Sample Questions and Answers
What is the normal range for adult blood pressure?
a) 90/60 mmHg – 120/80 mmHg
b) 100/70 mmHg – 140/90 mmHg
c) 120/80 mmHg – 160/100 mmHg
d) 140/90 mmHg – 180/110 mmHg
Answer: a) 90/60 mmHg – 120/80 mmHg
A temperature of 38.3°C (101°F) is considered:
a) Hypothermia
b) Hyperthermia
c) Normal body temperature
d) Mild fever
Answer: b) Hyperthermia
Which of the following is the best method to measure a patient’s core body temperature?
a) Oral thermometer
b) Axillary thermometer
c) Rectal thermometer
d) Temporal artery thermometer
Answer: c) Rectal thermometer
What is considered a normal adult respiratory rate?
a) 10-15 breaths per minute
b) 12-20 breaths per minute
c) 15-30 breaths per minute
d) 20-25 breaths per minute
Answer: b) 12-20 breaths per minute
Which of the following is a normal pulse rate for an adult?
a) 40-60 beats per minute
b) 60-100 beats per minute
c) 50-80 beats per minute
d) 80-120 beats per minute
Answer: b) 60-100 beats per minute
What is the most accurate method for measuring body temperature in infants?
a) Oral
b) Axillary
c) Rectal
d) Temporal artery
Answer: c) Rectal
A nurse is measuring a patient’s blood pressure. What is the first sound heard when the cuff is deflated?
a) Diastolic pressure
b) Systolic pressure
c) Korotkoff sound
d) Pulse pressure
Answer: b) Systolic pressure
What is the normal range for an adult heart rate?
a) 50-60 beats per minute
b) 60-100 beats per minute
c) 70-80 beats per minute
d) 80-120 beats per minute
Answer: b) 60-100 beats per minute
When checking a patient’s pulse, the nurse notices it is irregular. What should the nurse do next?
a) Count the pulse for 15 seconds and multiply by 4
b) Count the pulse for 30 seconds and multiply by 2
c) Check for other vital signs
d) Count the pulse for a full minute
Answer: d) Count the pulse for a full minute
What is the first action the nurse should take if a patient’s oxygen saturation drops below 90%?
a) Administer oxygen as ordered
b) Notify the healthcare provider
c) Recheck the oxygen saturation
d) Check the patient’s respiratory rate
Answer: a) Administer oxygen as ordered
Which factor can cause an increase in respiratory rate?
a) Fever
b) Hypotension
c) Dehydration
d) Bradycardia
Answer: a) Fever
What is a common cause of low blood pressure (hypotension)?
a) Blood loss
b) Pain
c) Fever
d) Anxiety
Answer: a) Blood loss
What is the normal adult axillary temperature range?
a) 36.1°C – 37.2°C
b) 37.2°C – 38.0°C
c) 36.5°C – 37.5°C
d) 37.5°C – 38.5°C
Answer: c) 36.5°C – 37.5°C
A nurse is assessing a patient’s pulse. Which of the following should the nurse assess in addition to rate?
a) Rhythm
b) Respiratory rate
c) Temperature
d) Blood pressure
Answer: a) Rhythm
What is the most accurate site to measure the temperature in a febrile child?
a) Oral
b) Rectal
c) Temporal artery
d) Axillary
Answer: b) Rectal
A patient’s pulse is 120 beats per minute. This would be classified as:
a) Bradycardia
b) Normal
c) Tachycardia
d) Arrhythmia
Answer: c) Tachycardia
What is the normal range for adult oxygen saturation (SpO2)?
a) 85% – 90%
b) 92% – 100%
c) 75% – 85%
d) 90% – 94%
Answer: b) 92% – 100%
What does a change in the quality of a pulse indicate?
a) The patient is under stress
b) A potential circulatory issue
c) Dehydration
d) Fever
Answer: b) A potential circulatory issue
What is the normal range for an adult temperature taken orally?
a) 35.5°C – 37.5°C
b) 36.5°C – 38.0°C
c) 37.0°C – 38.5°C
d) 36.0°C – 37.0°C
Answer: a) 35.5°C – 37.5°C
Which of the following can cause an elevated heart rate?
a) Rest
b) Hypothermia
c) Anxiety
d) Sleeping
Answer: c) Anxiety
A nurse measures a patient’s blood pressure as 150/90 mmHg. This would be classified as:
a) Normal
b) Elevated
c) Hypertension Stage 1
d) Hypertension Stage 2
Answer: c) Hypertension Stage 1
When assessing a patient’s pulse, the nurse finds it weak and thready. What could this indicate?
a) Decreased blood volume
b) Fever
c) Normal response
d) Increased blood pressure
Answer: a) Decreased blood volume
A temperature of 39.4°C (103°F) would indicate:
a) Hypothermia
b) Normal body temperature
c) Low-grade fever
d) High-grade fever
Answer: d) High-grade fever
What should the nurse do if a patient has a sudden drop in blood pressure upon standing?
a) Increase fluid intake
b) Help the patient lie down
c) Administer medication
d) Check the patient’s heart rate
Answer: b) Help the patient lie down
The nurse notes a patient’s respiratory rate is 30 breaths per minute. This would be classified as:
a) Bradypnea
b) Normal
c) Tachypnea
d) Apnea
Answer: c) Tachypnea
What is the most accurate method of assessing oxygen saturation?
a) Pulse oximeter
b) Arterial blood gas (ABG)
c) Capnography
d) SpO2 meter
Answer: b) Arterial blood gas (ABG)
A patient has a systolic blood pressure of 180 mmHg. This is indicative of:
a) Hypotension
b) Prehypertension
c) Stage 1 Hypertension
d) Stage 2 Hypertension
Answer: d) Stage 2 Hypertension
The nurse is assessing a patient’s pulse rate. Which of the following is most important?
a) Duration of the pulse
b) Strength of the pulse
c) Rate and rhythm of the pulse
d) The location of the pulse
Answer: c) Rate and rhythm of the pulse
What is the term for the difference between the systolic and diastolic pressures?
a) Pulse rate
b) Pulse pressure
c) Blood pressure gradient
d) Circulatory volume
Answer: b) Pulse pressure
A patient has a fever of 38.9°C (102°F). What is the appropriate nursing action?
a) Apply ice packs to the patient
b) Administer antipyretic medication as prescribed
c) Monitor the temperature only
d) Restrict fluid intake
Answer: b) Administer antipyretic medication as prescribed
Which of the following vital signs is most commonly used to assess circulatory function?
a) Blood pressure
b) Heart rate
c) Temperature
d) Respiratory rate
Answer: a) Blood pressure
Which of the following would most likely cause an increase in blood pressure?
a) Dehydration
b) Medication adherence
c) Physical activity
d) Relaxation
Answer: c) Physical activity
A patient’s temperature is 35.0°C (95°F). This is indicative of:
a) Normal temperature
b) Hypothermia
c) Fever
d) Hyperthermia
Answer: b) Hypothermia
A nurse is taking a patient’s blood pressure. What should be the nurse’s action if the patient is sitting in a chair with their legs crossed?
a) Proceed with the measurement as usual
b) Ask the patient to stand
c) Have the patient uncross their legs
d) Measure the blood pressure while standing
Answer: c) Have the patient uncross their legs
What is the first action the nurse should take if a patient’s temperature reaches 40°C (104°F)?
a) Apply ice packs to the patient
b) Administer an antipyretic
c) Notify the healthcare provider
d) Increase fluid intake
Answer: b) Administer an antipyretic
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