Questions and Answers Latest Version

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Vital Signs | Foundational Concepts of Nursing Practice | Engage Module Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What should the nurse do first if a patient exhibits signs of hypoxia, such as cyanosis and confusion?

• Administer oxygen as prescribed

✔✔B. Assess the patient’s respiratory rate and effort

• Measure the blood pressure
• Document the symptoms and notify the healthcare provider

Which of the following is an expected finding in a patient who is experiencing pain?

• Elevated blood pressure and heart rate
• Decreased blood pressure and heart rate

✔✔C. Elevated heart rate and blood pressure

• Stable heart rate and decreased blood pressure

Which of the following can cause an increased heart rate in a patient? 1 / 4

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• Hypothermia
• Deep sleep

✔✔C. Fever

• Hypoglycemia

When is it best to take vital signs in a hospitalized patient?✔✔A. Before administering medications or interventions

• After giving medications to evaluate their effects
• When the patient is in a quiet, relaxed state
• Only when the patient feels unwell

How does anxiety affect vital signs?

• It decreases the heart rate and respiratory rate

✔✔B. It increases both heart rate and respiratory rate

• It has no effect on vital signs
• It only increases the respiratory rate

What is the best method to assess for pain in a non-verbal patient? 2 / 4

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✔✔A. Use a pain scale such as the FLACC scale

• Monitor vital signs only
• Ask the patient’s family members
• Look for signs of physical agitation

Which of the following is a normal range for an adult's heart rate?

• 40-60 beats per minute

✔✔B. 60-100 beats per minute

• 80-120 beats per minute
• 100-120 beats per minute

What is the first action when a patient's pulse oximeter reading is less than 90%?✔✔A. Assess the patient’s respiratory status and provide oxygen if needed

• Recheck the pulse oximeter reading after five minutes
• Document the low reading and continue with assessment
• Notify the provider immediately without further assessment
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Which of the following is the most accurate method for assessing a patient’s blood pressure in a clinical setting?

• Palpating the brachial artery

✔✔B. Auscultation using a stethoscope and sphygmomanometer

• Using an automated digital blood pressure cuff
• Measuring at the ankle

What is the expected range for an adult’s oral temperature?✔✔A. 36.5°C to 37.5°C (97.7°F to 99.5°F)

• 34.0°C to 35.5°C (93.2°F to 95.9°F)
• 38.0°C to 39.0°C (100.4°F to 102.2°F)
• 36.0°C to 37.0°C (96.8°F to 98.6°F)

What action should a nurse take if the patient's temperature is elevated and they are experiencing chills?✔✔A. Assess the patient’s vital signs and administer antipyretics as prescribed

• Increase the room temperature to help the patient warm up
• Place a cool cloth on the patient’s forehead and wait for the fever to subside
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