NUR 112 Final Exam Questions and Answers Latest Update 2025-2026
Normal vital signs - Answers BP: 120/80, Temp: 98.6, Pulse: 60-100, RR: 12-20, O2 sat: 95-100%
Initial response to abnormal vitals - Answers reassess, review baselines, check to see if there is
an explanation to who (ex. cold fingers, recent hydration)
s/s of fever - Answers loss of appetite, headache, hot/dry skin, flushed face, thirst, muscle
aches. RR and pulse rate increase
s/s of high pulse rate - Answers decreased BP, elevated temp, poor oxygenation
s/s of low pulse rate - Answers decreased temp, hypoxemia, sleep apnea, delirium, vomiting
High pressure created during ventricular contraction - Answers systolic pressure
lowest pressure present on arterial walls - Answers diastolic pressure
s/s of low BP - Answers dizziness, tachycardia, pallor, syncope, sweating, blurred vision, nausea,
confusion
oral temperature route is not suitable for - Answers children younger than 6, individuals with
development delay and who can not follow directions, confused/ comatose pt., people who
have just drank a beverage, has been smoking, or chewing gum (wait 15-30 mins)
tympanic route is not suitable for - Answers pt. with ear drainage, pain, ear infection, or scarred
tympanic membrane
what can impact the accuracy of a temporal temperature? - Answers diaphoresis or sweat
when should axillary temp not be taken - Answers when an accurate reding is required
when to not use rectal temp route - Answers newborns, pt. with diarrhea, pt. with heart disease
or recent heart surgery, neutropenic or low platelet count pt.
hygiene limiting factors - Answers mobility, decreased LOC, confusion, tolerance, preference,
pain, equipment, access to products
how does barrier cream aide in the healing of pressure injuries? - Answers the oil base creates a
barrier so that moisture from water does not come in contact with the injury.
how to handle dirty linens / clothes - Answers carry AWAY from your body, put soiled fabrics in
the designated place immediately (NOT on the floor).
what is the # 1 way to protect yourself and others from contagious factors? - Answers
handwashing!!!
ways to achieve proper body mechanics as a nurse - Answers raise bed to comfortable working
, height, use leg and arm strength, work close to object, ASK FOR HELP!!
precautions for patients on anticoagulants - Answers use electric razor for shaving, no rectal
temp., consider them as a high fall risk, gentle bathing, soft bristled toothbrush
donning PPE - Answers 1. hand hygiene
2.gown
3. mask
4.goggles
5.gloves
doffing PPE - Answers *after string is untied*
1. gloves
2. goggles
3. gown
4. mask
5. hand hygiene
basic guidelines for sterile feilds - Answers 1. after package is opened, the edges are
considered unsterile.
2. The 1 inch border surrounding the field is considered unsterile.
3. the field is considered contaminated if it becomes wet with any substance
4. never turn back to sterile field, must stay in sight
5. Anything below the waist is considered unsterile
how to clean a wound - Answers inside to outside
how to label a dressing - Answers date, time changed, and initials
two main prioritizing tools - Answers ABC's and Maslow's
Maslow's Hierarchy of Needs - Answers (level 1) Physiological Needs, (level 2) Safety and
Security, (level 3) love and belongingness, (level 4) Self Esteem, (level 5) Self Actualization
how to limit breaches of confidentiality - Answers log off computers when not in use, do not
share passwords, do not share pt. info with anyone who is not clearly certified to know
Normal vital signs - Answers BP: 120/80, Temp: 98.6, Pulse: 60-100, RR: 12-20, O2 sat: 95-100%
Initial response to abnormal vitals - Answers reassess, review baselines, check to see if there is
an explanation to who (ex. cold fingers, recent hydration)
s/s of fever - Answers loss of appetite, headache, hot/dry skin, flushed face, thirst, muscle
aches. RR and pulse rate increase
s/s of high pulse rate - Answers decreased BP, elevated temp, poor oxygenation
s/s of low pulse rate - Answers decreased temp, hypoxemia, sleep apnea, delirium, vomiting
High pressure created during ventricular contraction - Answers systolic pressure
lowest pressure present on arterial walls - Answers diastolic pressure
s/s of low BP - Answers dizziness, tachycardia, pallor, syncope, sweating, blurred vision, nausea,
confusion
oral temperature route is not suitable for - Answers children younger than 6, individuals with
development delay and who can not follow directions, confused/ comatose pt., people who
have just drank a beverage, has been smoking, or chewing gum (wait 15-30 mins)
tympanic route is not suitable for - Answers pt. with ear drainage, pain, ear infection, or scarred
tympanic membrane
what can impact the accuracy of a temporal temperature? - Answers diaphoresis or sweat
when should axillary temp not be taken - Answers when an accurate reding is required
when to not use rectal temp route - Answers newborns, pt. with diarrhea, pt. with heart disease
or recent heart surgery, neutropenic or low platelet count pt.
hygiene limiting factors - Answers mobility, decreased LOC, confusion, tolerance, preference,
pain, equipment, access to products
how does barrier cream aide in the healing of pressure injuries? - Answers the oil base creates a
barrier so that moisture from water does not come in contact with the injury.
how to handle dirty linens / clothes - Answers carry AWAY from your body, put soiled fabrics in
the designated place immediately (NOT on the floor).
what is the # 1 way to protect yourself and others from contagious factors? - Answers
handwashing!!!
ways to achieve proper body mechanics as a nurse - Answers raise bed to comfortable working
, height, use leg and arm strength, work close to object, ASK FOR HELP!!
precautions for patients on anticoagulants - Answers use electric razor for shaving, no rectal
temp., consider them as a high fall risk, gentle bathing, soft bristled toothbrush
donning PPE - Answers 1. hand hygiene
2.gown
3. mask
4.goggles
5.gloves
doffing PPE - Answers *after string is untied*
1. gloves
2. goggles
3. gown
4. mask
5. hand hygiene
basic guidelines for sterile feilds - Answers 1. after package is opened, the edges are
considered unsterile.
2. The 1 inch border surrounding the field is considered unsterile.
3. the field is considered contaminated if it becomes wet with any substance
4. never turn back to sterile field, must stay in sight
5. Anything below the waist is considered unsterile
how to clean a wound - Answers inside to outside
how to label a dressing - Answers date, time changed, and initials
two main prioritizing tools - Answers ABC's and Maslow's
Maslow's Hierarchy of Needs - Answers (level 1) Physiological Needs, (level 2) Safety and
Security, (level 3) love and belongingness, (level 4) Self Esteem, (level 5) Self Actualization
how to limit breaches of confidentiality - Answers log off computers when not in use, do not
share passwords, do not share pt. info with anyone who is not clearly certified to know
