NUR 210 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Name the vital signs - CORRECT ANSWER -temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? - CORRECT ANSWER Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? - CORRECT ANSWER trends for that
individual
What is the role as a nurse when assessing vital signs? - CORRECT ANSWER -decide
frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? - CORRECT ANSWER retake, record, report
What does the body temperature reflect? - CORRECT ANSWER a balance/imbalance between
heat produced and heat lost
What is body temperature regulated by? - CORRECT ANSWER hypothalamus
,Describe the core - CORRECT ANSWER body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c - CORRECT ANSWER 98.6 f
37 c
What is the range for body temperature in adults? - CORRECT ANSWER 96.8-100.4 (36-38c)
If temperature is above the range what is this called? - CORRECT ANSWER Febrile
What is the trend for elderly patients body temperature? - CORRECT ANSWER usually below
normal range
Name all influencing factors for body temp? - CORRECT ANSWER age
exercise
hormones
circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? - CORRECT ANSWER temp may go up
Describe the trends of the circadian rhythms and body temperature? - CORRECT ANSWER in
the morning this rhythm may be lower and higher in the evening. It depends on the activity of the
patients on a normal basis.
As far as body temperature goes how might you help a patent with dementia? - CORRECT ANSWER
You should help them stay warm or cooler to keep their body temperature stable
,In a female how might hormones affect body temperature? - CORRECT ANSWER During
ovulation progesterone is released so they will be warmer than usual.
How will stress influence body temperature? - CORRECT ANSWER stress will influence
hormones and they will influence body temp.
What is another name for fever? - CORRECT ANSWER Pyrexia
Describe a set point - CORRECT ANSWER set point is used to describe a baseline for a
individuals body temperature
-everyone has a different set point
Word for no fever - CORRECT ANSWER afebrile
Signs/ symptoms of fever - CORRECT ANSWER chills
malaise- feeling unwell
increase in body metabolism
Hypothermia - CORRECT ANSWER abnormally low body temperature
Hyperthermia - CORRECT ANSWER Abnormally high body temperature
An increase in body metabolism may cause the needs: - CORRECT ANSWER -increase in
nutritional needs
-increase in oxygen needs
-possible dehydration
What nursing measures should be taken for a patient with a fever? - CORRECT ANSWER -
minimize heat production
-maximize heat loss
-Promote pt. comfort
-satisfy requirement for increased metabolic rate
, -monitor pulse and respirations
How can you minimize heat production for a pt. with fever? - CORRECT ANSWER allow pt.
to rest
How can you maximize heat loss for a pt. laying in bed with a fever? - CORRECT ANSWER
decrease covers on body
How can you promote pt. comfort with a fever? - CORRECT ANSWER keep clothing, linen
dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? - CORRECT ANSWER
replace fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever? - CORRECT
ANSWER keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? - CORRECT ANSWER
oral-mouth 3 min at least
tympanic- ear
rectal
axillary
skin
temporal
What site for body temperature has the best core? - CORRECT ANSWER rectal
When would oral temp be inappropriate? - CORRECT ANSWER on a baby
someone with oral surgery
AND CORRECT ANSWERS
Name the vital signs - CORRECT ANSWER -temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? - CORRECT ANSWER Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? - CORRECT ANSWER trends for that
individual
What is the role as a nurse when assessing vital signs? - CORRECT ANSWER -decide
frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? - CORRECT ANSWER retake, record, report
What does the body temperature reflect? - CORRECT ANSWER a balance/imbalance between
heat produced and heat lost
What is body temperature regulated by? - CORRECT ANSWER hypothalamus
,Describe the core - CORRECT ANSWER body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c - CORRECT ANSWER 98.6 f
37 c
What is the range for body temperature in adults? - CORRECT ANSWER 96.8-100.4 (36-38c)
If temperature is above the range what is this called? - CORRECT ANSWER Febrile
What is the trend for elderly patients body temperature? - CORRECT ANSWER usually below
normal range
Name all influencing factors for body temp? - CORRECT ANSWER age
exercise
hormones
circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? - CORRECT ANSWER temp may go up
Describe the trends of the circadian rhythms and body temperature? - CORRECT ANSWER in
the morning this rhythm may be lower and higher in the evening. It depends on the activity of the
patients on a normal basis.
As far as body temperature goes how might you help a patent with dementia? - CORRECT ANSWER
You should help them stay warm or cooler to keep their body temperature stable
,In a female how might hormones affect body temperature? - CORRECT ANSWER During
ovulation progesterone is released so they will be warmer than usual.
How will stress influence body temperature? - CORRECT ANSWER stress will influence
hormones and they will influence body temp.
What is another name for fever? - CORRECT ANSWER Pyrexia
Describe a set point - CORRECT ANSWER set point is used to describe a baseline for a
individuals body temperature
-everyone has a different set point
Word for no fever - CORRECT ANSWER afebrile
Signs/ symptoms of fever - CORRECT ANSWER chills
malaise- feeling unwell
increase in body metabolism
Hypothermia - CORRECT ANSWER abnormally low body temperature
Hyperthermia - CORRECT ANSWER Abnormally high body temperature
An increase in body metabolism may cause the needs: - CORRECT ANSWER -increase in
nutritional needs
-increase in oxygen needs
-possible dehydration
What nursing measures should be taken for a patient with a fever? - CORRECT ANSWER -
minimize heat production
-maximize heat loss
-Promote pt. comfort
-satisfy requirement for increased metabolic rate
, -monitor pulse and respirations
How can you minimize heat production for a pt. with fever? - CORRECT ANSWER allow pt.
to rest
How can you maximize heat loss for a pt. laying in bed with a fever? - CORRECT ANSWER
decrease covers on body
How can you promote pt. comfort with a fever? - CORRECT ANSWER keep clothing, linen
dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? - CORRECT ANSWER
replace fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever? - CORRECT
ANSWER keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? - CORRECT ANSWER
oral-mouth 3 min at least
tympanic- ear
rectal
axillary
skin
temporal
What site for body temperature has the best core? - CORRECT ANSWER rectal
When would oral temp be inappropriate? - CORRECT ANSWER on a baby
someone with oral surgery
