NUR 216 LATEST 2026 EXAM TEST PAPER QUESTIONS AND
ANSWERS MARKED A+
✔✔Height - ✔✔Stadiometer is used to measure height. Height is measured in feet and
inches.
✔✔Weight - ✔✔Use a standing scale or an electronic scale. Weight is measured in
pound or kilograms.
Body weight is influenced by genetics, exercise, diet, and fluid volume.
Remove shoes.
Repeated weights should be performed at the same time.
An unintentional weight change alerts you to an underlying condition.
-Unintentional weight gain (5IB in a day) could indicate fluid retention, such as
heart failure
-Unintentional weight loss (5% of body weight in a month or 10% in 6 months)
could indicate a disease process, such as a fever, infection, malignancy, or endocrine
disease
✔✔BMI - ✔✔assess for healthy weight and is the preferred method for identifying total
body fat
✔✔Underweight BMI - ✔✔less than 18.5
✔✔Normal BMI - ✔✔18.5-24.9
✔✔Overweight BMI - ✔✔25-29.9
✔✔Obese BMI - ✔✔over 30
✔✔Factors influencing temperature - ✔✔Increase- hormones, exercise, dehydration,
illness, stress environment
Decrease- surgery environment (older adults have lower core temp.)
✔✔strength of the pulse - ✔✔0= an absent, impalpable pulse
1= a weak, thread, diminished pulse
2= a normal, brisk pulse (accepted)
3= an increased, strong pulse
4= a bounding, full volume pulse
✔✔pulse deficit - ✔✔difference between the apical and radial pulse rates
one nurse palpates radial pulse and another nurse auscultates 5 th
intercostal simultaneously
✔✔Pulse oximetry - ✔✔Identify tools for measure o2 saturations
, Normal: 95%-100% (low 90% if COPD)
✔✔factors that affect pulse oximetry readings - ✔✔-Carbon monoxide poisoning,
jaundice, painted or thickened nails, recent injection of
dyes in circulatory system, and dark skin tone
-Client movements
-Impaired circulation (peripheral vascular disease, hypothermia, vasoconstriction,
hypotension, and peripheral edema)
✔✔Respirations - ✔✔Teens: 16-20 depths
Adults: 12-20 breaths (semi Flowers Position)
✔✔Recognize factors influencing respirations - ✔✔-Exercise: faster and deeper
-Anxiety: Breathing rate increase
-Pain
-Body position
-Medications
-Smoking: Changes lining of the airways. Inhibiting airflow. Breathe faster
-Neurological injury and alterations in hemoglobin
✔✔Blood pressure - ✔✔the force of blood against the walls of the artery during systole
and diastole
Normal is 120/80
Hypertension with 3 separate visits over weeks.
✔✔Hypotension - ✔✔Systolic blood pressure of less than 90 mmHg
✔✔Prehypertension - ✔✔120-139/80-89
✔✔Stage 1 hypertension - ✔✔140-159/90-99
✔✔Stage 2 hypertension - ✔✔160/100
✔✔Recognize factors that affect BP - ✔✔-Smoking
-Sex
-Medication
-Ethnicity (African)
-Diurnal Variations
-Obesity
-History of hypertension or hypotension
-Birth control
-Cuff to small
ANSWERS MARKED A+
✔✔Height - ✔✔Stadiometer is used to measure height. Height is measured in feet and
inches.
✔✔Weight - ✔✔Use a standing scale or an electronic scale. Weight is measured in
pound or kilograms.
Body weight is influenced by genetics, exercise, diet, and fluid volume.
Remove shoes.
Repeated weights should be performed at the same time.
An unintentional weight change alerts you to an underlying condition.
-Unintentional weight gain (5IB in a day) could indicate fluid retention, such as
heart failure
-Unintentional weight loss (5% of body weight in a month or 10% in 6 months)
could indicate a disease process, such as a fever, infection, malignancy, or endocrine
disease
✔✔BMI - ✔✔assess for healthy weight and is the preferred method for identifying total
body fat
✔✔Underweight BMI - ✔✔less than 18.5
✔✔Normal BMI - ✔✔18.5-24.9
✔✔Overweight BMI - ✔✔25-29.9
✔✔Obese BMI - ✔✔over 30
✔✔Factors influencing temperature - ✔✔Increase- hormones, exercise, dehydration,
illness, stress environment
Decrease- surgery environment (older adults have lower core temp.)
✔✔strength of the pulse - ✔✔0= an absent, impalpable pulse
1= a weak, thread, diminished pulse
2= a normal, brisk pulse (accepted)
3= an increased, strong pulse
4= a bounding, full volume pulse
✔✔pulse deficit - ✔✔difference between the apical and radial pulse rates
one nurse palpates radial pulse and another nurse auscultates 5 th
intercostal simultaneously
✔✔Pulse oximetry - ✔✔Identify tools for measure o2 saturations
, Normal: 95%-100% (low 90% if COPD)
✔✔factors that affect pulse oximetry readings - ✔✔-Carbon monoxide poisoning,
jaundice, painted or thickened nails, recent injection of
dyes in circulatory system, and dark skin tone
-Client movements
-Impaired circulation (peripheral vascular disease, hypothermia, vasoconstriction,
hypotension, and peripheral edema)
✔✔Respirations - ✔✔Teens: 16-20 depths
Adults: 12-20 breaths (semi Flowers Position)
✔✔Recognize factors influencing respirations - ✔✔-Exercise: faster and deeper
-Anxiety: Breathing rate increase
-Pain
-Body position
-Medications
-Smoking: Changes lining of the airways. Inhibiting airflow. Breathe faster
-Neurological injury and alterations in hemoglobin
✔✔Blood pressure - ✔✔the force of blood against the walls of the artery during systole
and diastole
Normal is 120/80
Hypertension with 3 separate visits over weeks.
✔✔Hypotension - ✔✔Systolic blood pressure of less than 90 mmHg
✔✔Prehypertension - ✔✔120-139/80-89
✔✔Stage 1 hypertension - ✔✔140-159/90-99
✔✔Stage 2 hypertension - ✔✔160/100
✔✔Recognize factors that affect BP - ✔✔-Smoking
-Sex
-Medication
-Ethnicity (African)
-Diurnal Variations
-Obesity
-History of hypertension or hypotension
-Birth control
-Cuff to small
