UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
What are the Five vital signs - CORRECT ANSWER Body Temp, Pulse Rate, Respiratory Rate,
Blood Pressure, and Pain
What is acceptable temperature range? - CORRECT ANSWER 97.6 - 99.6
What does pyrexia mean? - CORRECT ANSWER Fever
Heat Exhaustion vs Heat Stroke - CORRECT ANSWER Heat exhaustion: nausea vomiting,
pale, cold, and clamy.
Heat stroke: hot, red, and dry; loss or change of consciousness
What kind patients should avoid rectal temperatures - CORRECT ANSWER Rectal surgery and
cardiac conditions (Vagal Nerve)
Healthy resting heart rate - CORRECT ANSWER 60 - 100 bpm
pulse dificit - CORRECT ANSWER Fails to transmit pulse wave, inefficient contraction of the
heart
Bradycarida - CORRECT ANSWER Pulse <60 bpm
Tachycardia - CORRECT ANSWER Pulse >100 bpm
Ventilation - CORRECT ANSWER Movement of gases in and out of the lungs
Diffusion - CORRECT ANSWER Movement of oxygen and carbon dioxide between alveoli
and red blood cells
,Perfusion - CORRECT ANSWER Distribution of red blood cells to and from the pulmonary
capillaries
Inspiration is _______
Expiration is ______ - CORRECT ANSWER Active
Passive
Normal respiratory rate - CORRECT ANSWER 12 - 20 bpm
Eupnea - CORRECT ANSWER Normal breathing
Bradypnea - CORRECT ANSWER <12 breaths/min
Tachypnea - CORRECT ANSWER >20 breaths/min
Apnea - CORRECT ANSWER Absence of breathing
Dsypnea - CORRECT ANSWER Difficulty breathing
Healthy BP - CORRECT ANSWER <120/<80
Pulse pressure - CORRECT ANSWER Difference between systolic and diastolic pressure
Name of blood pressure cuff - CORRECT ANSWER Sphygmomanometer
Auscultatory gap - CORRECT ANSWER A brief period when Korotkoff sounds disappear
during auscultation of blood pressure; common with hypertension
, How to find the starting point for BP - CORRECT ANSWER Palpate radial pulse, pump up BP
cuff until no longer can be felt and add 30 mmHg to number
Proper size for BP cuff: - CORRECT ANSWER 40% circumference and 2/3 length
Too large BP cuff causes - CORRECT ANSWER False lower reading
Too small BP cuff causes - CORRECT ANSWER False higher reading
ANA - CORRECT ANSWER Protection, promotion, and optimizing of health and abilities;
prevention of illness and injury
ADOPIE - CORRECT ANSWER Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Nurse Practive Act - CORRECT ANSWER Regulate scope of nursing practice
How often do you remove restraints and for how long - CORRECT ANSWER Every 2 hours
and remove for 5 minutes
Latrogenic HAI - CORRECT ANSWER From a procedure in a hospital
Exogenous HAI - CORRECT ANSWER From microorganisms outside the individual
Endogenous HAI - CORRECT ANSWER When patient's normal flora becomes altered and an
overgrowth results (C.diff)