally defined as a systolic blood pressure below:

Accepted Answer

90 mmHg

Answer

140 mmHg

Answer

120 mmHg

Answer

100 mmHg

Question 6

A pulse oximetry reading of 88% in a patient breathing room air indicates:

Accepted Answer

Significant hypoxemia requiring immediate intervention

Answer

Normal oxygen saturation for an older adult

Answer

Mild hypoxemia requiring routine monitoring

Answer

Equipment malfunction; readings below 90% are impossible on room air

Question 7

An adult heart rate of 48 beats per minute at rest, without symptoms, is classified as:

Accepted Answer

Bradycardia

Answer

Tachycardia

Answer

Normal for a conditioned athlete but abnormal otherwise

Answer

Pulsus paradoxus