STEPP EXAM II UPDATED EXAM SCRIPT WITH
COMPLETE ANSWERS
◉ What is the single most important step in decreasing
microorganism transmission?
Answer: WASH YOUR HANDS
-before physical contact with each patient
-after inadvertent contact with blood, body fluids, secretions, and
excretions
-after contact with any equipment contaminated with body fluids
-after removing gloves
◉ What else should you do in health care in addition to washing
your hands?
Answer: WEAR GLOVES
-any time there is contact with body fluids
◉ The nurse is performing an assessment of the abdominal region.
What is the appropriate sequence for the examination?
1. Palpation, percussion, inspection, auscultation
2. Inspection, palpation, auscultation, percussion
3. Inspection, auscultation, percussion, palpation
,Answer: 3
◉ Are vital signs subjective or objective data?
Answer: Objective because they can be measured by a health care
professional
◉ What are the 5 vital signs?
Answer: 1. Temperature
2. Pulse
3. Heart rate
4. Respirations
5. Blood pressure
◉ What are the benefits of taking temperature orally?
Answer: -It is accurate and convenient
-The oral sublingual site has a rich blood supply from the carotid
arteries that quickly responds to changes in inner core temperature
◉ What is a normal oral temperature range?
Answer: 98.6 degrees F (37 degrees C) with a range of 96.4 degrees
F to 99.1 degrees F (35.8 to 37.3 degrees C)
,◉ What is a normal rectal temperature range?
Answer: Rectal measures 0.7 to 1 degrees F (0.4 to 0.5 degrees C)
higher
◉ What is normal temperature influenced by?
Answer: -Exercise: moderate to hard exercise increases body temp
-Age: wider normal variations occur in infant and young children
due to less effective heat control mechanisms; in older adults,
temperature usually lower than in other age groups, with a mean of
97.2 degrees F (36.2 degrees C)
◉ In regards to taking a temperature, how long should you wait if
the patient has just consumed hot or iced liquids? What about if they
just smoked?
Answer: Liquids- 15 minutes
Smoking- 2 minutes
◉ What is a safe and accurate way to take children's temperature?
Answer: Axillary temperature
◉ When should you take a rectal temperature?
Answer: -When other routes are not practical, for example, for
comatose of confused persons, persons in shock, or for those who
, cannot close mouth because of breathing or oxygen tubes, wired
mandible, or other facial dysfunction or if no tympanic membrane
thermometer is available
◉ What should you do before inserting the thermometer probe in
the rectum?
Answer: -Put on gloves
-Use lube
◉ How should temperature be recorded?
Answer: -In celsius unless agency uses fahrenheit
◉ What is the conversion for Fahrenheit to Celsius?
Celsius to Fahrenheit?
Answer: F to C: C = 59(F-32) or C = F-32+1.8
C to F: F = (95 x C) + 32 or F = 1.8(C) + 32
◉ Know both Fahrenheit and Celsius scales and normal ranges ***
Answer:
◉ What is stroke volume?
COMPLETE ANSWERS
◉ What is the single most important step in decreasing
microorganism transmission?
Answer: WASH YOUR HANDS
-before physical contact with each patient
-after inadvertent contact with blood, body fluids, secretions, and
excretions
-after contact with any equipment contaminated with body fluids
-after removing gloves
◉ What else should you do in health care in addition to washing
your hands?
Answer: WEAR GLOVES
-any time there is contact with body fluids
◉ The nurse is performing an assessment of the abdominal region.
What is the appropriate sequence for the examination?
1. Palpation, percussion, inspection, auscultation
2. Inspection, palpation, auscultation, percussion
3. Inspection, auscultation, percussion, palpation
,Answer: 3
◉ Are vital signs subjective or objective data?
Answer: Objective because they can be measured by a health care
professional
◉ What are the 5 vital signs?
Answer: 1. Temperature
2. Pulse
3. Heart rate
4. Respirations
5. Blood pressure
◉ What are the benefits of taking temperature orally?
Answer: -It is accurate and convenient
-The oral sublingual site has a rich blood supply from the carotid
arteries that quickly responds to changes in inner core temperature
◉ What is a normal oral temperature range?
Answer: 98.6 degrees F (37 degrees C) with a range of 96.4 degrees
F to 99.1 degrees F (35.8 to 37.3 degrees C)
,◉ What is a normal rectal temperature range?
Answer: Rectal measures 0.7 to 1 degrees F (0.4 to 0.5 degrees C)
higher
◉ What is normal temperature influenced by?
Answer: -Exercise: moderate to hard exercise increases body temp
-Age: wider normal variations occur in infant and young children
due to less effective heat control mechanisms; in older adults,
temperature usually lower than in other age groups, with a mean of
97.2 degrees F (36.2 degrees C)
◉ In regards to taking a temperature, how long should you wait if
the patient has just consumed hot or iced liquids? What about if they
just smoked?
Answer: Liquids- 15 minutes
Smoking- 2 minutes
◉ What is a safe and accurate way to take children's temperature?
Answer: Axillary temperature
◉ When should you take a rectal temperature?
Answer: -When other routes are not practical, for example, for
comatose of confused persons, persons in shock, or for those who
, cannot close mouth because of breathing or oxygen tubes, wired
mandible, or other facial dysfunction or if no tympanic membrane
thermometer is available
◉ What should you do before inserting the thermometer probe in
the rectum?
Answer: -Put on gloves
-Use lube
◉ How should temperature be recorded?
Answer: -In celsius unless agency uses fahrenheit
◉ What is the conversion for Fahrenheit to Celsius?
Celsius to Fahrenheit?
Answer: F to C: C = 59(F-32) or C = F-32+1.8
C to F: F = (95 x C) + 32 or F = 1.8(C) + 32
◉ Know both Fahrenheit and Celsius scales and normal ranges ***
Answer:
◉ What is stroke volume?
