NUR 3066 Final Review Exam | Questions with
100% Correct Answers | Verified | Latest Update
2026/2027
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Terms in this set (74)
Components of the Mental Status A: Appearance
Examination B: Behavior
C: Cognition
T: Thought Processes
Marijuana reddened eyes, tachycardia, dry mouth, increased
appetite, loss of
coordination/balance
Cocaine pupillary dilation, tachycardia or bradycardia,
elevated or lowered BP, sweating, chills,
nausea, vomiting, weight loss
Heroin pinpoint pupils, decrease blood pressure, pulse,
respirations and temperature
Hallucinogens tachycardia, nausea, increased blood pressure,
respirations or temperature, loss of
appetite, dry mouth, paranoia, psychosis
Inhalants: slurred speech, lack of coordination, dizziness,
delusions
,Methamphetamines pupillary dilation, tachycardia or bradycardia,
elevated or decreased blood
pressure, sweating or chills, nausea and vomiting,
weight loss
Temperature Normal -Oral 96.4-99.1 F -Rectal 97.1-100.1 F
Abnormal: Fever (hyperthermia): 100.4+F, Cold
(hypothermia) <96.4 F
-Rectal temps are most accurate
-Tympanic temp utilized in peds often due to ease
Pulse Rate Normal- 60-100 BPM
Abnormal: Bradycardia <60, Tachycardia >100
-Low pulse can be normal
-Pediatrics run higher and have a different scale of
normal
-Doppler can be used if not palpable
Pulse Force 2+
0=absent, 1+=weak, thread, 3+=bounding
-Reflects strength of heart's stroke volume
Respirations Normal- 10-20/minutes
Abnormal: Bradypnea <10, Tachypnea>20
-Distract patient to get accurate result
-Pediatric population differs
-Con signal declining status
-Count for 30 seconds and x2 (count for full minute
if suspected abnormality)
, Oxygen Saturation Normal: >95% on room air
Abnormal: <95% on room air
-Lung disease may cause lower normal reading
-Move pulse oximeter around if getting odd
reading - could be due to placement
Blood Pressure Systolic= maximum pressure during left ventricular
contraction, TOP reading
Diastolic= recoil/resting pressure between each
contraction, BOTTOM reading
Pulse Pressure= difference between systolic and
diastolic pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses,
medications, current state
Performing Blood Pressure Reading Ensure cuff is correct size
Place around arm as directed (practice in lab)
Inflate to maximum level
Deflate cuff slowly and evently
Listen for Korotkoff sounds (Systolic= 1st sound
heard, Diastolic= last sound before silence)
Readings should always be even numbered
Do NOT do BP on mastectomy arm
Sources of Pain Visceral: from internal organs
Somatic: from musculoskeletal tissues
Deep Somatic: from blood vessels, joints, tendons,
muscles, bone
Cutaneous: from skin surface and subcutaneous
tissues
Referred: from another body location (originated
from another area)
100% Correct Answers | Verified | Latest Update
2026/2027
Save
Terms in this set (74)
Components of the Mental Status A: Appearance
Examination B: Behavior
C: Cognition
T: Thought Processes
Marijuana reddened eyes, tachycardia, dry mouth, increased
appetite, loss of
coordination/balance
Cocaine pupillary dilation, tachycardia or bradycardia,
elevated or lowered BP, sweating, chills,
nausea, vomiting, weight loss
Heroin pinpoint pupils, decrease blood pressure, pulse,
respirations and temperature
Hallucinogens tachycardia, nausea, increased blood pressure,
respirations or temperature, loss of
appetite, dry mouth, paranoia, psychosis
Inhalants: slurred speech, lack of coordination, dizziness,
delusions
,Methamphetamines pupillary dilation, tachycardia or bradycardia,
elevated or decreased blood
pressure, sweating or chills, nausea and vomiting,
weight loss
Temperature Normal -Oral 96.4-99.1 F -Rectal 97.1-100.1 F
Abnormal: Fever (hyperthermia): 100.4+F, Cold
(hypothermia) <96.4 F
-Rectal temps are most accurate
-Tympanic temp utilized in peds often due to ease
Pulse Rate Normal- 60-100 BPM
Abnormal: Bradycardia <60, Tachycardia >100
-Low pulse can be normal
-Pediatrics run higher and have a different scale of
normal
-Doppler can be used if not palpable
Pulse Force 2+
0=absent, 1+=weak, thread, 3+=bounding
-Reflects strength of heart's stroke volume
Respirations Normal- 10-20/minutes
Abnormal: Bradypnea <10, Tachypnea>20
-Distract patient to get accurate result
-Pediatric population differs
-Con signal declining status
-Count for 30 seconds and x2 (count for full minute
if suspected abnormality)
, Oxygen Saturation Normal: >95% on room air
Abnormal: <95% on room air
-Lung disease may cause lower normal reading
-Move pulse oximeter around if getting odd
reading - could be due to placement
Blood Pressure Systolic= maximum pressure during left ventricular
contraction, TOP reading
Diastolic= recoil/resting pressure between each
contraction, BOTTOM reading
Pulse Pressure= difference between systolic and
diastolic pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses,
medications, current state
Performing Blood Pressure Reading Ensure cuff is correct size
Place around arm as directed (practice in lab)
Inflate to maximum level
Deflate cuff slowly and evently
Listen for Korotkoff sounds (Systolic= 1st sound
heard, Diastolic= last sound before silence)
Readings should always be even numbered
Do NOT do BP on mastectomy arm
Sources of Pain Visceral: from internal organs
Somatic: from musculoskeletal tissues
Deep Somatic: from blood vessels, joints, tendons,
muscles, bone
Cutaneous: from skin surface and subcutaneous
tissues
Referred: from another body location (originated
from another area)
