Chapter 24: Clinical measurement
Multiple choice
1. Which of these measurements are included in vital sign monitoring?
- respiratory rate
- blood glucose
- temperature
- urine output
2. What is the normal respiratory rate for a toddler?
- 20–40 bpm
- 24–40 bpm
- 30–40 bpm
- 22–34 bpm
3. How long should a pulse rate be counted for?
- 15 seconds
- 1 minute
- 30 seconds
- 2 minutes
4. What can affect pulse oximetry readings?
- dark nail varnish
- cool limbs
- high temperatures
- cardiac arrhythmias
- SpO2 readings below 80%
5. In blood pressure monitoring what percentage of the arm circumference should the cuff bladder be?
- 40%
- 100%
- 80%
- 10%
6. When taking a manual blood pressure which artery do you palpate?
- brachial
- radial
- femoral
- carotid
7. Where do you measure capillary refill time?
- medial aspect of antecubital fossa
- earlobe
- upper part of the chest
- nailbed
- padded area fingertip
8. Which temperature indicates a pyrexia?
- 37.5–38.5°C
- 36.0–37.5°C
- 37.0–38.0°C
- 38.0–39.0°C
9. What is the best time of day to do a urinalysis sample?
- mid-morning
- before bed
- after breakfast
- first thing in the morning
10. As a student nurse if you record an abnormal clinical measurement would you?
- Document this in the patients notes.
- Call the doctor immediately.
- Inform a health care assistant.
- Inform a senior nurse or your mentor.