Respirations, Blood Pressure, Perfusion, Thermoregulation, Heat Transfer
Mechanisms (Radiation, Conduction, Convection, Evaporation), Hypothalamus
Function, Circadian Rhythm, Metabolism, Pulse (Apical, Peripheral, Carotid,
Brachial, Pulse Amplitude, Dysrhythmia, Tachycardia, Bradycardia, Pulse Deficit),
Respiratory Assessment (Eupnea, Tachypnea, Bradypnea, Hyperventilation,
Apnea, Dyspnea, Orthopnea, Pulmonary Ventilation, Diffusion, Perfusion, CO₂
Stimulus), Blood Pressure Assessment (Systolic, Diastolic, Pulse Pressure,
Hypertension Stage 1 & 2, Hypotension, Orthostatic Hypotension, Korotkoff
Sounds, Popliteal and Brachial Arteries, Equipment – Sphygmomanometer,
Doppler, Automated Devices), Pain Assessment & Management (PQRST, Acute,
Chronic, Cutaneous, Somatic, Visceral, Referred, Breakthrough, Phantom, FLACC,
CRIES, Numeric 1–10, Faces, PAINAD, Oucher, Pain Etiology, Nursing
Interventions, Nonpharmacologic & Pharmacologic Relief), General Survey
(Appearance, Build, Hygiene, Stated vs Apparent Age, Body Fat, Mood, Facial
Expression, Height & Weight), Examination Techniques (Inspection, Palpation,
Auscultation), Assessment Timing (Admission, Change in Condition, Pre/Post
Surgery, Pre/Post Activity, Before Medications Affecting CV/Resp Functions)
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Vital Signs
-Temperature
-Pulse
-Respirations
,-Blood pressure
Examination techniques used with a general assessment/survey
-Inspection
-Palpation
-Auscultation
General Assessment/Survey
-General appearance
-Vital signs
-Height and weight
general appearance
-build
-personal hygiene
-stated age vs apparent age
-body fat
-dressing/grooming
-mood
-facial expression
, When to assess vital signs
-On ADMISSION
-Based on agency or INSTITUTIONAL POLICY and procedures
-Any time there is a CHANGE IN PATIENT'S CONDITION
-Any time there is a LOSS OF CONSCIOUSNESS
-Before and after any SURGERY or invasive diagnostic PROCEDURE
-Before and after ACTIVITY that may INCREASE RISK, such as ambulation after surgery
-Before administering medications that affect cardiovascular and respiratory function
Maintenance of body temperature
hypothalamus -regulates temperature
-Center receives messages from cold and warm thermal receptors in the body
-Center initiates responses to produce or conserve body heat or increase heat loss
Thermoregulation
Process of maintaining an internal temperature within a tolerable range.
Body temperature
the balance between the heat produced by the body and the heat lost from the body
When are temperatures the lowest?
Early morning