RLE REVIEWER

1. The nurse is preparing to measure a client’s temperature. What is the first thing that the nurse
should do to ensure an accurate temperature reading? ASSESS THAT THE EQUIPMENT USED
IS WORKING PROPERLY
2. An older client has an oral temperature reading of 36.2 degree C. The nurse realizes that this
client’s low temperature could be due to which observation? LOSS OF SUBCUTANEOUS FAT IS
NOTED
3. While waiting for the physician to respond regarding a client’s elevated temperature, what can the
nurse do to assist the client? INCREASE FLUID INTAKE
4. While assessing the dorsalis pedis pulse of a client, the nurse determines that the pulse is absent.
However, the extremity is warm and pink with nail beds blanching at 2 to 3 seconds of capillary
refilling time. How would the nurse explain these findings? TOO MUCH PRESSURE WAS
APPLIED OVER THE PULSE SITE
5. When assessing a client's peripheral pulse, the health care provider is also assessing which of the
following? RHYTHYM
6. The nurse needs to assess a client’s respiratory status. Which client position would be the best for
this assessment? SEMI-FOWLER
7. The nurse is preparing to assess a client’s blood pressure. Which artery will the nurse use for this
assessment? BRACHIAL
8. In the palpatory method of blood pressure determination, instead of listening for the blood flow
sounds, light to moderate pressure is used over the artery as the pressure in the cuff is released.
When will the nurse read the pressure from the sphygmomanometer? WHEN THE FIRST
PULSATION IS FELT
9. The nurse assesses phase 1 Korotkoff’s sound occurring at 136 and phase 5 Korotkoff’s sound
occurring at 72. How should the nurse document this client’s blood pressure reading? 136/72
10. A patient has a head injury and damages the hypothalamus. Which vital sign will the nurse monitor
most closely? TEMPERATURE
11. The nurse is working the night shift on a surgical unit and is making 4:00 AM rounds. The nurse
notices that the patient’s temperature is 96.8° F, whereas at 4:00 PM the preceding day, it was 37°
C. What should the nurse do? (THEN CONVERT 96.8 F TO CELSIUS AND 37 C TO FARENHEIT
- SHOW COMPUTATION IN A PIECE OF PAPER AND SEND VIA GROUP CHAT MESSENGER )
REALIZE THAT THIS IS A NORMAL TEMPERATURE VARIATION
12. The nurse is caring for an infant and is obtaining the patient’s vital signs. Which artery will the nurse
use to best obtain the infant’s pulse? BRACHIAL
13. Patient A is pyrexic. Which piece of equipment will the nurse obtain to monitor this condition?
THERMOMETER
14. The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?
CAROTID
15. When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm
is regular. How should the nurse interpret this finding? THIS IS NORMAL FOR INFANT
16. The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct
measurement? PLACE THE TIPS OF THE FIRST TWO FINGERS OVER THE GROOVE ALONG
THE THUMB SIDE OF THE PATIENT’S WRIST
17. The patient’s blood pressure is 140/60. Which value will the nurse record for the pulse pressure?
80
18. In assessing blood pressure, the elbow should be extended with the palm of the hand facing up
and the forearm supported at heart level. FALSE
19. If taking a client's pulse for the first time, if obtaining baseline data, or if pulse is regular, count for a
full minute. FALSE
20. An irregular pulse also requires taking the apical pulse. TRUE