NURC 1001 EXAM 4 2026/2027 | STUDY GUIDE, PRACTICE QUESTIONS,
ANSWERS & EXAM REVIEW
Temperature: Oral Method - ANS ✔✔-frequent use
-place under tongue
-keep mouth and lips closed
-electronic/digital paper thermometer
-Times: depends on thermometer
-WAIT 15-30 MIN IF A PERSON EATS, DRINKS, SMOKES, OR CHEWS GUM BEFORE TAKING AN ORAL TEMP.
Temperature: Rectal Method - ANS ✔✔-Use when other routes are unsafe
-position resident properly
-cover with sheath and lubricant
-insert about 1/2 inch
-stay with resident and hod thermometer in place
-Time: depends on thermometer
Temperature: Axillary Method - ANS ✔✔-Used when other methods are unsafe or inaccurate
-less accurate
-place tip (use sheath) in center of underarm
-stay with resident -keep arm in place
-Time: depends on thermometer
Temperature normal range - ANS ✔✔-Oral: 97.6 F- 99.6 F
-Rectal: 98.6 F- 100.6 F
-Axillary: 96 F- 98.6 F
-Tympanic: 96 F- 99.6 F
-Temporal: 97.6 F- 99.6 F
OLDER ADULTS HAVE GREATER VARIATION IN THE NORMAL RANGE, WITH AGE TEMPERATURE
DECREASES
Temperature: Tympanic - ANS ✔✔-Gently insert tip inside ear canal-follow directions
-time:1-2 seconds. Beep occurs digital number stop
-Used wth people who are confused and resist care
Temperature: Temporal Artery - ANS ✔✔-Measured at the temporal artery (forehead)
-Gently stroked across forehead and temporal artery-choose side of head exposed
-Time: 3-5 seconds
-Used wth people who are confused and resist care
What must you watch out for when taking rectal temperature? - ANS ✔✔If the thermometer has a crack
or break. Broken thermometers can injure the rectum and colon
What Factors affect temperature? - ANS ✔✔-Eating warm food/fluids
-time of day
, -infection
-external tempertaure
-exercise
How do you obtain a pulse? - ANS ✔✔Use 2-3 fingers to press gently over an artery; don't use thumb
meausurement of number of times the heart beats/minute
How do you obtain a Respiration? - ANS ✔✔-The inspirtation and expiration of air
-Observe resident's chest
-count for one full minute
-Best to have resident unaware of respirations being taken
What affects a resident's pulse rate? - ANS ✔✔-elevated body temperature
-exercise
-fear
-anger
-anxiety
-excitement
-heat
-position
-pain
-medication
What affects a resident's respiration rate? - ANS ✔✔-exercise
-fever
-lung disease
-heart disease
Bradycardia - ANS ✔✔abnormally slow heartbeat
techycardia - ANS ✔✔fast heart rate
apnea - ANS ✔✔absence of breathing
Tachyapnea - ANS ✔✔excessively short, rapid breaths
Pulse locations - ANS ✔✔-Radial Artery: found in the wrist
-Apical Artery: go to center of chest below sternum to the left to locate and listen with stethoscope
-Carotid: Both sides of neck
-Brachial: inner arm opposite side of elbow
systolic vs diastolic - ANS ✔✔Systolic: The force when the heart is contracted (working)
Diastolic: The force when the heart is relaxed (resting)
Proper technique in taking Blood pressure - ANS ✔✔-when to measure
-size of cuff pediatric, regular, extra large
ANSWERS & EXAM REVIEW
Temperature: Oral Method - ANS ✔✔-frequent use
-place under tongue
-keep mouth and lips closed
-electronic/digital paper thermometer
-Times: depends on thermometer
-WAIT 15-30 MIN IF A PERSON EATS, DRINKS, SMOKES, OR CHEWS GUM BEFORE TAKING AN ORAL TEMP.
Temperature: Rectal Method - ANS ✔✔-Use when other routes are unsafe
-position resident properly
-cover with sheath and lubricant
-insert about 1/2 inch
-stay with resident and hod thermometer in place
-Time: depends on thermometer
Temperature: Axillary Method - ANS ✔✔-Used when other methods are unsafe or inaccurate
-less accurate
-place tip (use sheath) in center of underarm
-stay with resident -keep arm in place
-Time: depends on thermometer
Temperature normal range - ANS ✔✔-Oral: 97.6 F- 99.6 F
-Rectal: 98.6 F- 100.6 F
-Axillary: 96 F- 98.6 F
-Tympanic: 96 F- 99.6 F
-Temporal: 97.6 F- 99.6 F
OLDER ADULTS HAVE GREATER VARIATION IN THE NORMAL RANGE, WITH AGE TEMPERATURE
DECREASES
Temperature: Tympanic - ANS ✔✔-Gently insert tip inside ear canal-follow directions
-time:1-2 seconds. Beep occurs digital number stop
-Used wth people who are confused and resist care
Temperature: Temporal Artery - ANS ✔✔-Measured at the temporal artery (forehead)
-Gently stroked across forehead and temporal artery-choose side of head exposed
-Time: 3-5 seconds
-Used wth people who are confused and resist care
What must you watch out for when taking rectal temperature? - ANS ✔✔If the thermometer has a crack
or break. Broken thermometers can injure the rectum and colon
What Factors affect temperature? - ANS ✔✔-Eating warm food/fluids
-time of day
, -infection
-external tempertaure
-exercise
How do you obtain a pulse? - ANS ✔✔Use 2-3 fingers to press gently over an artery; don't use thumb
meausurement of number of times the heart beats/minute
How do you obtain a Respiration? - ANS ✔✔-The inspirtation and expiration of air
-Observe resident's chest
-count for one full minute
-Best to have resident unaware of respirations being taken
What affects a resident's pulse rate? - ANS ✔✔-elevated body temperature
-exercise
-fear
-anger
-anxiety
-excitement
-heat
-position
-pain
-medication
What affects a resident's respiration rate? - ANS ✔✔-exercise
-fever
-lung disease
-heart disease
Bradycardia - ANS ✔✔abnormally slow heartbeat
techycardia - ANS ✔✔fast heart rate
apnea - ANS ✔✔absence of breathing
Tachyapnea - ANS ✔✔excessively short, rapid breaths
Pulse locations - ANS ✔✔-Radial Artery: found in the wrist
-Apical Artery: go to center of chest below sternum to the left to locate and listen with stethoscope
-Carotid: Both sides of neck
-Brachial: inner arm opposite side of elbow
systolic vs diastolic - ANS ✔✔Systolic: The force when the heart is contracted (working)
Diastolic: The force when the heart is relaxed (resting)
Proper technique in taking Blood pressure - ANS ✔✔-when to measure
-size of cuff pediatric, regular, extra large
