& ANSWERS 2026
HowBcanByouBestimateBaBclient'sBtidalBvolume?B-
BAnswerTidalBvolumeBcanBbeBestimatedBbyBobservingBtheBdepthBofBtheBclient'sBrespirations.
WhatBisBtheBrangeBofBnormalBforBanBadult'sBrespiratoryBrate?B-
BAnswerABrateBofB12BtoB20BbreathsBperBminuteBisBnormalBforBadults
BesidesBtheBrate,BwhatBotherBcharacteristicsBofBaBclient'sBrespirationsBshouldByouBobserve?B-
BAnswerDepth,Brhythm,Beffort,BbreathBsounds,BandBchestBmovementBshouldBbeBobservedBinB
additionBtoBrate.
WhatBareBsomeBcommonBclinicalBsignsBassociatedBwithBpoorBoxygenation?B-
BAnswerPallorBorBcyanosisBofBtheBnails,Blips,BorBskin;Brestlessness;Bapprehension;Bconfusion;B
dizziness;Bfatigue;BchangesBinBpulseBandBbloodBpressure;BandBdecreasedBlevelBofBconsciousne
ssBareBassociatedBwithBpoorBoxygenation.
WhichBofBtheBKorotkoffBsoundsBwouldByouBrecordBasBtheBsystolicBpressure?B-BAnswerFirst
WhichBofBtheBKorotkoffBsoundsBwouldByouBrecordBasBtheBdiastolicBpressure?B-BAnswerFifth
ABnurseBisBauscultatingBaBBP.BHeBhearsBtheBfirstBsoundBatB170BmmBHg.BTheBsoundBdisappea
rsBimmediately.BAtB150BmmBHg,BtheBsoundBappearsBagainBandBcontinuesBuntilBthereBisBsilen
ceBatB80BmmBHg.BTheBpressuresBwereBtakenBinBtheBclient'sBrightBarmBwhileBtheBclientBwasB
lyingBdown.
B
HowBshouldBtheBnurseBrecordBtheseBpressures?B-
BAnswerBPBRA,Bsupine,B170/80BwithBanBauscultatoryBgapBfromB170BtoB150
HowBdoByouBexplainBwhatBhappened?B-
BAnswerAnBauscultatoryBgapBoccurred.BABgapBisBmostBcommonlyBheardBinBhypertensiveBclien
ts,BwhoseBsystolicBbloodBpressureBisBhigherBthanBtheBadultBnormalBlimitBofB140BmmBHg.
WhichBofBtheBfollowingBpatientsBhasBhypertension?BOneBwithBaBBPBof:
150/80BonBtwoBseparateBoccasions
,180/100BonBoneBoccasion
138/88BonBtwoBoccasionsB-BAnswer150/80BonBtwoBseparateBoccasions
WhichBofBtheBfollowingBclient(s)Bhas/haveBprimaryBhypertension?
ClientBA,BwhoBisBobeseBandBhasBaBhighBsodiumBintake
ClientBB,BwhoBisBinBrenalBfailure
ClientBC,BwhoBhasBhypertensionBinducedBbyBpregnancy
ClientBD,BwhoBhasBaBfamilyBhistoryBofBhypertensionB-
BAnswerClientBD,BwhoBhasBaBfamilyBhistoryBofBhypertension
WhatBareBfiveBfunctionsBofBtheBskin?B-
BAnswerTheBskinBservesBfiveBfunctions:Bprotection,Bsensation,BtemperatureBregulation,Bsecretio
n/excretion,BandBformationBofBvitaminBD.
HowBdoesBtheBskinBhelpBregulateBbodyBtemperature?B-
BAnswerTheBskinBcontainsBsensoryBorgansBorBreceptorsBforBheatBandBcold.BTheBskinBregulates
BtemperatureBthroughBtheBprocessBofBdilatingBandBconstrictingBbloodBvesselsBandBactivatingB
orBinactivatingBsweatBglands.BTheBsweatBglandsBfoundBinBtheBaxillaeBandBexternalBgenitaliaBs
ecreteBfattyBacidsBandBproteinsBandBexcreteBperspiration,BwhichBproducesBaBcoolingBeffectBas
BtheBmoistureBevaporatesBfromBtheBskin.
WhatBchangesBtakeBplaceBinBtheBskinBasBaBpersonBagesB-
BAnswerWithBage,BbothBlayersBofBtheBskinBbecomeBthinnerBandBmoreBfragile.BAsBcollagenBan
dBelastinBfibersBinBtheBdermisBdeteriorate,BtheBskinBbecomesBwrinkled.BSebaceousBandBsweat
BglandBactivityBdecreases,BcausingBtheBskinBtoBbecomeBdry,Bscaly,BandBitchy,BandBtemperatur
eBregulationBinBhotBweatherBbecomesBmoreBdifficult.BAsBtheBnumberBandBactivityBofBhairBfol
liclesBandBpigmentBcellsB(melanocytes)Bdiminishes,BhairBbecomesBthin,BturnsBgrayBorBwhite,Ba
ndBgrowsBmoreBslowly.BNailsBthickenBandBgrowthBdecreases.BTheseBchangesBincreaseBtheBrisk
BforBskinBproblems.
TrueBorBfalse:BTheBprofessionalBnurseBisBresponsibleBforBmakingBassessments.B-BAnswerTrue
TrueBorBfalse:BAssistingBwithBtheBbathBisBanBexcellentBtimeBtoBassessBtheBpatient.B-
BAnswerTrue
ToBinspectBforBpallorBinBaBdark-
skinnedBperson,BwhichBareasBwouldByouBassessBforBanBashenBgrayBorByellowBcolor?B-
, BAnswerForBdark-
skinnedBpersons,BtheBconjunctivae,BbuccalBmucosa,Btongue,Blips,BnailBbeds,Bpalms,BandBsolesB
shouldBbeBassessedBforBpallor.
WhatBisBtheBtermBthatBmeansB"aBbluishBcolorBofBtheBskin"?B-
BAnswerCyanosisBmeansBaBbluishBdiscolorationBofBtheBskin.
NameBtwoBcausesBofBerythema.B-
BAnswerVasodilationBandBinflammationBareBcausesBofBerythema.
WhereBcanByouBbestBseeBjaundice?B-
BAnswerTheBscleraBofBtheBeyesBisBtheBbestBplaceBtoBseeBjaundice
TrueBorBfalse:BHealthyBnailsBareBusuallyBclean,Bsmooth,BandBconvexlyBcurvedB-BAnswerTrue
ListBatBleastBthreeBnailBchangesBthatBoccurBwithBaging.B-
BAnswerAsBaBpersonBages,BtheBnailsBthicken,BbecomeBridged,BandBmayByellowBorBbecomeBco
ncaveBinBshape.
ListBatBleastBfourBthingsByouBshouldBteachBclientsBaboutBself-careBofBtheirBnails.B-
BAnswerAnswer:
ClientsBshouldBbeBtaughtBtheBfollowingBself-careBofBtheirBnails:
●BInspectBtheBnailsBdaily.
●BTrimBnailsBwithBaBnailBclipperB(peopleBwithBdiabetesBorBcirculatoryBproblemsBshouldBfileBo
nly,BasBcuttingBposesBaBriskBforBinjuryBtoBtheBtissues).
●BFileBtheBnailsBstraightBacross,BroundingBtheBcornersBslightlyBtoBpreventBscratching;BdoBnotB
cutBdeeplyBintoBtheBlateralBcorners,BasBthisBmayBcauseBingrownBnails.
●BRemoveBhangnailsBbyBcarefullyBcuttingBthemBoff.
●BCleanBunderBtheBnailsBwithBanBorangewoodBstickBorBotherBbluntBinstrument.
●BPushBbackBtheBcuticlesBgently.
●BUseBaBmoisturizingBlotionBtoBsoftenBcuticles.
●BAvoidBbitingBnails.
●BConsultBaBpodiatristBforBanyBingrownBtoenailsBorBotherBnailBproblems.
●BRecommendBtoBpatientsBwithBdiabetes,BcirculatoryBinsufficiency,BorBnailBproblemsBthatBthey
BseekBnailBcareBfromBaBpodiatrist.