Health Assessment Test #1 - UTMB
What are the 5 vital signs that are normally taken? - correct answer-Temperature, Pulse,
Respirations, Blood pressure, and pain.
Set Point - correct answer-Regulates temperature; a fever is caused by differences in this
value
What to ask before taking an oral temperature? - correct answer-Have you had anything to
eat, drink, or smoke in the past 20 mins? Also check to see if they are able to hold the
thermometer in their mouth
What to ask before taking a tympanic temperature? - correct answer-Do you have hearing
aids? If done correctly it is considered a core temperature.
What to ask/check for before taking an axillary temperature? - correct answer-AV fistula, IV,
or are they unable to move arm
Circadian rhythms - correct answer-Internal clock system: lowest 1-4 AM peaks at 6 PM
Heat Production - correct answer-Primary source is metabolism which is altered by
norepinephrine and epinephrine
Sources of heat loss - correct answer-Skin - primary source
Evaporation
Eliminating urine and feces
Radiation - correct answer-Transfer of heat from one object to another without direct contact
ex: use of sheets and blankets
Conduction - correct answer-Transfer of heat from one to another VIA direct contact
Convection - correct answer-Transfer of heat VIA air movement
ex: fan; think convection oven
Diaphoresis - correct answer-Sweating, visible perspiration
Normal oral temp - correct answer-37. ºC 98.6 ºF
Normal rectal temp - correct answer-37.5 ºC 99.5ºF
Normal axillary temp - correct answer-36.5ºC 97.6ºF
Normal tympanic temp - correct answer-37.5ºC 99.5ºF
, Normal forehead temp - correct answer-34.4ºC 94ºF
Three stages of fever - correct answer-Initiation - effects hypothalamus to increase set point
Plateau - fever
Defervescence - body adjusts set point back to normal - you look sweaty and flushed
Hyperthermia - correct answer-heat gain is greater than heat loss
Heat exhaustion - correct answer-Fluid and electrolyte imbalance. Causes decreased blood
flow, decreased level of conscious, and heart rate
Heat stroke - correct answer-Fever greater than 105ºF
Parasympathetic stimulation does what to the pulse? - correct answer-Decreases
Sympathetic stimulation causes what? - correct answer-Increased heart rate/pulse
Pulse amplitude - correct answer-0 - absent
1+ - weak
2+ - normal
3+ - bounding (hard to obliterate)
bradycardia - correct answer-Pulse less than 60 bpm
Tachycardia - correct answer-Pulse greater than 100 bpm
Pulsus paradoxus - correct answer-change in pulse rate associated with respirations; pulse
decreases in strength with inspiration
Normal pulse rate - correct answer-60 - 100
Normal Respiration rate - correct answer-12 - 20
Cheyne Stokes - correct answer-Deep respirations followed by apneic periods
Biots - correct answer-varying depth and rate followed by apnea
Normal Systolic pressure - correct answer-90-120
Normal Diastolic pressure - correct answer-60-80
Normal pulse pressure (the difference between systolic and diastolic pressure) - correct
answer-30-50
Prehypertension - correct answer-120-139
What are the 5 vital signs that are normally taken? - correct answer-Temperature, Pulse,
Respirations, Blood pressure, and pain.
Set Point - correct answer-Regulates temperature; a fever is caused by differences in this
value
What to ask before taking an oral temperature? - correct answer-Have you had anything to
eat, drink, or smoke in the past 20 mins? Also check to see if they are able to hold the
thermometer in their mouth
What to ask before taking a tympanic temperature? - correct answer-Do you have hearing
aids? If done correctly it is considered a core temperature.
What to ask/check for before taking an axillary temperature? - correct answer-AV fistula, IV,
or are they unable to move arm
Circadian rhythms - correct answer-Internal clock system: lowest 1-4 AM peaks at 6 PM
Heat Production - correct answer-Primary source is metabolism which is altered by
norepinephrine and epinephrine
Sources of heat loss - correct answer-Skin - primary source
Evaporation
Eliminating urine and feces
Radiation - correct answer-Transfer of heat from one object to another without direct contact
ex: use of sheets and blankets
Conduction - correct answer-Transfer of heat from one to another VIA direct contact
Convection - correct answer-Transfer of heat VIA air movement
ex: fan; think convection oven
Diaphoresis - correct answer-Sweating, visible perspiration
Normal oral temp - correct answer-37. ºC 98.6 ºF
Normal rectal temp - correct answer-37.5 ºC 99.5ºF
Normal axillary temp - correct answer-36.5ºC 97.6ºF
Normal tympanic temp - correct answer-37.5ºC 99.5ºF
, Normal forehead temp - correct answer-34.4ºC 94ºF
Three stages of fever - correct answer-Initiation - effects hypothalamus to increase set point
Plateau - fever
Defervescence - body adjusts set point back to normal - you look sweaty and flushed
Hyperthermia - correct answer-heat gain is greater than heat loss
Heat exhaustion - correct answer-Fluid and electrolyte imbalance. Causes decreased blood
flow, decreased level of conscious, and heart rate
Heat stroke - correct answer-Fever greater than 105ºF
Parasympathetic stimulation does what to the pulse? - correct answer-Decreases
Sympathetic stimulation causes what? - correct answer-Increased heart rate/pulse
Pulse amplitude - correct answer-0 - absent
1+ - weak
2+ - normal
3+ - bounding (hard to obliterate)
bradycardia - correct answer-Pulse less than 60 bpm
Tachycardia - correct answer-Pulse greater than 100 bpm
Pulsus paradoxus - correct answer-change in pulse rate associated with respirations; pulse
decreases in strength with inspiration
Normal pulse rate - correct answer-60 - 100
Normal Respiration rate - correct answer-12 - 20
Cheyne Stokes - correct answer-Deep respirations followed by apneic periods
Biots - correct answer-varying depth and rate followed by apnea
Normal Systolic pressure - correct answer-90-120
Normal Diastolic pressure - correct answer-60-80
Normal pulse pressure (the difference between systolic and diastolic pressure) - correct
answer-30-50
Prehypertension - correct answer-120-139
