Nur 158
Nur 158- Final Exam Study Guide
List the normal systolic and diastolic blood pressure ranges for an adult.
Systolic Pressure: 120
Diastolic: 80
When measuring blood pressure, describe when you would hear the systolic and diastolic
readings.
Systolic Pressure Sound: faint but clear tapping sounds, first tapping is systolic pressure
Diastolic Pressure: last sound heard before continuous silence, diastolic pressure
Describe the procedure for counting respirations.
Best to count respirations right after pulse with your fingers still on the wrist; it is easy
for the patient or resident to control breathing; watching the chest rise and fall or the
stomach
Define the rhythm of a pulse and the quality. Give examples.
Pulse Rhythm: The pattern of pulsations and pauses between them
Quality: smooth and regular with the same amount of time in between each pulsation
Example: irregular pulse- dysrhythmia
Describe the procedure for taking an apical pulse.
taken by listening over the apex of the heart with a stethoscope (pulse point is the chest)
What is a normal adult pulse rate and what would be reported to the nurse?
adult: 60- 100 beats
A pulse rate that is more than a 100 beats and less than 60 beets
In taking a resident's temperature, describe 5 instances in which an oral temperature route
cannot be used.
Nur 158
,Nur 158
Is unconscious
Is unable to keep his mouth closed (necessary in order to keep the thermometer in place)
Is unable to breathe through his nose
Is likely to bite the oral thermometer (for example, a child younger than 5 years, a
disoriented person, or a person with a history of seizures)
Is coughing or sneezing
Has recently had mouth surgery or an injury to the mouth
Is receiving oxygen by a face mask (because the oxygen may cause the temperature
measurement to be inaccurate)
Where is a tympanic thermometer inserted and what is another name for the tympanic
membrane?
Tympanic Thermometer or ear thermometer
it is inserted into the ear
Define the term asepsis
involves physically removing or killing pathogens
Define immunity
The ability of organisms to resist infection by protecting against disease-causing
microorganisms or their toxins, that invade their bodies.
Define a healthcare acquired infection. What is another name for this infection?
Healthcare Acquired Infection: Infections people get while a patient or resident
Another name: nosocomial infections
In the chain of infection: what starts the infection?
Pathogen
Name ways to prevent the spread of infection.
oMedical asepsis
oSurgical asepsis
oBarrier methods
oIsolation precautions
Nur 158
,Nur 158
- washing our hands
-sanitizing hands
Name some signs and symptoms of an infection
Fever, inflammation, warmth, and redness at the site of infection
Name at least 4 nursing assistant responsibilities and why wouldn't discussing the
resident's condition with the family be one of them
dressing
bathing
grooming
feeding
exercising
assessment
It is not apart of our responsibility and out of our scope of practice
Name the 5 steps of the nursing process and in which step the nursing assistant would
participate.
Assessment
●Diagnosis
●Planning
●Implementation
●Evaluation
We participate in Assessment and evaluation
Define OBRA. What does OBRA regulate?
Omnibus Budget Reconciliation Act (OBRA) requirements for certification
The competency evaluation
●The principle of reciprocity
●The registry
●Continuing education
Describe how a clean, wrinkle-free bed will make the resident feel by preventing what?
Nur 158
, Nur 158
It will make the resident feel happy, clean and more comfortable
prevent skin breakdown and pressure ulcer formation
infection control
Why are call lights important and guidelines to follow when the resident uses the call
light?
The call light system allows patients or residents to signal that they need help
Answer than as soon as possible
turn off when done
What grade percentage must you maintain in NUR 158?
76%
Define the following standards of conduct: confidentiality, accountability, dependability,
and civility.
Confidentiality: Respects the privacy of clients and respects privileged information.
Accountability: Answerable for actions; answers to self, the client, the profession and the
institution.
Dependability: Is trustworthy and reliable.
Civility: All students in the nursing program are expected to contribute to a positive
learning
environment. Nursing students are expected to be reflective, courteous, respectful, and
empathetic
to classmates, instructors, and college and clinical staff. Angry outbursts, disruptive
behavior, and
the use of abusive or derogatory language will not be tolerated and will result in
disciplinary
action up to removal from the course and/or program.
Define distal
Far from the point of attachment to the trunk or far from the beginning of a structure.
Nur 158
Nur 158- Final Exam Study Guide
List the normal systolic and diastolic blood pressure ranges for an adult.
Systolic Pressure: 120
Diastolic: 80
When measuring blood pressure, describe when you would hear the systolic and diastolic
readings.
Systolic Pressure Sound: faint but clear tapping sounds, first tapping is systolic pressure
Diastolic Pressure: last sound heard before continuous silence, diastolic pressure
Describe the procedure for counting respirations.
Best to count respirations right after pulse with your fingers still on the wrist; it is easy
for the patient or resident to control breathing; watching the chest rise and fall or the
stomach
Define the rhythm of a pulse and the quality. Give examples.
Pulse Rhythm: The pattern of pulsations and pauses between them
Quality: smooth and regular with the same amount of time in between each pulsation
Example: irregular pulse- dysrhythmia
Describe the procedure for taking an apical pulse.
taken by listening over the apex of the heart with a stethoscope (pulse point is the chest)
What is a normal adult pulse rate and what would be reported to the nurse?
adult: 60- 100 beats
A pulse rate that is more than a 100 beats and less than 60 beets
In taking a resident's temperature, describe 5 instances in which an oral temperature route
cannot be used.
Nur 158
,Nur 158
Is unconscious
Is unable to keep his mouth closed (necessary in order to keep the thermometer in place)
Is unable to breathe through his nose
Is likely to bite the oral thermometer (for example, a child younger than 5 years, a
disoriented person, or a person with a history of seizures)
Is coughing or sneezing
Has recently had mouth surgery or an injury to the mouth
Is receiving oxygen by a face mask (because the oxygen may cause the temperature
measurement to be inaccurate)
Where is a tympanic thermometer inserted and what is another name for the tympanic
membrane?
Tympanic Thermometer or ear thermometer
it is inserted into the ear
Define the term asepsis
involves physically removing or killing pathogens
Define immunity
The ability of organisms to resist infection by protecting against disease-causing
microorganisms or their toxins, that invade their bodies.
Define a healthcare acquired infection. What is another name for this infection?
Healthcare Acquired Infection: Infections people get while a patient or resident
Another name: nosocomial infections
In the chain of infection: what starts the infection?
Pathogen
Name ways to prevent the spread of infection.
oMedical asepsis
oSurgical asepsis
oBarrier methods
oIsolation precautions
Nur 158
,Nur 158
- washing our hands
-sanitizing hands
Name some signs and symptoms of an infection
Fever, inflammation, warmth, and redness at the site of infection
Name at least 4 nursing assistant responsibilities and why wouldn't discussing the
resident's condition with the family be one of them
dressing
bathing
grooming
feeding
exercising
assessment
It is not apart of our responsibility and out of our scope of practice
Name the 5 steps of the nursing process and in which step the nursing assistant would
participate.
Assessment
●Diagnosis
●Planning
●Implementation
●Evaluation
We participate in Assessment and evaluation
Define OBRA. What does OBRA regulate?
Omnibus Budget Reconciliation Act (OBRA) requirements for certification
The competency evaluation
●The principle of reciprocity
●The registry
●Continuing education
Describe how a clean, wrinkle-free bed will make the resident feel by preventing what?
Nur 158
, Nur 158
It will make the resident feel happy, clean and more comfortable
prevent skin breakdown and pressure ulcer formation
infection control
Why are call lights important and guidelines to follow when the resident uses the call
light?
The call light system allows patients or residents to signal that they need help
Answer than as soon as possible
turn off when done
What grade percentage must you maintain in NUR 158?
76%
Define the following standards of conduct: confidentiality, accountability, dependability,
and civility.
Confidentiality: Respects the privacy of clients and respects privileged information.
Accountability: Answerable for actions; answers to self, the client, the profession and the
institution.
Dependability: Is trustworthy and reliable.
Civility: All students in the nursing program are expected to contribute to a positive
learning
environment. Nursing students are expected to be reflective, courteous, respectful, and
empathetic
to classmates, instructors, and college and clinical staff. Angry outbursts, disruptive
behavior, and
the use of abusive or derogatory language will not be tolerated and will result in
disciplinary
action up to removal from the course and/or program.
Define distal
Far from the point of attachment to the trunk or far from the beginning of a structure.
Nur 158
