Questions and Answers Latest Version

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RN Vital Signs Assessment 2.0 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which of the following factors can falsely elevate a client’s oral temperature?

• Drinking ice water

✔✔B. Smoking a cigarette

• Taking a cold shower
• Resting in a cool room

Which pulse site is most appropriate to assess during cardiopulmonary resuscitation (CPR)?✔✔A. Carotid

• Brachial
• Radial
• Temporal

What should the nurse do if the client's blood pressure reading is 88/56 mmHg and they are dizzy?

• Reassess in 15 minutes 1 / 4

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✔✔B. Lay the client down and notify the provider

• Offer fluids and recheck in an hour
• Document and proceed with routine care

Which action ensures the most accurate respiratory rate assessment?✔✔A. Observe chest movement while pretending to check the pulse

• Ask the patient to breathe deeply while counting
• Place a hand on the chest and count aloud
• Watch the client closely and ask them to count their breaths

Which reading is considered within the normal range for an adult’s oral temperature?

A. 36.0°C (96.8°F)

✔✔B. 37.0°C (98.6°F)

C. 38.5°C (101.3°F)

D. 35.5°C (95.9°F)

What should the nurse do if a client’s pulse oximeter reads 85%?

• Remove the sensor and try again later 2 / 4

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✔✔B. Reposition the sensor and assess the patient immediately

• Ignore the reading if the patient looks well
• Tell the client to take deep breaths and reassess in the morning

Which of the following situations requires the nurse to take an apical pulse?

• The client is sleeping
• The client has a low oxygen saturation

✔✔C. The client is on a cardiac medication like digoxin

• The client has just eaten

A blood pressure cuff that is too small for the arm may result in:

• A false low reading

✔✔B. A false high reading

• No reading at all
• Consistent and accurate results

Which of the following indicates orthostatic hypotension?✔✔A. A drop in systolic BP of 20 mmHg upon standing 3 / 4

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• An increase in pulse of 10 bpm when sitting
• A respiratory rate increase when lying down
• A normal blood pressure that changes with anxiety

Which pain scale is most appropriate for a 4-year-old child?

• Numeric Rating Scale
• Visual Analog Scale

✔✔C. Wong-Baker FACES Scale

• FLACC Behavioral Scale

Which location provides the most reliable core temperature reading in adults?

• Axillary

✔✔B. Rectal

• Tympanic
• Oral

When should a nurse avoid using the oral temperature method?✔✔A. After the patient drank a hot beverage

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