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Exam (elaborations)

NU 301 Exam 1 Study Guide – Vital Signs, Hygiene, Sensory Function & Safety 2026

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Complete NU 301 Exam 1 study guide covering vital signs assessment, hygiene care, sensory alterations, patient safety, restraints, and nursing fundamentals. Includes latest Q&A for nursing students.

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NU 301 EXAM 1 WITH LATEST QUESTIONS AND VERIFIED
LATEST EDITION 2026;2027 ANSWER



What are the main pulse sites?

- temporal, carotid, apical, brachial, radial, ulnar, femoral, popliteal, posterior tibial, and
dorsalis pedis



What types of sounds does the bell transmit? What should you use it for?

- The bell transmits low-pitched sounds created by the low-velocity movement of blood.
- Auscultate heart and vascular sounds with the bell.

,What types of sounds does the diaphragm transmit? What should you use it for?

- It transmits high-pitched sounds created by the high-velocity movement of air and blood. -
Everything except heart sounds



You should never access ___________ at the same time

- bilateral carotids



What is a bruit?

- A bruit is a vascular sound that reflects partial arterial occlusion



What is bradycardia?

- slow heart rate (<60 bpm)



What is tachycardia?

- fast heart rate (>100 bpm)



What must you report about a pulse?
-regular/irregular rate
-regular/irregular rhythm
-quality
--bounding (nervous)
--thready (comes and goes)
--weak (hard to palpate & near end of life)



What two things may be present if circulation is compromised?

-Pallor: Paleness of skin when compared with another part of the body

,-Cyanosis: A bluish or grayish discoloration of the skin due to excessive carbon dioxide and
deficient oxygen in the blood



What is ventilation? Diffusion? Perfusion?

-Ventilation = Movement of gases into and out of the lung.
-Diffusion= Movement of oxygen and carbon monoxide between alveoli and red blood cells.
-Perfusion = Distribution of red blood cells to and from the pulmonary capillaries



What is hypoxemia?

- low oxygen in the blood



What can cause a false negative in O2 saturation?
False positive?

-nail polish
-poor circulation



What allows patients with chronic lung disease to breathe?
What may kill them?

-low levels of arterial O2 provide the stimulus that allows a patient to breathe -administration
of high oxygen levels is fatal for patients with chronic lung disease.

Is inspiration active or passive?
Explain Expiration?
-is an active process- diaphragm contract, organs move downward, chest elongates -is
passive- diaphragm relaxes.



What counting respirations you must observe.
Normal adult range?
Normal infant range?

-a full inspiration and expiration when counting.

, -12-20
-30-50



What should you document about respirations?

-Ventilatory depth: deep, normal, shallow, contractures
-Ventilatory rhythm: regular/irregular



What are two abnormal breathing patterns?

-cheyne-stokes: alternating periods of hyperventilation and apnea
-biots: respirations are abnormally shallow for two to three breaths followed by irregular
periods of apnea



What is dyspnea?

- labored breathing



What is orthopnea?

- difficulty breathing while lying down



Where may you see retractions during breathing?

-Intercostal (between ribs); -substernal
(beneath sternum); -suprasternal
(above clavicle).
What is BP? Systolic pressure? Diastolic pressure? Normal BP?

-Pressure of the blood as it is forced against arterial walls during cardiac contraction.
-Peak pressure exerted against arterial walls as the ventricles contract and eject blood -
Minimum pressure exerted against arterial walls between cardiac contractions when the
heart is at rest.
-120/80

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