QUESTIONS AND ANSWERS 2026 UPDATE
What does the respiratory assessment determine? -Correct Answer ✔-
>Ventilation - air in/out of lungs
>Diffusion - CO2 and O2 gas exchange between RBC in capillaries and alveoli
>Perfusion - Blood flow to capillaries of lungs/target organs
>Ventilation --> perfusion --> diffusion
What can cause inaccurate pulse ox reading? -Correct Answer ✔-Nail polish, cold
fingers, Carbon Monoxide, I.V. Dyes, Jaundice
Changes in one vital sign... -Correct Answer ✔-Often influence characteristics of
other vital signs.
Temporal temperature detects temperature of what blood? -Correct Answer ✔-
Cutaneous
The tympanic membrane shares the same blood as the... -Correct Answer ✔-
Hypothalamus
Which kind of blood does the tympanic temperature measure? -Correct Answer
✔-Arterial
What is the 5th vital sign? -Correct Answer ✔-Pain
Pain evaluation includes measuring... -Correct Answer ✔-the changing character
of pain, patient's response to interventions, their perceptions of therapy
effectiveness.
What are the 5 steps of the nursing process? -Correct Answer ✔-A.D.P.I.E. (
Assessment, Diagnosis, Planning, Implementation, Evaluation)
, What are the 2 approaches to gathering a comprehensive assessment? -Correct
Answer ✔-Structured Database & Problem-Focused
What are the four stages of the initial patient-centered interview? -Correct
Answer ✔-Set stage, gather info & set agenda, health history, & terminating
interview
What is cultural awareness? -Correct Answer ✔-Self-examination of personal
biases
The nursing process helps with... -Correct Answer ✔-critical thinking & clinical
reasoning.
A nutritional assessment includes... -Correct Answer ✔-Height, weight, BMI,
dietary intake, & complete physical assessment.
What does an MMSE measure? -Correct Answer ✔-Orientation & Cognitive
Function
What is the Glasgow Coma Scale used for? -Correct Answer ✔-Objective
measurement of consciousness
Intellectual function includes what? -Correct Answer ✔-Memory, knowledge,
abstract thinking, association, and judgement
What assessment techniques are used to assess the heart? -Correct Answer ✔-
Inspection, palpation, & auscultation
Where is the PMI located? -Correct Answer ✔-Apical impulse or 5th intercostal
space and midclavicular line
What assessment techniques are used to assess the lungs and thorax? -Correct
Answer ✔-Inspection, palpation, & auscultation