verified answers
1. What are the normal ranges for pulse rate?: 60-100 bpm
2. What is the normal blood pressure reading?: 120/80 mmHg
3. What is the normal O2 saturation range?: 95-100%
4. What is the normal temperature range in Fahrenheit?: 97.8-99.1°F
5. What are the normal respiratory rates?: 12-20 breaths per minute
6. What does A&O X4 stand for?: Oriented to Person, Place, Time, and Situation
7. What is the purpose of inspecting the head/scalp/hair?: To assess f or abnormalities or
lesions
8. What does PERRLA stand for?: Pupils Equal, Round, Reactive to Light, & Accomm odation
9. What are the five areas for listening to heart sounds?: Aortic, Pulm onic, Erb's Point,
Tricuspid, Mitral
10. What is the significance of auscultating bowel sounds?: To assess ga strointestinal
activity
, nursing school bundle exam newest 2026/2027 complete questions and
verified answers
11. What is the normal capillary refill time?: Less than 2-3 seconds
12. What is the difference between hypoactive and hyperactive bowel sounds?-
: Hypoactive: One sound every 3-5 minutes; Hyperactive: Can be heard without a stethoscope
, nursing school bundle exam newest 2026/2027 complete questions and
verified answers
13. What should be assessed when palpating the abdomen?: Skin color, contour, scars, and
aortic pulsations
14. What is the purpose of checking skin turgor?: To assess hydration status
15. What is assessed during the inspection of lower extremities?: Skin color, contour,
lesions, hair distribution, and varicosities
16. What does the term 'bounding pulse' indicate?: A strong pulse that may indicate increased
blood pressure or volume
17. What is the significance of assessing muscle strength in hands?: To evaluate
neuromuscular function
18. What is the purpose of auscultating lung sounds?: To detect any abnormalities such as
crackles or diminished breath sounds
19. What should be noted when inspecting the anterior chest?: If breathing is labored or
unlabored, and the rhythm is regular or irregular
20. What does 'normal' refer to in the context of pulse strength?: A pulse that is easily
palpable and has a consistent rhythm
21. What is the first step in the head-to-toe assessment?: Introduce yourself and verify client ID
and DOB
22. What is the importance of providing privacy during the assessment?: To ensure patient
comfort and confidentiality
23. What should be assessed when palpating the carotid pulse?: To check for symmetry and
strength
24. What is the purpose of asking orientation questions?: To assess the patient's cognitive
status
25. What does a diminished pulse indicate?: Possible reduced blood flow or vascular issues
26. What is the significance of auscultating heart sounds with both diaphragm and
bell?: To capture ditterent frequencies of heart sounds
27. What are constant bowel sounds?: More than 30 sounds per minute.
28. What should be inspected and palpated in a nursing exam?: Ankles, including
posterior and dorsal pedis pulses bilaterally.