NURS 168- quiz 2 || 100% no Error.
Pulse Amplitude: 0 correct answers absent, unable to palpate
pulse amplitude: +1 correct answers diminished, weaker than expected
pulse amplitude: +2 correct answers Normal, expected
pulse amplitude: +3 correct answers bounding
Respirations: Normal Range correct answers 12-20 breaths/min
Tachypnea correct answers ≥ 24 breaths/min
Bradypnea correct answers < 10 breaths/min
Normal BP Range correct answers systolic: 90-120
diastolic: 60-80
Normal apical pulse range correct answers 60-100bpm
Normal pulse ox range correct answers 95-100%
Normal temperature range (temporal) correct answers 95.6°-99.5° F
True/False: You can delegate apical pulse to a UAP. correct answers False
, What vital signs can you delegate to a UAP? correct answers BP, Temperature, Radial pulse,
Weight, Height, Peripheral pulse, Pulse ox, Respirations
Pulses may be difficult to palpate because of.... correct answers poor circulation, edema, or other
obstructive issues
Sites for assessing pulse correct answers Brachial, Radial, Popliteal, Dorsalis pedis, Apical,
Femoral, Posterior tibial
Orthostatic hypotension correct answers An abrupt decline in BP when a person moves from a
supine position to sitting or standing
Can a UAP take BP on a client who has orthostatic hypotension? correct answers No, BP can
NOT be delegated in this situation. They may assist, but nurse but be the one to take the BP
For health assessment, what is the correct order for assessing? (Disregarding Abdomen)
a) Inspection, Auscultation, Palpation
b) Palpation, Inspection, Auscultation
c) Inspection, Palpation, Auscultation correct answers C : Inspection, Palpation, Auscultation
When assessing the abdomen during a health assessment, which is the correct order?
a) Inspection, Auscultation, Palpation
b) Palpation, Inspection, Auscultation
c) Inspection, Palpation, Auscultation correct answers A: Inspection, Auscultation, Palpation
When assessing the eyes, what are you inspecting when you pull down the patient's lower eyelid?
correct answers Conjunctiva- looking for the color and moisture
Pulse Amplitude: 0 correct answers absent, unable to palpate
pulse amplitude: +1 correct answers diminished, weaker than expected
pulse amplitude: +2 correct answers Normal, expected
pulse amplitude: +3 correct answers bounding
Respirations: Normal Range correct answers 12-20 breaths/min
Tachypnea correct answers ≥ 24 breaths/min
Bradypnea correct answers < 10 breaths/min
Normal BP Range correct answers systolic: 90-120
diastolic: 60-80
Normal apical pulse range correct answers 60-100bpm
Normal pulse ox range correct answers 95-100%
Normal temperature range (temporal) correct answers 95.6°-99.5° F
True/False: You can delegate apical pulse to a UAP. correct answers False
, What vital signs can you delegate to a UAP? correct answers BP, Temperature, Radial pulse,
Weight, Height, Peripheral pulse, Pulse ox, Respirations
Pulses may be difficult to palpate because of.... correct answers poor circulation, edema, or other
obstructive issues
Sites for assessing pulse correct answers Brachial, Radial, Popliteal, Dorsalis pedis, Apical,
Femoral, Posterior tibial
Orthostatic hypotension correct answers An abrupt decline in BP when a person moves from a
supine position to sitting or standing
Can a UAP take BP on a client who has orthostatic hypotension? correct answers No, BP can
NOT be delegated in this situation. They may assist, but nurse but be the one to take the BP
For health assessment, what is the correct order for assessing? (Disregarding Abdomen)
a) Inspection, Auscultation, Palpation
b) Palpation, Inspection, Auscultation
c) Inspection, Palpation, Auscultation correct answers C : Inspection, Palpation, Auscultation
When assessing the abdomen during a health assessment, which is the correct order?
a) Inspection, Auscultation, Palpation
b) Palpation, Inspection, Auscultation
c) Inspection, Palpation, Auscultation correct answers A: Inspection, Auscultation, Palpation
When assessing the eyes, what are you inspecting when you pull down the patient's lower eyelid?
correct answers Conjunctiva- looking for the color and moisture
