Vital Signs and Assessment · NCLEX Exam

Which of the following would require immediate assessment in terms of vital signs?

  1. Temperature 98.6 °F, pulse 72 bpm, respiratory rate 14 breaths/min, BP 118/76 mm Hg
  2. Temperature 100 °F, pulse 88 bpm, respiratory rate 16 breaths/min, BP 122/80 mm Hg
  3. Temperature 98.4 °F, respiratory rate 26 breaths/min at rest, BP 120/80 mm Hg
  4. Temperature 97.9 °F, pulse 65 bpm, respiratory rate 12 breaths/min, BP 115/70 mm Hg
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Correct answer: Temperature 98.4 °F, respiratory rate 26 breaths/min at rest, BP 120/80 mm Hg

A respiratory rate of 26 at rest is elevated (tachypnea) and requires further assessment.

Difficulty: Medium Question 6 of 28

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