2025/2026, 100% Verified. 107 Q&A.
objective vs subjective questions
-Objective (scars, age, vitals) factual
-Subjective (interview, what the patient tells you, pain)
A clients culture would provide insight for what information?
Social supports, environment, family hierarchy, education level, economic and employment level
and access to health
Social history vs health history
Social- going through their cultural safety lifestyles, knowing their back ground, daily lifestyle
Health- biographical data, reason for seeking care, current health or history of current illness, past
health history and family history
What methods would be the best to determine what meds the client is taking?
-interview, ask the client what they are taking, what for, how much
- condition of a lump or injury
-skin assessment, ABCDE, palpation
inspection
what you see (rash, lumps, bumps)
palpation
what you feel (palpating for pulses, tenderness, crepitus, bumps, masses)
percussion
what you hear when tapping with fingers
auscultation
what you hear with stethoscope
Normal findings for inspection, palpation, percussion and auscultation?
symmetrical, smooth, pink, warm, equal bilaterally, orientated, even.
Name all the components in a set of vital signs, including the expected normal findings?
-Temp: 36-38 celcius
-Pulse: 60-100
-Respirations: 12-20
-BP: 90-120/60-80
-02 sat: 95-100%
What are the components to consider when taking a blood pressure?
, Age, sex, ethnocultural considerations, diurnal rhythm, weight, exercise, emotions, stress, cuff size,
placement, baseline
Explain what the numbers mean from taking a blood pressure (top number vs bottom number)
-Systolic pressure: max pressure felt on the artery during left ventricle contraction
-Diastolic pressure: elastic recoil, or resting, pressure that the blood exerts constantly between each
contraction
-Baseline: Where you stop feeling the pulse when inflating the blood pressure cuff and then you add
30mmhg
Explain the process and how to document a pulse?
- use pads of first 3 fingers and palpate at the flexor of the radial or brachial and count for 30
seconds (if regular) and multiply by 2. if UNREGULAR count for 1 full minute
-60, strong and regular.
Explain the process and how to document respirations?
-count respirations for 30 seconds and multiply by 2, if abnormal count for 1 full minute
-relaxed, regulated, automatic, silent, symmetrical
-12-20 breathes per minute
-even and consistent
Explain the process and how to document blood pressure?
-palpate the brachial artery, find the pulse, put the cuff on evenly around the arm aligned with the
artery, find the baseline and then add 30mmhg, the with the diaphragm of the stethoscope find the
systolic and diastolic and document on the vital signs Flow sheet
-within range, hypotensive or hypertensive
Explain the process and how to document 02 saturation?
-Put monitor on a finger, finger must be clear of nail polish or gel nails, if the finger has gel nails, you
can use a toe or ear
-within range
What types of sounds do you hear with the bell vs diaphragm of the stethoscope?
-Bell: soft, low pitched sounds
-Diaphragm: high pitched sounds
What test would check for a patients iron level?
hemoglobin, anemia, pale
Why is it important to recognize a clients culture?
to be culturally competent, not bias
what are the korotkoff sounds? what do they mean?
1-tapping: soft clear tapping, increasing with intensity (systolic)
Auscultatory gap: no sounds for 30-40mmHg
2-swooshing: softer murmur that follows tapping, artery still partially occluded
3- knocking- crisp, high pitched sounds, duration of blood flow through artery is longer