Question and answers correctly
solved 2025/2026
Vital Signs - correct answer ✔Temperature, Respiration, Pulse, Blood Pressure, and Oxygen Saturation
Temperature ranges for adult - correct answer ✔Average Range: 96.8 - 100 degrees F.
Oral: 98.6 degrees F.
Rectal: 99.5 degrees F.
Axillary: 97.7degrees F.
Pulse for adult - correct answer ✔60-100 beats/min
Respirations for adult - correct answer ✔12-20 breaths/min
Blood Pressure for adult - correct answer ✔Systolic<120 mm Hg
Diastolic<80 mm Hg
When should you measure vital signs? - correct answer ✔-On admission to a health care facility.
-When assessing a patient during home care visits.
-In a hospital on a routine schedule according to orders.
Purposes of the physical examination - correct answer ✔-Gather baseline data about the patient's
health status.
-Supplement, confirm, or refute data obtained in the nursing history.
-Identify and Confirm nursing diagnosis.
,-Make clinical decisions.
-Evaluate the outcomes of care.
How does one prep for examination? - correct answer ✔A disorganized approach causes incomplete
findings and errors.
-Infection Control: Follow hygiene policies
-Environment: Patient needs privacy and comfort. Make the room comfortable by adjusting
temperatures, adding or taking off blankets, providing appropriate furniture, etc.
-Equipment: Arrange equipment so that it is readily available and make sure it is working properly.
-Physically prep patient: positioning the patient, make sure they are comfortable, and make sure the
environment is good.
-Psychologically prep patient: explanations, be professional, have a good attitude, do not rush, pay
attention to who is in the room.
Examine facia expressions and remain calm. If the patient is uncomfortable, postpone assessment.
What are the techniques of physical examination? - correct answer ✔-Inspection: look, listen, smell.
Watch for nonverbal expressions of emotional or mental status.
-Palpation: Use touch to gather information. Palpate for temperature, moisture, texture, turgor,
tenderness, and thickness. Check abdomen for tenderness, distention, or masses.
-Percussion: Tapping skin with fingertips to vibrate underlying tissues or organs.
-Auscultation: Listening to sounds. Use stethoscope for internal body sounds.
What are the levels of communication? - correct answer ✔-Intrapersonal: Occurs within the individual.
-Interpersonal: One-to-one interaction between two people.
-Transpersonal: Interaction within a person's spiritual domain (Example: Praying).
-Small Group: Interactions within a small group of people (Example: nursing class, a working crew).
-Public: Interaction with an audience.
-Electronic: Use of technology to create an ongoing relationship with patients and health care system.
, Basic Elements of the Communication Process - correct answer ✔1. Referent: Motivates one to
communicate.
2. Sender & Receiver: One who encodes and one who decodes the message.
3. Message: Content of the communication.
4. Channels: Means of conveying and receiving messages.
5. Feedback: Message the receiver returns.
6. Interpersonal Variables: Factors that influence communication.
7. Environment: The setting for sender-receiver interaction.
Significant features & theraputic outcomes of a nurse-patient helping relationship - correct answer
✔Nurse needs to create a therapeutic environment by sharing personal stories, narrative interaction,
and by learning what is meaningful to the patient.
The outcomes:
-Increase feelings of personal control and security.
-Emotional comfort minimizes physical discomfort and enhances recovery.
-The patient is informed.
-The patient feels valued.
-personal growth
-Form relationships
-Obtain health goals
What are the four phases of nursing? - correct answer ✔1. Preinteraction Phase: Occurs before
meeting the patient.
2. Orientation Phase: When the nurse and the patient meet and get to know each other.
3. Working Phase: When the nurse and patient work together to solve problems and accomplish goals.
4. Termination Phase: Occurs at the end of the relationship.