NUR 341 Final Exam Questions With
New Update Solutions | Verified
/. What aspects are included in the general survey of physical appearance? - Answer-
✅Age, sex, level of consciousness, skin color, facial features, overall appearance.
/.What body structure characteristics are assessed during a general appearance
evaluation? - Answer-✅Stature (height), nutrition (weight and body fat distribution),
symmetry, posture, body build/contour, and obvious physical deformities.
/.What mobility factors are observed in a general appearance assessment? - Answer-
✅Gait and range of motion, ensuring no involuntary movements.
/.What behavioral aspects are evaluated in a general appearance assessment? -
Answer-✅Facial expression, mood and affect, speech ability, speech pattern, dress,
and personal hygiene.
/.What is the normal body temperature in Celsius and Fahrenheit? - Answer-✅Normal
body temperature is 37°C or 98.6°F.
/.What technique should be used for measuring oral temperature with a glass
thermometer? - Answer-✅Shake down to 96°F, place at the base of the tongue in
posterior sublingual pockets, close lips, and leave for 3-4 minutes if afebrile, 8 minutes if
febrile.
/.What is the procedure for using an electronic thermometer? - Answer-✅Ensure it is
charged and calibrated, wait 15 minutes after eating or drinking, place in posterior
sublingual pockets, and close lips.
/.How is the normal temporal temperature measured? - Answer-✅Slide the probe
across the forehead and behind the ear; it takes about 6 seconds to get an average
reading.
/.What is the normal blood pressure reading? - Answer-✅Normal reading is less than
120/80 mmHg.
/.What are the steps to measure blood pressure manually? - Answer-✅Palpate the
brachial artery, center the cuff above it, inflate until pulsation is obliterated, add 20-30
mmHg, and then deflate while noting Korotkoff sounds.
, /.What does the 0-10 pain scale represent? - Answer-✅0 = no pain, 5 = moderate pain,
10 = unbearable pain.
/.What is the PAINAD scale used for? - Answer-✅Pain Assessment in Advanced
Dementia.
/.How should weight be measured in a clinical setting? - Answer-✅On a scale without
shoes and heavy outer clothing, recorded in kilograms and pounds.
/.What vital signs should be measured as baseline? - Answer-✅Temperature, pulse,
respirations, and blood pressure.
/.What should be noted regarding blood pressure measurement in patients with surgery
or IV access? - Answer-✅Note which arm to avoid for blood pressure measurement.
/.What is the nurse's responsibility regarding vital signs? - Answer-✅The ultimate
responsibility for vital signs interpretation lies with the nurse, not the nursing assistant.
/.What is the minimum acceptable pulse oximetry level? - Answer-✅Maintain ≥92%
unless otherwise specified.
/.How frequently should vital signs be collected in unstable patients? - Answer-✅More
frequently if the patient is unstable or if their condition changes.
/.What should be done before measuring blood pressure? - Answer-✅Allow at least a 5-
minute rest, ensure the patient is seated comfortably with feet on the floor and arms
supported.
/.What is the significance of the phases I, IV, and V of Korotkoff sounds? - Answer-
✅They indicate the first appearance of sound, muffling of sound, and final
disappearance of sound during blood pressure measurement.
/.What should be observed about a patient's level of consciousness during assessment?
- Answer-✅It should be alert, oriented, attentive to questions, and responsive
appropriately.
/.What indicates a healthy nutritional status during assessment? - Answer-✅Weight
appears in the healthy range, fat distribution is even, and hydration appears healthy.
/.What should be assessed regarding a patient's speech during a general appearance
evaluation? - Answer-✅Articulation should be clear and understandable, with a fluent
and even pattern and appropriate content.
New Update Solutions | Verified
/. What aspects are included in the general survey of physical appearance? - Answer-
✅Age, sex, level of consciousness, skin color, facial features, overall appearance.
/.What body structure characteristics are assessed during a general appearance
evaluation? - Answer-✅Stature (height), nutrition (weight and body fat distribution),
symmetry, posture, body build/contour, and obvious physical deformities.
/.What mobility factors are observed in a general appearance assessment? - Answer-
✅Gait and range of motion, ensuring no involuntary movements.
/.What behavioral aspects are evaluated in a general appearance assessment? -
Answer-✅Facial expression, mood and affect, speech ability, speech pattern, dress,
and personal hygiene.
/.What is the normal body temperature in Celsius and Fahrenheit? - Answer-✅Normal
body temperature is 37°C or 98.6°F.
/.What technique should be used for measuring oral temperature with a glass
thermometer? - Answer-✅Shake down to 96°F, place at the base of the tongue in
posterior sublingual pockets, close lips, and leave for 3-4 minutes if afebrile, 8 minutes if
febrile.
/.What is the procedure for using an electronic thermometer? - Answer-✅Ensure it is
charged and calibrated, wait 15 minutes after eating or drinking, place in posterior
sublingual pockets, and close lips.
/.How is the normal temporal temperature measured? - Answer-✅Slide the probe
across the forehead and behind the ear; it takes about 6 seconds to get an average
reading.
/.What is the normal blood pressure reading? - Answer-✅Normal reading is less than
120/80 mmHg.
/.What are the steps to measure blood pressure manually? - Answer-✅Palpate the
brachial artery, center the cuff above it, inflate until pulsation is obliterated, add 20-30
mmHg, and then deflate while noting Korotkoff sounds.
, /.What does the 0-10 pain scale represent? - Answer-✅0 = no pain, 5 = moderate pain,
10 = unbearable pain.
/.What is the PAINAD scale used for? - Answer-✅Pain Assessment in Advanced
Dementia.
/.How should weight be measured in a clinical setting? - Answer-✅On a scale without
shoes and heavy outer clothing, recorded in kilograms and pounds.
/.What vital signs should be measured as baseline? - Answer-✅Temperature, pulse,
respirations, and blood pressure.
/.What should be noted regarding blood pressure measurement in patients with surgery
or IV access? - Answer-✅Note which arm to avoid for blood pressure measurement.
/.What is the nurse's responsibility regarding vital signs? - Answer-✅The ultimate
responsibility for vital signs interpretation lies with the nurse, not the nursing assistant.
/.What is the minimum acceptable pulse oximetry level? - Answer-✅Maintain ≥92%
unless otherwise specified.
/.How frequently should vital signs be collected in unstable patients? - Answer-✅More
frequently if the patient is unstable or if their condition changes.
/.What should be done before measuring blood pressure? - Answer-✅Allow at least a 5-
minute rest, ensure the patient is seated comfortably with feet on the floor and arms
supported.
/.What is the significance of the phases I, IV, and V of Korotkoff sounds? - Answer-
✅They indicate the first appearance of sound, muffling of sound, and final
disappearance of sound during blood pressure measurement.
/.What should be observed about a patient's level of consciousness during assessment?
- Answer-✅It should be alert, oriented, attentive to questions, and responsive
appropriately.
/.What indicates a healthy nutritional status during assessment? - Answer-✅Weight
appears in the healthy range, fat distribution is even, and hydration appears healthy.
/.What should be assessed regarding a patient's speech during a general appearance
evaluation? - Answer-✅Articulation should be clear and understandable, with a fluent
and even pattern and appropriate content.
