NUR 103- Exam 3 Questions And Answers
Vital signs - ANSWER indicators of physiologic functioning; body temperature, pulse,
respiratory rates, and blood pressure
Pulse (P) - ANSWER -pulse (peripheral): a throbbing sensation that can be palpated over
a peripheral artery, such as the radial or carotid artery
-pulse pressure: the difference between systolic and diastolic pressure
Respirations (R) - ANSWER -act of breathing and using oxygen in body cells
-inspiration: act of breathing in; inhalation
-expiration: act of breathing out; exhalation
Apnea - ANSWER absence of breathing
Orthopnea - ANSWER a condition in which people with dyspnea can often breathe more
easily in an upright position
Conversions for temperature - ANSWER Celcius to Fahrenheit: x 9/5 + 32
Fahrenheit to Celcius: - 32 x 5/9
Normal Temperature by Age - ANSWER Newborn (0-28 days): Axillary: 35.9-36.9 or
96.7-98.5
Infants (1-12 months): Temporal: 37.1-38.1 or 98.7-100.5
Todder (1-3 years): Tympanic 37.1-38.1 or 98.7-100.5
Children (4-10 years): 36.8-37.8 or 98.2-100
Preteen: Oral: 35.8-37.5 or 96.4-99.5
,Teen: Oral: 35.8-37.5 or 96.4-99.5
Adult: Oral : 35.8 -37.5 or 96.4 - 99.5
Older Adult: Oral: 35.8- 36.8 or 96.4-98.3
Normal Pulse for Age by Definition - ANSWER Newborn: 70-190
Infants: 80-160
Toddler: 80-130
Child: 70-115
Preteen: 65-110
Teen: 55-105
Adult: 60-100
Older Adult: 40-100
Normal Respirations by Age - ANSWER Newborn (0-28 days): 30-40
Infants (1-12 months): 20-40
Toddler (1-3 years): 25-32
Child (4-10 years): 20-26
Preteen (11-12 years): 18-26
Teen (13-19 years): 12-22
Adult (20-64 years): 12-20
Aged Adult (65+): 16-24
Normal Blood Pressure by Age - ANSWER Newborn (0-28 days): 73/55
Infants (1-12 months): 85/37
Toddler (1-3 years): 89/46
Child (4-10 years): 95/57
Preteen (11-12 years): 102/61
,Teen (13-19 years): 112/64
Adult (20-64 years): 120/80
Aged Adult (65+): 120/80
Health Assessment - ANWER -includes a health history, vital signs and physical
assessment
-questions: about patient subjective and objective data
-includes 4 types: comprehensive, ongoing, focused, emergency
Comprehensive health assessment - ANWER -detailed history and physical examination
at onset of care in primary care setting or on admission to hospital or long-term care
facility; includes health problems, health promotion, disease prevention, and
assessment for problems associated with known risk factors
-aim is to establish the baseline data
Continuous health assessment - ANSWER follow up changes that occur after
intervention is provided
Focused health assessment - ANSWER health assessment guided by the patient's
problems; elements of this include general survey, vital signs, and evaluation of specific
areas related to the problem
Emergency health assessment - ANSWER done to identify conditions that are
life-threatening or unstable
Physical Exam What is the purpose of the physical exam? -ANSWER-to gather objective
data to identify changes that have taken place in the patient
-this information, along with subjective information is utilized to formulate a
diagnosis/diagnoses
Equipment needed for a physical exam -ANSWER-thermometer
, -sphygmomanometer
-scale
-penlight
-stethoscope
-metric tape measure and ruler
-eye chart
-tuning fork
Skill Sequence for a physical exam -ANSWER 1. inspection
2. palpation
3. percussion
4. auscultation
Inspection -ANSWER-looking; deliberate and systematic
Palpation ANSWER feeling; using finger pads and dorsum of hand
Percussion ANSWER sound- tapping fingers
Auscultation ANSWER hearing; utilizing stethoscope
-pitch, loudness, duration, quality
-ex: abdominal sound is gurgling, loud, and high pitched for 2 seconds
When is it appropriate to measure vital signs? ANSWER in the home
-screenings at health care facilities and clinics
-upon admission and before discharge
-when medications are given that can affect cardiac rhythms
Vital signs - ANSWER indicators of physiologic functioning; body temperature, pulse,
respiratory rates, and blood pressure
Pulse (P) - ANSWER -pulse (peripheral): a throbbing sensation that can be palpated over
a peripheral artery, such as the radial or carotid artery
-pulse pressure: the difference between systolic and diastolic pressure
Respirations (R) - ANSWER -act of breathing and using oxygen in body cells
-inspiration: act of breathing in; inhalation
-expiration: act of breathing out; exhalation
Apnea - ANSWER absence of breathing
Orthopnea - ANSWER a condition in which people with dyspnea can often breathe more
easily in an upright position
Conversions for temperature - ANSWER Celcius to Fahrenheit: x 9/5 + 32
Fahrenheit to Celcius: - 32 x 5/9
Normal Temperature by Age - ANSWER Newborn (0-28 days): Axillary: 35.9-36.9 or
96.7-98.5
Infants (1-12 months): Temporal: 37.1-38.1 or 98.7-100.5
Todder (1-3 years): Tympanic 37.1-38.1 or 98.7-100.5
Children (4-10 years): 36.8-37.8 or 98.2-100
Preteen: Oral: 35.8-37.5 or 96.4-99.5
,Teen: Oral: 35.8-37.5 or 96.4-99.5
Adult: Oral : 35.8 -37.5 or 96.4 - 99.5
Older Adult: Oral: 35.8- 36.8 or 96.4-98.3
Normal Pulse for Age by Definition - ANSWER Newborn: 70-190
Infants: 80-160
Toddler: 80-130
Child: 70-115
Preteen: 65-110
Teen: 55-105
Adult: 60-100
Older Adult: 40-100
Normal Respirations by Age - ANSWER Newborn (0-28 days): 30-40
Infants (1-12 months): 20-40
Toddler (1-3 years): 25-32
Child (4-10 years): 20-26
Preteen (11-12 years): 18-26
Teen (13-19 years): 12-22
Adult (20-64 years): 12-20
Aged Adult (65+): 16-24
Normal Blood Pressure by Age - ANSWER Newborn (0-28 days): 73/55
Infants (1-12 months): 85/37
Toddler (1-3 years): 89/46
Child (4-10 years): 95/57
Preteen (11-12 years): 102/61
,Teen (13-19 years): 112/64
Adult (20-64 years): 120/80
Aged Adult (65+): 120/80
Health Assessment - ANWER -includes a health history, vital signs and physical
assessment
-questions: about patient subjective and objective data
-includes 4 types: comprehensive, ongoing, focused, emergency
Comprehensive health assessment - ANWER -detailed history and physical examination
at onset of care in primary care setting or on admission to hospital or long-term care
facility; includes health problems, health promotion, disease prevention, and
assessment for problems associated with known risk factors
-aim is to establish the baseline data
Continuous health assessment - ANSWER follow up changes that occur after
intervention is provided
Focused health assessment - ANSWER health assessment guided by the patient's
problems; elements of this include general survey, vital signs, and evaluation of specific
areas related to the problem
Emergency health assessment - ANSWER done to identify conditions that are
life-threatening or unstable
Physical Exam What is the purpose of the physical exam? -ANSWER-to gather objective
data to identify changes that have taken place in the patient
-this information, along with subjective information is utilized to formulate a
diagnosis/diagnoses
Equipment needed for a physical exam -ANSWER-thermometer
, -sphygmomanometer
-scale
-penlight
-stethoscope
-metric tape measure and ruler
-eye chart
-tuning fork
Skill Sequence for a physical exam -ANSWER 1. inspection
2. palpation
3. percussion
4. auscultation
Inspection -ANSWER-looking; deliberate and systematic
Palpation ANSWER feeling; using finger pads and dorsum of hand
Percussion ANSWER sound- tapping fingers
Auscultation ANSWER hearing; utilizing stethoscope
-pitch, loudness, duration, quality
-ex: abdominal sound is gurgling, loud, and high pitched for 2 seconds
When is it appropriate to measure vital signs? ANSWER in the home
-screenings at health care facilities and clinics
-upon admission and before discharge
-when medications are given that can affect cardiac rhythms
