ATS – REVIEW VITAL SIGNS AND DOCUMENTATION

Temperature is the measurement of the balance between heat produced

and heat losta. Trueb. False

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Oral temperature is the most accurate method for taking temperature

A. TRUEB. FALSE

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Starvation leads to an increase body temperature

A. TRUEB. FALSE

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How long should a glass oral thermometer be soaked in disinfectant

before use?A. 15 minutesB. 30 minutesC. 45 minutesD. overnight

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The brachial pulse site is used for

A. Pulse check with CPR

B. Pulse check for vital signs

C. Pulse site to check a blood pressure

D. Brachial pulse sites should never be used

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Which of these would describe pulse RHYTHM?

A. Strong or weakB. Fast or slowC. Regular or irregularD. All of the above

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Tachycardia is defined as

A. Heart rate greater than 100 beats per minute in adults

B. Heart rate less than 60 beats per minute in adults

C. Absence of a pulseD. Pulse pressure

greater than 100 :20

Which of these are considered the four main vital signs?

A. TPR, Pulse oxcimetry

B. TPR, BPC. BP, pupil reaction,

TPRD. TPR, BP, pupil

reaction, oxcimetry

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A patient with difficult, labored respirations could be described as

having A. Cheyne Stokes

respirationB. ApneaC. DyspneaD. Stertorous

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A patient with periods of apnea and periods of dyspnea could be described

as having A. Cheyne Stokes

respirationB. ApneaC. DyspneaD. Stertorous

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Graphic representations of things such as vital signs and height and weight areA. Useful because they provide a

visual diagram of variations that are important

B. Useful because it allows comparison to baseline and normal or acceptable values

C. All of the aboveD. Neither A, B, or C are true

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What causes heart sounds?

A. The contraction of heart muscle

B. The relaxation of heart muscle

C. The closing of valves in the heart

D. Movement of blood through atria and ventricles

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Hypertension:

A. Reflects constant pressure on the walls of arteries

B. Reflects constant pressure on the mitral valve

C. Reflects a problem with ventricular contraction

D. Reflects constant relaxation on the walls of the veins

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What is the usual effect of shock on the body?

A. Higher blood pressure

B. Lower blood pressure

C. Lower heart rateD. Fever above 103

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Pyrexia is:

A. Another term for fever

B. The same as hyperthermia

C. Only used to describe a fever greater than 103 degrees F

D. Never a finding of concern

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Your patient has difficulty breathing with a high pitch whistling sound

during expiration. This is:

A. Cheyne-Stokes respirationB. Normal respirationC. WheezingD. Rales

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The best way to document a patient’s symptoms is

A. Writing direct quotes and putting the entry in quotation marks

B. Interpreting what you think the patient is trying to say

C. Use standard abbreviations to note their symptoms in a shortened form

D. Write the statement using appropriate medical terminology :20

How should a healthcare professional determine which abbreviations to use?A. Use a resource such

as Tabor’s Medical Dictionary for any term

B. Use personal abbreviations that are clear

C. Follow facility policiesD. Use any JCAHO

approved abbreviation :20

A coworker calls from home and says they forgot to sign their name on the

patient medication record and asks you to sign for them. You should

A. Sign your name and put their name beside your name

B. Sign their nameC. Sign your name onlyD. Refuse to sign either name

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Source oriented medical record keeping does which?

A. Organizes by chronological order

B. Organizes charting by specialty (example: tabs under which doctors chart progress notes, separate tab for orders)

C. Organizes by type of body system affected

D. Organizes by type of health problem :20

Who can chart on a patient medical record?

A. Only doctorsB. Only nursesC. A and B onlyD. Any health care

professional who provides a direct service to the patient

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What is one purpose of charting?

A. Helps ensure compliance with regulatory agencies

B. Prevents lawsuitsC. Prevents costly

proceduresD. Allows the patient

to see what has gone on

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Normal temperature ranges:

A. Depending upon thermometer: 97.6 to 99.6, 98.6 to 100.6, 96.6 to 98.6, 98.6 to 100.6 F

B. Are always 95.8 to 101 F regardless of type of thermometer used

C. Are the same for all types of thermometers

D. Are never charted on the medical record

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Heart rate

A. Normal ranges 60 to 100 beats per minute in adult

B. Normal ranges 40 to 60 beats per minute in all age groups

C. Are higher for athletes at rest

D. Are lower for infants and children

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Adult Normal systolic blood pressure

A. 100 to 120 mm HgB. 140 to 160 mm HgC. Less than 90D. Greater than 180

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Adult Normal diastolic blood pressure

A. Greater than 120 mm Hg

B. 60 to 80 mm HgC. 12 to 20 mm HgD. Any of the above

would be normal readings

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What items must be included in charting?

A. DateB. TimeC. SignatureD. All of the above

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When charting, what factors are important in writing?

A. LegibleB. Easy to ReadC. ClearD. All of the above

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What types of things involving patient care must be immediately reported to

supervisors?A. Abnormal FindingsB. Abnormal ResultsC. Questions/Concerns

about unclear ordersD. All of the above

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