NUR 155 Exam 1: Health Assessment (Ch.
30)
12-20 -✅✅-What is a normal range in a healthy adult for respiration?
120/80 - ✅✅-What is a normal Blood pressure (BP) reading in a healthy adult?
2 - ✅✅-Restraints must be taken off every __ hours and ROM should be tested
and documented.
60-100 - ✅✅-What is a normal Pulse range for a healthy adult?
96.8-98.6 - ✅✅-What is a normal range in a healthy adult for temperature?
Apical
Brachial
Radial
Femoral
Popliteal
✅✅
Posterior Tibial
Dorsal Pedis - -Visualizing the body in the anatomical position, starting at
the head and ending at the feet, list all 9 of the pulse locations. (Arms start after
the "chest" pulse and feet start posterior)
Apical - ✅✅-Pulse sites:
Routinely used for infants and children up to 3 years of age
Used to determine discrepancies with radial pulse
✅✅-What is the pulse site on the torso?
Apical -
Apnea - ✅✅-Breathing Patterns: Rate
Cessation of breathing
Axillary (Armpit) & Tympanic (Ear) - ✅✅ -What are 2 preferred
methods/locations for taking an infant's temperature?
, ✅✅-What are the pulse sites on the arm?
Brachial
Radial -
Brachial - ✅✅-Pulse sites:
Used to measure BP
Used during cardiac arrest for infants
Bradypnea - ✅✅ -Breathing Patterns: Rate
Abnormally slow breaths
Carotid - ✅✅-Pulse sites:
Used during cardiac arrest / shock in adults
Used to determine circulation in the brain
Cheyne-stokes-breathing - ✅✅ -Breathing Patterns: Rythm
Rhythmic waxing and waning of respirations, from very deep to very shallow
breathing and temporary apnea.
Crackles - ✅✅ -Breath Sounds:
Rales, fine, short, interrupted crackling sounds, air passing through fluid or
mucus.
Decreases
✅✅
(In contrast when blood volume increases (for example, as a result of a rapid IV
infusion), the BP increases.) - -When blood volume decreases (For
example, as a result of dehydration), what happens to blood pressure?
Dorsal Pedis - ✅✅ -Pulse sites:
Used to determine circulation of the foot (Top of foot)
Dyspnea - ✅✅ -Breathing Patterns: Ease or effort
Difficult and labored breathing during which the individual has persistent,
unsatisfied need for air and feels distressed.
Femoral
Popliteal
30)
12-20 -✅✅-What is a normal range in a healthy adult for respiration?
120/80 - ✅✅-What is a normal Blood pressure (BP) reading in a healthy adult?
2 - ✅✅-Restraints must be taken off every __ hours and ROM should be tested
and documented.
60-100 - ✅✅-What is a normal Pulse range for a healthy adult?
96.8-98.6 - ✅✅-What is a normal range in a healthy adult for temperature?
Apical
Brachial
Radial
Femoral
Popliteal
✅✅
Posterior Tibial
Dorsal Pedis - -Visualizing the body in the anatomical position, starting at
the head and ending at the feet, list all 9 of the pulse locations. (Arms start after
the "chest" pulse and feet start posterior)
Apical - ✅✅-Pulse sites:
Routinely used for infants and children up to 3 years of age
Used to determine discrepancies with radial pulse
✅✅-What is the pulse site on the torso?
Apical -
Apnea - ✅✅-Breathing Patterns: Rate
Cessation of breathing
Axillary (Armpit) & Tympanic (Ear) - ✅✅ -What are 2 preferred
methods/locations for taking an infant's temperature?
, ✅✅-What are the pulse sites on the arm?
Brachial
Radial -
Brachial - ✅✅-Pulse sites:
Used to measure BP
Used during cardiac arrest for infants
Bradypnea - ✅✅ -Breathing Patterns: Rate
Abnormally slow breaths
Carotid - ✅✅-Pulse sites:
Used during cardiac arrest / shock in adults
Used to determine circulation in the brain
Cheyne-stokes-breathing - ✅✅ -Breathing Patterns: Rythm
Rhythmic waxing and waning of respirations, from very deep to very shallow
breathing and temporary apnea.
Crackles - ✅✅ -Breath Sounds:
Rales, fine, short, interrupted crackling sounds, air passing through fluid or
mucus.
Decreases
✅✅
(In contrast when blood volume increases (for example, as a result of a rapid IV
infusion), the BP increases.) - -When blood volume decreases (For
example, as a result of dehydration), what happens to blood pressure?
Dorsal Pedis - ✅✅ -Pulse sites:
Used to determine circulation of the foot (Top of foot)
Dyspnea - ✅✅ -Breathing Patterns: Ease or effort
Difficult and labored breathing during which the individual has persistent,
unsatisfied need for air and feels distressed.
Femoral
Popliteal
