NRSG 2220 NEW FINAL EXAM 100% VERIFIED QUESTIONS
WITH CORRECT ANSWERS
Taking |Blood |Pressure |- |Answer |Locate |Brachial |artery,
| Line |artery |marking |on |cuff |with |brachial |artery
Palpate |artery |while |inflating
| When |you |feel |no |pulse |deflate
After |15 |seconds |reinflate |cuff |to |30 |above |palpated |pressure. |Deflate
cuff |at |2-3 |mm |per |second
|
If |retake |wait |2 |min.
Blood |pressure |definition |- |Answer |the |force |of |the |moving |blood |against |arterial |walls
Blood |pressure |numbers-Adults |- |Answer |Normal- |less |than |120 |over |less |the |80
Prehypertension- |120-139 |over |80-89
|
High |blood |pressure |Stage |1- |140-159 |over |90-99
High |blood |pressure |Stage |2-greater |than |160 |over |greater |100
Factors |causing |blood |pressure |variations |in |healthy |people |- |Answer |Age- |older |adult
|has |decreased |elasticity |of |the |arteries, |which |increases |peripheral |resistance.
Circadium |rhythm- |Normal |fluctuations |occur |during |the |day. |Usually |lowest |when |first
|getting |up.
Gender- |women |usually |have |lower |BP |than |men |until |menopause |Food
Intake- |Blood |pressure |increases |after |eating.
|
Exercise- |systolic |pressure |rises |during |exercise
Weight- |Higher |in |obese |people
|
Emotional |state- |Anger, |fear, |excitement, |pain |can |cause |BP |to |rise, |but |goes |back |to
|normal |afterward
,Body |position- |Lower |when |prone |or |supine, |than |when |sitting |or |standing
Race- |More |prevalent |in |African |american |men |and |women
|
Drugs-Oral |contraceptives |cause |a |mild |increase
BP |false |low |readings- |Response |Hearing |deficit, |Noise |in |environment, |Viewing
|meniscus |above |eye |level, |applying |a |too |wide |cuff, |using |stethoscope |incorrectly,
|cracked |or |kinked |tubing, |Releasing |valve |to |quickly, |Misplacing |the |bell, |Failing |to |pump
|cuff |20 |to |30 |above |pulse |disappearance.
BP |false |high |readings |Using |manometer |not |calibrated |at |zero, |taking |right |after
|exercise,Viewing |meniscus |below |eye |level, |cuff |to |narrow, |releasing |valve |too |slowly,
|Reinflating |bladder |during |auscultation
Kortokoff |sounds |series |of |sounds |that |correspond |to |changes |in |blood |flow |through |an
|artery |as |pressure |is |released.
Normal |Body |temperature |35.9 |to |38C, |96.7 |to |100.5F |depending |on |route
Primary |source |of |heat |- |Answer |Metabolism
Primary |source |of |Heat |loss |- |Answer |Skin
Factors |affecting |Body |temperature |- |Answer |Circadium |rhythms, |Age |and |gender,
|Physical |activity, |State |of |health, |Environmental |temp.
Normal |temperatures |at |different |sites |- |Answer |Oral: |37.0C-98.6F |Rectal: |37.5C-99.5F
|Axillary: |36.5C- |97.7F |Tympanic: |37.5C-99.5F |Temporal |Artery: |37C- |98.6F
Fever |- |A |nswer |Elevation |in |normal |body |temperature. |Occurs |as |a |result |of |an |upward
|displacement |of |the |thermoregulatory |set |point |in |the |hypothalamus. |Caused |by |bacteria,
|microorganisms, |viruses |or |by |chemicals |produced |to |respond |to |tissue |injury.
, Hyperthermia |- |A |nswer |hypothalamus |set |point |not |changed, |Caused |by |extreme |heat
|exposure |or |production |(strenous |exercise)
Hypothermia |- |Answer |temp |below |lower |limit |of |normal, |caused |by |unprotected
|exposure |to |cold |environments. |Alcoholism, |malnutrition, |and |hypothyroidism |increase
|the |risk |of |hypothermia.
Pulse |- |Answer |Normal |pulse |rates |adults |are |60 |to |100 |beats/min
Factors |that |influence |the |Pulse |- |Answer |Age, |Gender, |physical |activity, |fever, |stress,
|med |use, |presence |of |disease
Tachycardia |- |Answer |Increased |pulse |rate |100 |to |180 |beats/min |Can |be |caused |by |decrease
|in |BP, |elevated |temp, |anemia, |exercise, |pain, |strong |emotions, |she |meds.
Bradycardia |- |Answer |Pulse |rate |below |60 |beats/min. |report |immediately |if |assoc.
|difficulty |breathing, |angina, |Decreased |BP.
Sites |of |Pulses |- |Answer |Radial, |Brachial, |carotid, |Temporal, |femoral, |Popliteal,
|posterior |tibial, |Dorsalis |pedis
Respirations |- |Answer |Normal |for |healthy |adults |12 |to |20 |times |a |minute
Factors |that |affect |respiratory |rate |- |Answer |Age- |decreses |with |age |30-55 |in |newborn |to
|12 |to |20 |in |adult.
Exercise- |Increases |respiratory |rate.
Acid-Base |balance- |alterations |in |acid |base |balance(acidosis) |result |in |increased |rate.
Brain |lesions- |Cheyne |Stokes |respirations
|
Increased |altitude-Cheyne |Stokes |respirations
WITH CORRECT ANSWERS
Taking |Blood |Pressure |- |Answer |Locate |Brachial |artery,
| Line |artery |marking |on |cuff |with |brachial |artery
Palpate |artery |while |inflating
| When |you |feel |no |pulse |deflate
After |15 |seconds |reinflate |cuff |to |30 |above |palpated |pressure. |Deflate
cuff |at |2-3 |mm |per |second
|
If |retake |wait |2 |min.
Blood |pressure |definition |- |Answer |the |force |of |the |moving |blood |against |arterial |walls
Blood |pressure |numbers-Adults |- |Answer |Normal- |less |than |120 |over |less |the |80
Prehypertension- |120-139 |over |80-89
|
High |blood |pressure |Stage |1- |140-159 |over |90-99
High |blood |pressure |Stage |2-greater |than |160 |over |greater |100
Factors |causing |blood |pressure |variations |in |healthy |people |- |Answer |Age- |older |adult
|has |decreased |elasticity |of |the |arteries, |which |increases |peripheral |resistance.
Circadium |rhythm- |Normal |fluctuations |occur |during |the |day. |Usually |lowest |when |first
|getting |up.
Gender- |women |usually |have |lower |BP |than |men |until |menopause |Food
Intake- |Blood |pressure |increases |after |eating.
|
Exercise- |systolic |pressure |rises |during |exercise
Weight- |Higher |in |obese |people
|
Emotional |state- |Anger, |fear, |excitement, |pain |can |cause |BP |to |rise, |but |goes |back |to
|normal |afterward
,Body |position- |Lower |when |prone |or |supine, |than |when |sitting |or |standing
Race- |More |prevalent |in |African |american |men |and |women
|
Drugs-Oral |contraceptives |cause |a |mild |increase
BP |false |low |readings- |Response |Hearing |deficit, |Noise |in |environment, |Viewing
|meniscus |above |eye |level, |applying |a |too |wide |cuff, |using |stethoscope |incorrectly,
|cracked |or |kinked |tubing, |Releasing |valve |to |quickly, |Misplacing |the |bell, |Failing |to |pump
|cuff |20 |to |30 |above |pulse |disappearance.
BP |false |high |readings |Using |manometer |not |calibrated |at |zero, |taking |right |after
|exercise,Viewing |meniscus |below |eye |level, |cuff |to |narrow, |releasing |valve |too |slowly,
|Reinflating |bladder |during |auscultation
Kortokoff |sounds |series |of |sounds |that |correspond |to |changes |in |blood |flow |through |an
|artery |as |pressure |is |released.
Normal |Body |temperature |35.9 |to |38C, |96.7 |to |100.5F |depending |on |route
Primary |source |of |heat |- |Answer |Metabolism
Primary |source |of |Heat |loss |- |Answer |Skin
Factors |affecting |Body |temperature |- |Answer |Circadium |rhythms, |Age |and |gender,
|Physical |activity, |State |of |health, |Environmental |temp.
Normal |temperatures |at |different |sites |- |Answer |Oral: |37.0C-98.6F |Rectal: |37.5C-99.5F
|Axillary: |36.5C- |97.7F |Tympanic: |37.5C-99.5F |Temporal |Artery: |37C- |98.6F
Fever |- |A |nswer |Elevation |in |normal |body |temperature. |Occurs |as |a |result |of |an |upward
|displacement |of |the |thermoregulatory |set |point |in |the |hypothalamus. |Caused |by |bacteria,
|microorganisms, |viruses |or |by |chemicals |produced |to |respond |to |tissue |injury.
, Hyperthermia |- |A |nswer |hypothalamus |set |point |not |changed, |Caused |by |extreme |heat
|exposure |or |production |(strenous |exercise)
Hypothermia |- |Answer |temp |below |lower |limit |of |normal, |caused |by |unprotected
|exposure |to |cold |environments. |Alcoholism, |malnutrition, |and |hypothyroidism |increase
|the |risk |of |hypothermia.
Pulse |- |Answer |Normal |pulse |rates |adults |are |60 |to |100 |beats/min
Factors |that |influence |the |Pulse |- |Answer |Age, |Gender, |physical |activity, |fever, |stress,
|med |use, |presence |of |disease
Tachycardia |- |Answer |Increased |pulse |rate |100 |to |180 |beats/min |Can |be |caused |by |decrease
|in |BP, |elevated |temp, |anemia, |exercise, |pain, |strong |emotions, |she |meds.
Bradycardia |- |Answer |Pulse |rate |below |60 |beats/min. |report |immediately |if |assoc.
|difficulty |breathing, |angina, |Decreased |BP.
Sites |of |Pulses |- |Answer |Radial, |Brachial, |carotid, |Temporal, |femoral, |Popliteal,
|posterior |tibial, |Dorsalis |pedis
Respirations |- |Answer |Normal |for |healthy |adults |12 |to |20 |times |a |minute
Factors |that |affect |respiratory |rate |- |Answer |Age- |decreses |with |age |30-55 |in |newborn |to
|12 |to |20 |in |adult.
Exercise- |Increases |respiratory |rate.
Acid-Base |balance- |alterations |in |acid |base |balance(acidosis) |result |in |increased |rate.
Brain |lesions- |Cheyne |Stokes |respirations
|
Increased |altitude-Cheyne |Stokes |respirations
