Nursing 2410 Exam 1 Questions With Correct Answers

Nursing 2410 Exam 1 Questions With Correct
Answers

What |are |the |vital |signs? |- |CORRECT |ANSWER✔✔--Temperature

-Pulse

-Respiratory |Rate

-Blood |Pressure

-Oxygen |Saturation

-Pain |(extra)



Normal |body |temperature |- |CORRECT |ANSWER✔✔-96.4-99.1

average: |98.6



what |are |the |changes |in |Body |Temp |during |the |day |- |CORRECT |ANSWER✔✔-lower |in |the |AM

higher |in |the |PM



Age |related |variables |on |body |temp |- |CORRECT |ANSWER✔✔-elderly: |less |likely |to |develop |a |
fever |(thermoregulatory |center |not |efficient, |decreased |subcutaneous |fat)

children: |reduced |capacity |to |regulate |body |temp |(immaturity |of |the |nervous |system)



Position |of |Pinna |When |Taking |Tympanic |Temperature |- |CORRECT |ANSWER✔✔-<3 |years |old |- |
hold |pinna |down |and |back

>3 |year |old |- |hold |pinna |up |and |back

,How |long |do |you |wait |to |take |tympanic |temp |if |there |are |hearing |aids? |- |CORRECT |
ANSWER✔✔-remove |and |wait |15 |mins



Difference |in |Axillary |Temperature |- |CORRECT |ANSWER✔✔-1 |degree |less |than |oral |

*must |add |one |degree |to |axillary |temperature



difference |in |rectal |temperature |- |CORRECT |ANSWER✔✔-1 |degree |higher |than |oral

*must |subtract |one



What |is |considered |a |temperature? |- |CORRECT |ANSWER✔✔->100.4



What |is |a |normal |pulse? |- |CORRECT |ANSWER✔✔-Adults: |60-90

Newborns: |120-160

Children: |75-100



What |is |bradycardia? |- |CORRECT |ANSWER✔✔-slow |heart

- |pulse |<50-60 |bpm

- |athletes, |cardiac |medications, |hypothermia



What |is |tachycardia? |- |CORRECT |ANSWER✔✔-Fast |heart

-pulse: |90-100 |bpm

-anxiety, |exercise, |fever, |dehydration

-decreased |oxygen |to |tissue |(shock/hemorrhage)



what |is |sinus |arrhythmia? |- |CORRECT |ANSWER✔✔-heart |rate |increases |with |inspiration |and |
decreases |with |expiration

- |compliance |of |blood |vessels

,-common |in |infants/children



effects |of |exercise |on |pulse |- |CORRECT |ANSWER✔✔-moderate |exercise= |increase |by |20-30 |
bpm

consistent |athletic |exercise= |decrease |resting |heart |rate



what |two |fingers |do |you |use |to |find |radial |pulse? |- |CORRECT |ANSWER✔✔-pads |of |two |middle
|fingers




how |long |do |you |count |when |finding |pulse? |- |CORRECT |ANSWER✔✔-count |for |30 |seconds |
multiply |x2



how |long |do |you |count |if |pulse |is |irregular? |- |CORRECT |ANSWER✔✔-a |full |minute |and |check |
apical |pulse



what |is |another |name |for |apical |pulse? |- |CORRECT |ANSWER✔✔-point |of |maximal |impulse |
(PMI)



Where |is |the |apical |pulse |located? |- |CORRECT |ANSWER✔✔-5th |intercostal |space, |left |mid-
clavicular |line



how |long |do |you |count |when |finding |the |apical |pulse? |- |CORRECT |ANSWER✔✔-60 |seconds



what |does |it |mean |if |the |apical |pulse |is |greater |than |the |radial |pulse? |- |CORRECT |
ANSWER✔✔-pulse |deficit |(all |the |beats |don't |get |to |the |periphery)

-conditions: |heart |failure, |myocardial |infection, |atrial |fibrillation

-ineffective |heart |contractions

, 3 |point |pulse |grade |scale |- |CORRECT |ANSWER✔✔-3+= |bounding

2+ |= |normal

1+= |weak, |thready

0=absent



regular |pulse |means |- |CORRECT |ANSWER✔✔-time |between |beats |is |consistent



irregular |pulse |means |- |CORRECT |ANSWER✔✔-time |between |beats |varies



how |long |do |you |count |respirations? |- |CORRECT |ANSWER✔✔-normal |- |30 |secs |x |2

irregular |- |full |minute



normal |respiration |rate |- |CORRECT |ANSWER✔✔-adults: |12-20/min

infants: |30-60/min

children: |18-30/min



eupnea |- |CORRECT |ANSWER✔✔-normal |respiration



bradypnea |- |CORRECT |ANSWER✔✔-< |12 |breaths/min



tachypnea |- |CORRECT |ANSWER✔✔-> |20 |breaths/min



apnea |- |CORRECT |ANSWER✔✔-absence |of |breathing



hypoventilation |- |CORRECT |ANSWER✔✔-decreased |rate |and |depth |of |air |movement |into |the |
lungs