Chapter 24: Clinical measurement

Multiple choice

1. Which of these measurements are included in vital sign monitoring?

  1. respiratory rate
  2. blood glucose
  3. temperature
  4. urine output

Answer: A,C

2. What is the normal respiratory rate for a toddler?

  1. 20–40 bpm
  2. 24–40 bpm
  3. 30–40 bpm
  4. 22–34 bpm

Answer: B

3. How long should a pulse rate be counted for?

  1. 15 seconds
  2. 1 minute
  3. 30 seconds
  4. 2 minutes

Answer: B

4. What can affect pulse oximetry readings?

  1. dark nail varnish
  2. cool limbs
  3. high temperatures
  4. cardiac arrhythmias
  5. SpO2 readings below 80%

Answer: A,B,D,E

5. In blood pressure monitoring what percentage of the arm circumference should the cuff bladder be?

  1. 40%
  2. 100%
  3. 80%
  4. 10%

Answer: C

6. When taking a manual blood pressure which artery do you palpate?

  1. brachial
  2. radial
  3. femoral
  4. carotid

Answer: A

7. Where do you measure capillary refill time?

  1. medial aspect of antecubital fossa
  2. earlobe
  3. upper part of the chest
  4. nailbed
  5. padded area fingertip

Answer: C,E

8. Which temperature indicates a pyrexia?

  1. 37.5–38.5°C
  2. 36.0–37.5°C
  3. 37.0–38.0°C
  4. 38.0–39.0°C

Answer: A

9. What is the best time of day to do a urinalysis sample?

  1. mid-morning
  2. before bed
  3. after breakfast
  4. first thing in the morning

Answer: D

10. As a student nurse if you record an abnormal clinical measurement would you?

  1. Document this in the patients notes.
  2. Call the doctor immediately.
  3. Inform a health care assistant.
  4. Inform a senior nurse or your mentor.

Answer: A,B