Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
Chapter 06: Vital Signs and Pain Assessment Ball: Seidel G ide Ph ical E a i a i , 9 h Edi i MULTIPLE CHOICE 1. The pyrexia response is triggered by the production and release of: a. prostaglandins. b. endogenous pyrogens. c. hypothalamic enzymes. d. thyroid hormones. ANS: A
When microorganisms invade the body, pyrogens are released and travel to the hypothalamus. The pyrexia response is then triggered by the production and release of prostaglandins. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 2. During expiration, the internal intercostals: a. increase the force of muscular contraction. b. decrease the lateral diameter during expiration. c. decrease the intrathoracic space. d. increase elastic recoil during expiration. ANS: B
The diaphragm is the dominant muscle during respiration. It contracts and pushes downward during inspiration to increaseNthe space. URintrathoracic SINGTB.C OM The external intercostal muscles increase the AP diameter during inspiration and the internal intercostals decrease the lateral diameter during expiration. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 3. The fifth vital sign is: a. pain. b. orientation. c. waist-to-hip ratio. d. body mass index (BMI). ANS: A
Pain, the universal distress signal, is now recognized as the fifth vital sign. DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation 4. The Joint Commission (TJC) requires that: a. pain be assessed on all discharges. b. repeated assessment of pain be limited to those patients who complain of pain. c. repeated intensity documentation be made of the course of pain relief for all
patients. d. pain be assessed on surgical patients.
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