ACCURATE QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Vital Signs - ANSWER Temperature, Respiration, Pulse, Blood Pressure, and Oxygen Saturation
Temperature ranges for adult - ANSWER Average Range: 96.8 - 100 degrees F.
Oral: 98.6 degrees F.
Rectal: 99.5 degrees F.
Axillary: 97.7degrees F.
Pulse for adult - ANSWER 60-100 beats/min
Respirations for adult - ANSWER 12-20 breaths/min
Blood Pressure for adult - ANSWER Systolic<120 mm Hg
Diastolic<80 mm Hg
When should you measure vital signs? - ANSWER -On admission to a health care facility.
-When assessing a patient during home care visits.
-In a hospital on a routine schedule according to orders.
Purposes of the physical examination - ANSWER -Gather baseline data about the patient's health status.
-Supplement, confirm, or refute data obtained in the nursing history.
-Identify and Confirm nursing diagnosis.
-Make clinical decisions.
-Evaluate the outcomes of care.
, How does one prep for examination? - ANSWER A disorganized approach causes incomplete findings
and errors.
-Infection Control: Follow hygiene policies
-Environment: Patient needs privacy and comfort. Make the room comfortable by adjusting
temperatures, adding or taking off blankets, providing appropriate furniture, etc.
-Equipment: Arrange equipment so that it is readily available and make sure it is working properly.
-Physically prep patient: positioning the patient, make sure they are comfortable, and make sure the
environment is good.
-Psychologically prep patient: explanations, be professional, have a good attitude, do not rush, pay
attention to who is in the room.
Examine facia expressions and remain calm. If the patient is uncomfortable, postpone assessment.
What are the techniques of physical examination? - ANSWER -Inspection: look, listen, smell. Watch for
nonverbal expressions of emotional or mental status.
-Palpation: Use touch to gather information. Palpate for temperature, moisture, texture, turgor,
tenderness, and thickness. Check abdomen for tenderness, distention, or masses.
-Percussion: Tapping skin with fingertips to vibrate underlying tissues or organs.
-Auscultation: Listening to sounds. Use stethoscope for internal body sounds.
What are the levels of communication? - ANSWER -Intrapersonal: Occurs within the individual.
-Interpersonal: One-to-one interaction between two people.
-Transpersonal: Interaction within a person's spiritual domain (Example: Praying).
-Small Group: Interactions within a small group of people (Example: nursing class, a working crew).
-Public: Interaction with an audience.
-Electronic: Use of technology to create an ongoing relationship with patients and health care system.
Basic Elements of the Communication Process - ANSWER 1. Referent: Motivates one to communicate.
2. Sender & Receiver: One who encodes and one who decodes the message.
3. Message: Content of the communication.
4. Channels: Means of conveying and receiving messages.
5. Feedback: Message the receiver returns.