RNSG1710- INTRODUCTION TO NURSING PRACTICE
FINAL EXAM QUESTIONS AND ANSWERS 2025
When a patient's blood pressure is 135/81, 135 refers to:
Systolic
Blood pressure is measured in 2 numbers, systolic over diastolic. The relaxation
phase of the heart beat is called the diastolic blood pressure.
At what times during the shift should the nurse assess the fifth vital sign? Select
all that apply.
-Upon admission
-Before and after each potentially painful procedure or treatment
-With each check of vital signs, if the pain is an actual or a potential problem
-With a change in the patient’s condition
-Immediately after the delivery of pain medication
-Upon admission
-Before and after each potentially painful procedure or treatment
-With each check of vital signs, if the pain is an actual or a potential problem
-With a change in the patient’s condition
,When a client’s blood pressure decreases, their pulse will?
Increase
Cardiac output is dependent on the strength of the heart’s contraction, the
amount of blood volume in the body, the resistance the heart has to pump
against with each beat, and the heart rate. When blood pressure falls, the heart
rate increases to sustain the same amount of blood being pumped with each
heart beat (cardiac output).
What are the primary vital signs of the nursing assessment? Select all that apply.
Temperature
Pulse
Respiratory rate
Blood pressure
Pulse oximetry
temperature, pulse, respiratory rate, blood pressure
Which blood pressure Korotkoff sound represents the systolic reading?
1st sound
Korotkoff sounds are used to describe the sounds of blood pulsating through
arteries. They represent the following:
,1st sound—Systolic BP. Initial sound heard when taking a blood pressure, a
tapping sound.
2nd sound—Occurs as further deflation of the cuff takes place and is a soft,
swishing sound.
3rd sound—Begins midway through the BP and is a sharp, rhythmic tapping
sound.
4th sound—Similar to the 3rd sound, but softer and fading.
5th sound—Diastolic BP. Silence; no more sounds are noted.
If the body is overheating, it will compensate with:
Vasodilation
With vasodilation, the diameter of the blood vessels increases, diverting core-
warmed blood to the body surface. At the surface, this heat is transferred to the
surrounding environment, causing warmth to the touch and flushing of the skin.
With vasoconstriction, the blood vessels narrow, shunting blood away from the
periphery to the core of the body, where the blood is warmed. Physical changes
include cold extremities that are pale in color.
, IM injection administration:
syringe size?
needle size?
needle length?
amount of fluid allowed?
injection site?
How are you holding skin? what angle are you injecting?
-3mL
-21-25 gauge
-1-1½inch
-1mL Deltoid / 3mL
-Deltoid
Vastus Lateralis
Ventrogluteal
-Taut, 90 degrees
FINAL EXAM QUESTIONS AND ANSWERS 2025
When a patient's blood pressure is 135/81, 135 refers to:
Systolic
Blood pressure is measured in 2 numbers, systolic over diastolic. The relaxation
phase of the heart beat is called the diastolic blood pressure.
At what times during the shift should the nurse assess the fifth vital sign? Select
all that apply.
-Upon admission
-Before and after each potentially painful procedure or treatment
-With each check of vital signs, if the pain is an actual or a potential problem
-With a change in the patient’s condition
-Immediately after the delivery of pain medication
-Upon admission
-Before and after each potentially painful procedure or treatment
-With each check of vital signs, if the pain is an actual or a potential problem
-With a change in the patient’s condition
,When a client’s blood pressure decreases, their pulse will?
Increase
Cardiac output is dependent on the strength of the heart’s contraction, the
amount of blood volume in the body, the resistance the heart has to pump
against with each beat, and the heart rate. When blood pressure falls, the heart
rate increases to sustain the same amount of blood being pumped with each
heart beat (cardiac output).
What are the primary vital signs of the nursing assessment? Select all that apply.
Temperature
Pulse
Respiratory rate
Blood pressure
Pulse oximetry
temperature, pulse, respiratory rate, blood pressure
Which blood pressure Korotkoff sound represents the systolic reading?
1st sound
Korotkoff sounds are used to describe the sounds of blood pulsating through
arteries. They represent the following:
,1st sound—Systolic BP. Initial sound heard when taking a blood pressure, a
tapping sound.
2nd sound—Occurs as further deflation of the cuff takes place and is a soft,
swishing sound.
3rd sound—Begins midway through the BP and is a sharp, rhythmic tapping
sound.
4th sound—Similar to the 3rd sound, but softer and fading.
5th sound—Diastolic BP. Silence; no more sounds are noted.
If the body is overheating, it will compensate with:
Vasodilation
With vasodilation, the diameter of the blood vessels increases, diverting core-
warmed blood to the body surface. At the surface, this heat is transferred to the
surrounding environment, causing warmth to the touch and flushing of the skin.
With vasoconstriction, the blood vessels narrow, shunting blood away from the
periphery to the core of the body, where the blood is warmed. Physical changes
include cold extremities that are pale in color.
, IM injection administration:
syringe size?
needle size?
needle length?
amount of fluid allowed?
injection site?
How are you holding skin? what angle are you injecting?
-3mL
-21-25 gauge
-1-1½inch
-1mL Deltoid / 3mL
-Deltoid
Vastus Lateralis
Ventrogluteal
-Taut, 90 degrees
