Nurs 202 Final Exam Review Questions
With Correct Answers
What are the vital signs? - CORRECT ANSWER✔✔-Temperature
| | | | | | |
Pulse
Respirations |
(TPR)
Blood Pressure
|
*Pain is considered the 5th vital sign
| | | | | |
Normal Temperature Range - CORRECT ANSWER✔✔-96.7F to 100.5F
| | | | | | |
(35.9C to 38C) | |
Normal Pulse Rate - CORRECT ANSWER✔✔-60-100 BPM
| | | | | |
Bradycardia- less than 60 | | |
Tachycardia- greater than 100
| | |
Pulse Characteristics - CORRECT ANSWER✔✔-Pulse rate (60-100bpm)
| | | | | |
,Beats per minute
| |
Pulse rhythm |
Regularity versus irregularity (Dysrhythmia)
| | |
Pulse amplitude (strength)
| |
0 Absent, unable to palpate
| | | |
+1 Diminished, weaker than expected
| | | |
+2 Brisk, expected (normal)
| | |
+3 Bounding
|
Pulse equality
|
-Left versus right
| |
Pulse Deficit - CORRECT ANSWER✔✔-Apical pulse higher than radial
| | | | | | | |
Normal Respirations - CORRECT ANSWER✔✔-12-20 breaths per minute
| | | | | | |
Respirations Characteristics - CORRECT ANSWER✔✔-Rate (12-20)
| | | | |
Rhythm
Amplitude (depth) |
Pulse Oximeter - CORRECT ANSWER✔✔-Saturation of O2 on hemoglobin (Hgb)
| | | | | | | | |
,Percent of hemoglobin fully saturated with O2
| | | | | |
Normal adult 93-100%
| |
Anything below 90 is a concern
| | | | |
Normal BP - CORRECT ANSWER✔✔-120/80
| | | |
Systolic BP - CORRECT ANSWER✔✔-1st Korotkoff sound, top number
| | | | | | | |
Ventricular contraction |
Pressure on the arterial wall, normal is 120
| | | | | | |
Diastolic BP - CORRECT ANSWER✔✔-2nd Korotkoff sound, bottom number
| | | | | | | |
Ventricular relaxation |
Pressure at rest or relaxing on arterial walls, normal is 80
| | | | | | | | | |
Causes of Erroneous BP Readings - CORRECT ANSWER✔✔-Bladder too wide or
| | | | | | | | | | |
too large- false low
| | |
, Bladder too small- false high
| | | |
Vital Signs Special Considerations - CORRECT ANSWER✔✔-Can't take BP on side
| | | | | | | | | | |
of someone who had mastectomy
| | | |
Food and drink affect temperature- wait to take temp after breakfast
| | | | | | | | | |
Weighing 400 lbs. there's a special cuff
| | | | | |
Purpose of the Health Assessment - CORRECT ANSWER✔✔-Why they're here
| | | | | | | | |
Want to learn the baseline data for all future assessments of this patient
| | | | | | | | | | | |
What are the assessment techniques - CORRECT ANSWER✔✔-Inspection (1)
| | | | | | | |
Palpation (2) |
Percussion (3) |
Auscultation (4) |
Skin Color Assessment - CORRECT ANSWER✔✔-Jaundice- yellow
| | | | | |
Cyanosis- blue |
Erythema- red |
Pallor- pale |
Vitiligo- whitish patches on the skin
| | | | |
Tanned or brown | |
With Correct Answers
What are the vital signs? - CORRECT ANSWER✔✔-Temperature
| | | | | | |
Pulse
Respirations |
(TPR)
Blood Pressure
|
*Pain is considered the 5th vital sign
| | | | | |
Normal Temperature Range - CORRECT ANSWER✔✔-96.7F to 100.5F
| | | | | | |
(35.9C to 38C) | |
Normal Pulse Rate - CORRECT ANSWER✔✔-60-100 BPM
| | | | | |
Bradycardia- less than 60 | | |
Tachycardia- greater than 100
| | |
Pulse Characteristics - CORRECT ANSWER✔✔-Pulse rate (60-100bpm)
| | | | | |
,Beats per minute
| |
Pulse rhythm |
Regularity versus irregularity (Dysrhythmia)
| | |
Pulse amplitude (strength)
| |
0 Absent, unable to palpate
| | | |
+1 Diminished, weaker than expected
| | | |
+2 Brisk, expected (normal)
| | |
+3 Bounding
|
Pulse equality
|
-Left versus right
| |
Pulse Deficit - CORRECT ANSWER✔✔-Apical pulse higher than radial
| | | | | | | |
Normal Respirations - CORRECT ANSWER✔✔-12-20 breaths per minute
| | | | | | |
Respirations Characteristics - CORRECT ANSWER✔✔-Rate (12-20)
| | | | |
Rhythm
Amplitude (depth) |
Pulse Oximeter - CORRECT ANSWER✔✔-Saturation of O2 on hemoglobin (Hgb)
| | | | | | | | |
,Percent of hemoglobin fully saturated with O2
| | | | | |
Normal adult 93-100%
| |
Anything below 90 is a concern
| | | | |
Normal BP - CORRECT ANSWER✔✔-120/80
| | | |
Systolic BP - CORRECT ANSWER✔✔-1st Korotkoff sound, top number
| | | | | | | |
Ventricular contraction |
Pressure on the arterial wall, normal is 120
| | | | | | |
Diastolic BP - CORRECT ANSWER✔✔-2nd Korotkoff sound, bottom number
| | | | | | | |
Ventricular relaxation |
Pressure at rest or relaxing on arterial walls, normal is 80
| | | | | | | | | |
Causes of Erroneous BP Readings - CORRECT ANSWER✔✔-Bladder too wide or
| | | | | | | | | | |
too large- false low
| | |
, Bladder too small- false high
| | | |
Vital Signs Special Considerations - CORRECT ANSWER✔✔-Can't take BP on side
| | | | | | | | | | |
of someone who had mastectomy
| | | |
Food and drink affect temperature- wait to take temp after breakfast
| | | | | | | | | |
Weighing 400 lbs. there's a special cuff
| | | | | |
Purpose of the Health Assessment - CORRECT ANSWER✔✔-Why they're here
| | | | | | | | |
Want to learn the baseline data for all future assessments of this patient
| | | | | | | | | | | |
What are the assessment techniques - CORRECT ANSWER✔✔-Inspection (1)
| | | | | | | |
Palpation (2) |
Percussion (3) |
Auscultation (4) |
Skin Color Assessment - CORRECT ANSWER✔✔-Jaundice- yellow
| | | | | |
Cyanosis- blue |
Erythema- red |
Pallor- pale |
Vitiligo- whitish patches on the skin
| | | | |
Tanned or brown | |
