NUR 230 Exam 1 SHERPATH UPDATED ACTUAL Questions
and CORRECT Answers
Which temperature, taken rectally, is outside the normal 97 degrees fahrenheit (below normal range for healthy adult)
range for a healthy adult?
An increase in body temperature may be an indication of infection, damage to hypothalamus, and vasoconstriction
which condition?
vasodilation dilation of blood vessels, increasing heat loss through the skin; it is not related to
temperature regulation
hypothermia describes the condition of having abnormally low body temperature and is not a
temperature-regulating reaction
pyrexia fever response, triggered by the production and release of prostaglandins; not
related to temperature regulation
shivering results from contraction and relaxation of the skeletal muscles, warming the body
Which is the best method by which to measure tympanic method
temperature in a 5-month-old patient
what describes the benefit to using an electric quicker to use
thermometer to measure an adult patient's temperature
which method of temperature measurement is the most tympanic because it measures core temperature
reliable
The nurse is taking the pulse of an adult patient. which strong
description of pulse amplitude is characteristic of a
normal pulse
which findings relating to a patient's pulse are considered regular rhythm, strong amplitude, contour with smooth uptake
normal
which characteristics of respiration are normal findings breathing without effort, breathing with regular rhythm, abdominal movement
with breathing, quiet breathing
the best way to measure respirations is to count the 30
breathe for __ seconds and multiply by 2
which respiratory rate (in breaths per minute) would the 9
nurse characterize as bradypnea
, which blood pressure response is expected when a a rise in diastolic pressure
patient rises from a sitting position
blood pressure follows a diurnal pattern, peaking at what midmorning
time during the day
what auscultatory landmark, identified after the systolic muffling of sounds
sound, marks the first diastolic sound
what auscultatory landmark marks the first systolic sound two consecutive beats
What marks the auscultatory gap disappearance of the korotkoff sounds
What is the appropriate rate to deflate a BP cuff 2-3 mmHg per second
The pulse oximeter measures a patient's blood oxygen deoxygenated hemoglobin absorbs more red light than oxygenated hemoglobin
based on which properties of hemoglobin?
Which body areas are best for measuring the blood finger, toe, pinna
levels of an adult patient
the pulse oximetry reading indicates which physiological how much oxygen the blood is carrying
measure
What is one limitation to most self-reporting pain scales very few include patient's emotional response
relating to the patient's perception of pain
numeric pain scale numbers with which the patient can rate their pain
descriptive pain scale pain descriptions with which the patient can rate their
behavioral pain scale allows the nurse to choose from pain behaviors to rate the pain of the patient and
is not a self-reporting pain scale
When assessing a patient's pain, the nurse should moving, coughing, and deep breathing
remember that which actions may increase the pain felt
the nurse is examining a patient and identifies a facial lackluster eyes, wrinkled forehead, and grimace
mask of pain. What features characterize this expression?
Which patient behaviors are associated with pain guarding, head rocking, and scattered movement
Which body movements may indicate pain in a patient rubbing, pacing, inability to keep hands still
which activities suggest that an infant is NOT in pain lying quietly and resting in a normal position
What patient characteristics should a nurse loo at when facial expression, activity, and leg movement
observing an infant for pain
and CORRECT Answers
Which temperature, taken rectally, is outside the normal 97 degrees fahrenheit (below normal range for healthy adult)
range for a healthy adult?
An increase in body temperature may be an indication of infection, damage to hypothalamus, and vasoconstriction
which condition?
vasodilation dilation of blood vessels, increasing heat loss through the skin; it is not related to
temperature regulation
hypothermia describes the condition of having abnormally low body temperature and is not a
temperature-regulating reaction
pyrexia fever response, triggered by the production and release of prostaglandins; not
related to temperature regulation
shivering results from contraction and relaxation of the skeletal muscles, warming the body
Which is the best method by which to measure tympanic method
temperature in a 5-month-old patient
what describes the benefit to using an electric quicker to use
thermometer to measure an adult patient's temperature
which method of temperature measurement is the most tympanic because it measures core temperature
reliable
The nurse is taking the pulse of an adult patient. which strong
description of pulse amplitude is characteristic of a
normal pulse
which findings relating to a patient's pulse are considered regular rhythm, strong amplitude, contour with smooth uptake
normal
which characteristics of respiration are normal findings breathing without effort, breathing with regular rhythm, abdominal movement
with breathing, quiet breathing
the best way to measure respirations is to count the 30
breathe for __ seconds and multiply by 2
which respiratory rate (in breaths per minute) would the 9
nurse characterize as bradypnea
, which blood pressure response is expected when a a rise in diastolic pressure
patient rises from a sitting position
blood pressure follows a diurnal pattern, peaking at what midmorning
time during the day
what auscultatory landmark, identified after the systolic muffling of sounds
sound, marks the first diastolic sound
what auscultatory landmark marks the first systolic sound two consecutive beats
What marks the auscultatory gap disappearance of the korotkoff sounds
What is the appropriate rate to deflate a BP cuff 2-3 mmHg per second
The pulse oximeter measures a patient's blood oxygen deoxygenated hemoglobin absorbs more red light than oxygenated hemoglobin
based on which properties of hemoglobin?
Which body areas are best for measuring the blood finger, toe, pinna
levels of an adult patient
the pulse oximetry reading indicates which physiological how much oxygen the blood is carrying
measure
What is one limitation to most self-reporting pain scales very few include patient's emotional response
relating to the patient's perception of pain
numeric pain scale numbers with which the patient can rate their pain
descriptive pain scale pain descriptions with which the patient can rate their
behavioral pain scale allows the nurse to choose from pain behaviors to rate the pain of the patient and
is not a self-reporting pain scale
When assessing a patient's pain, the nurse should moving, coughing, and deep breathing
remember that which actions may increase the pain felt
the nurse is examining a patient and identifies a facial lackluster eyes, wrinkled forehead, and grimace
mask of pain. What features characterize this expression?
Which patient behaviors are associated with pain guarding, head rocking, and scattered movement
Which body movements may indicate pain in a patient rubbing, pacing, inability to keep hands still
which activities suggest that an infant is NOT in pain lying quietly and resting in a normal position
What patient characteristics should a nurse loo at when facial expression, activity, and leg movement
observing an infant for pain
