Nursing Health Assessment & Vital Signs
What is the normal range for blood pressure in adults?
90/60 to 120/80 mmHg
130/90 to 150/100 mmHg
70/40 to 100/60 mmHg
160/110 to 180/120 mmHg
What is the normal range for respiratory rate in adults at rest?
12-20 breaths per minute
6-10 breaths per minute
30-40 breaths per minute
50-60 breaths per minute
Which of the following are vital signs?
Heart rate
Blood pressure
Body temperature
Blood sugar level
Respiration rate
Which of the following are vital signs?
Blood pressure
Body temperature
Heart rate
Pulse oximetry
Eye color
Which of the following can cause an increased respiratory rate?
Exercise
Anxiety
Sleeping
Meditation
Watching TV
Which of the following is an example of an objective data in health assessment?
Temperature of 38°C
Patient's description of pain
Feeling anxious
History of allergies
Which of the following is not a component of the respiratory assessment?
Breath sounds
Pulse oximetry
Blood pressure
Respiratory rate
Cough assessment
What is the pulse rate measured in?
Beats per minute (BPM)
Breaths per minute (BPM)
Miles per hour (mph)
Degrees Celsius (°C)
What are some reasons for conducting a nursing health assessment?
To establish a baseline for a patient's health status
To identify actual or potential health risks or problems
To monitor the effectiveness of treatments or interventions
To provide entertainment for patients
To develop a plan of care
To document the patient's medical history
What is oxygen saturation?
The percentage of hemoglobin saturated with oxygen in the blood
The amount of oxygen inhaled per minute
The rate at which oxygen is transported to body tissues
The level of oxygen in the atmosphere
What is considered a normal body temperature for adults?
98.6°F (37°C)
104°F (40°C)
95°F (35°C)
100.4°F (38°C)
What is the purpose of auscultation in a health assessment?
To listen to internal body sounds
To measure blood pressure
To assess skin color
To measure oxygen saturation
Which of the following can cause an increased body temperature?
Infection
Exercise
Cold weather
Dehydration
Eating ice cream
How is oxygen saturation measured?
Using a pulse oximeter
Drawing blood samples
Measuring respiratory rate
Assessing blood pressure
What is the normal range for heart rate in adults?
60-100 beats per minute
120-160 beats per minute
30-50 beats per minute
80-120 beats per minute
Which of the following are considered vital signs?
Blood pressure
Body temperature
Pulse rate
Respiratory rate
Urinary output
What is respiration rate?
The number of breaths taken per minute
The amount of air inhaled and exhaled with each breath
The force exerted by air against the walls of the respiratory system
The exchange of oxygen and carbon dioxide in the lungs
How can respiration rate be measured?
Counting the number of breaths manually
Using a stethoscope to listen to lung sounds
Observing chest movements
Measuring oxygen saturation levels
Assessing blood pressure
Which of the following is an example of a subjective data in health assessment?
Pain level reported by the patient
Blood pressure measurement
Temperature reading
Respiratory rate count
Skin color observation
Which of the following factors can affect body temperature?
Infection
Physical activity
Environmental temperature
Emotional stress
Dietary intake
What is pain?
An unpleasant sensory and emotional experience associated with actual or potential tissue damage
A normal physiological response to injury
A psychological state characterized by distress
A subjective feeling of discomfort
What is blood sugar?
The concentration of glucose in the bloodstream
The amount of insulin produced by the pancreas
The level of glycogen stored in the liver
The rate at which glucose is metabolized by cells
What is hypoglycaemia?
A condition characterized by abnormally low blood sugar levels
A condition characterized by abnormally high blood sugar levels
A condition characterized by insulin resistance
A condition characterized by impaired glucose metabolism
What are some common methods for assessing pain in patients?
Using a pain scale (e.g., numeric rating scale)
Asking the patient to describe their pain
Observing facial expressions and body language
Measuring blood pressure
Assessing oxygen saturation levels
What is the normal range for respiratory rate in adults at rest?
12-20 breaths per minute
8-12 breaths per minute
16-24 breaths per minute
10-18 breaths per minute
What is the pulse rate measured in?
Beats per minute (bpm)
Breaths per minute (bpm)
Degrees Celsius
Millimeters of mercury (mmHg)
What is hyperglycaemia?
A condition characterized by abnormally high blood sugar levels
A condition characterized by abnormally low blood sugar levels
A condition characterized by insulin resistance
A condition characterized by impaired glucose metabolism
Which of the following factors can affect pulse rate?
Physical activity
Emotional state
Body position
Medication use
Dietary intake
What is considered a normal body temperature for adults?
98.6°F (37°C)
100.4°F (38°C)
96.8°F (36°C)
99.5°F (37.5°C)
What are the different types of thermometers used for measuring body temperature?
Oral thermometer
Rectal thermometer
Axillary thermometer
Mercury thermometer
Infrared thermometer
What are the different types of blood pressure machines used for measuring blood pressure?
Manual sphygmomanometer
Digital sphygmomanometer
Stethoscope
Pulse oximeter
What are some common pulse points for assessing heart rate?
Radial artery
Carotid artery
Brachial artery
Femoral artery
Popliteal artery
Which of the following are components of a nursing health assessment?
Physical examination
Medical history review
Obtaining vital signs
Financial assessment
Which of the following is not a component of the respiratory assessment?
Breath sounds auscultation
Respiratory rate assessment
Cough assessment
Blood pressure measurement
Oxygen saturation measurement
What is the first step in conducting a nursing health assessment?
Collecting Personal & Background Information
Performing a physical examination
Reviewing medical records
Obtaining vital signs
Which of the following are reasons for performing a nursing health assessment?
To establish a baseline for the patient's health status
To identify actual or potential health problems
To develop an individualized care plan
To administer medications to patients
To provide emotional support to patients
Which
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