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MULTIDIMENSIONAL CARE 1 exam 1
Questions and Answers Updated 2026 Latest
What is perfusion?
Adequate arterial blood flow to the peripheral tissue.
What does peripheral and central perfusion relate
to? Peripheral=peripheral tissue
Central=major organs
Definition of pulse?
rhythmic expansion of an artery produced when a bolus of
oxygenated blood is forced into it by contraction of the
heart.
Bradycardia pulse rate
less than 60 bpm
Tachycardia pulse rate
beats higher than
100/min Influences for
pulses?
o Exercise
o Age
o Gender
o Anxiety
o Pain
Documentation for pulse?
o Rhythm - even tempo
o Strength (0-4+, absent, weak or thready, normal,
strong, bounding)
o Regular rhythm: 30 seconds x 2- or 15-seconds x 4o
Irregular rhythm (regular/irregular); full minute; apical.
o •Amplitude is what is measured
o •Rate, rhythm (regular or irregular), and quality (strong, weak
or bounding)
,2
Quality of pulse
strong, weak or bounding
Strength of pulse
0 = absent
1+ = thready or weak
2+ = normal
3+ = strong
4+ = bounding
Rhythm of pulse
regular or
irregular
Peripheral pulses (Normal, bradycardia, tachycardia)
- Normal= 60-100 beats per minute
o Bradycardia = beats below 60/min
o Tachycardia= beats higher than 100/min
rhythm of respiration
even, regular
Depth of respiration
deep, moderate, shallow
Inspiration
drawing air into the lungs (diaphragm contracts > lungs expand);
Breathing in
expiration
expulsion of air from the lungs (diaphragm relaxes > lungs recoil);
breathing out
systolic blood pressure
ventricles contract, 90-120, maximum pressure on the arteries
Pain assessment before and after treatment
Scale of 0-10(0 being no pain 10 being the worst pain you
have ever felt)
Assessment of pain history
· P: Provocation and Palliati
o no What causes it?
o What makes it better?
o What makes it worse?
· Q: Quality and Quantity
o How does it feel, look, or sound?
,3
o How much of it is there?
· R: Region and Radiationo Where is it?
o Does it spread?
· S: Severity and Scale
, 4
8
o Does it interfere with activities?
o How does it rate on a severity scale of 1-10?
· T: Timing and Type of Onseto When did it begin?
o How often does it occur?
o Is it sudden or gradual?
What is communication?
Two-way process of sending & receiving messages
Diastolic Blood Pressure (DBP)
ventricles relax, 60-80, minimum pressure on the arteries
Hyperthermia Preventions
ii. Wear lightweight, loose-fitting clothing.
iii. Avoid excessive sun exposure.
iv. Stay indoors with fans or air conditioning when outside
v. temperatures are elevated.
vi. Limit consumption of alcohol and caffeine.
vii. Apply sunscreen of at least 30 SPF.
viii. If overheated, take a cool water shower or bath.
Pulse
Pulse allows the nurse to assess the how adequate the heart is
pumping the blood to the body
Normal Pulse Values
60 to 100 beats per minute
Pulse points
carotid
radial
femoral
popliteal
posterior tibial
dorsalis pedis
arteries Rate of
pulse
number of times the heart beats per minute; varies person to
person
rhythm of pulse
regular or
irregular quality
1
MULTIDIMENSIONAL CARE 1 exam 1
Questions and Answers Updated 2026 Latest
What is perfusion?
Adequate arterial blood flow to the peripheral tissue.
What does peripheral and central perfusion relate
to? Peripheral=peripheral tissue
Central=major organs
Definition of pulse?
rhythmic expansion of an artery produced when a bolus of
oxygenated blood is forced into it by contraction of the
heart.
Bradycardia pulse rate
less than 60 bpm
Tachycardia pulse rate
beats higher than
100/min Influences for
pulses?
o Exercise
o Age
o Gender
o Anxiety
o Pain
Documentation for pulse?
o Rhythm - even tempo
o Strength (0-4+, absent, weak or thready, normal,
strong, bounding)
o Regular rhythm: 30 seconds x 2- or 15-seconds x 4o
Irregular rhythm (regular/irregular); full minute; apical.
o •Amplitude is what is measured
o •Rate, rhythm (regular or irregular), and quality (strong, weak
or bounding)
,2
Quality of pulse
strong, weak or bounding
Strength of pulse
0 = absent
1+ = thready or weak
2+ = normal
3+ = strong
4+ = bounding
Rhythm of pulse
regular or
irregular
Peripheral pulses (Normal, bradycardia, tachycardia)
- Normal= 60-100 beats per minute
o Bradycardia = beats below 60/min
o Tachycardia= beats higher than 100/min
rhythm of respiration
even, regular
Depth of respiration
deep, moderate, shallow
Inspiration
drawing air into the lungs (diaphragm contracts > lungs expand);
Breathing in
expiration
expulsion of air from the lungs (diaphragm relaxes > lungs recoil);
breathing out
systolic blood pressure
ventricles contract, 90-120, maximum pressure on the arteries
Pain assessment before and after treatment
Scale of 0-10(0 being no pain 10 being the worst pain you
have ever felt)
Assessment of pain history
· P: Provocation and Palliati
o no What causes it?
o What makes it better?
o What makes it worse?
· Q: Quality and Quantity
o How does it feel, look, or sound?
,3
o How much of it is there?
· R: Region and Radiationo Where is it?
o Does it spread?
· S: Severity and Scale
, 4
8
o Does it interfere with activities?
o How does it rate on a severity scale of 1-10?
· T: Timing and Type of Onseto When did it begin?
o How often does it occur?
o Is it sudden or gradual?
What is communication?
Two-way process of sending & receiving messages
Diastolic Blood Pressure (DBP)
ventricles relax, 60-80, minimum pressure on the arteries
Hyperthermia Preventions
ii. Wear lightweight, loose-fitting clothing.
iii. Avoid excessive sun exposure.
iv. Stay indoors with fans or air conditioning when outside
v. temperatures are elevated.
vi. Limit consumption of alcohol and caffeine.
vii. Apply sunscreen of at least 30 SPF.
viii. If overheated, take a cool water shower or bath.
Pulse
Pulse allows the nurse to assess the how adequate the heart is
pumping the blood to the body
Normal Pulse Values
60 to 100 beats per minute
Pulse points
carotid
radial
femoral
popliteal
posterior tibial
dorsalis pedis
arteries Rate of
pulse
number of times the heart beats per minute; varies person to
person
rhythm of pulse
regular or
irregular quality
