Nurs 202: Final Exam Review questions with correct
answers
What are the vital signs? Correct Answer-Temperature
Pulse
Respirations
(TPR)
Blood Pressure
*Pain is considered the 5th vital sign
Normal Temperature Range Correct Answer-96.7F to 100.5F
(35.9C to 38C)
Normal Pulse Rate Correct Answer-60-100 BPM
Bradycardia- less than 60
Tachycardia- greater than 100
Pulse Characteristics Correct Answer-Pulse rate (60-100bpm)
Beats per minute
Pulse rhythm
,Regularity versus irregularity (Dysrhythmia)
Pulse amplitude (strength)
0 Absent, unable to palpate
+1 Diminished, weaker than expected
+2 Brisk, expected (normal)
+3 Bounding
Pulse equality
-Left versus right
Pulse Deficit Correct Answer-Apical pulse higher than radial
Normal Respirations Correct Answer-12-20 breaths per minute
Respirations Characteristics Correct Answer-Rate (12-20)
Rhythm
Amplitude (depth)
Pulse Oximeter Correct Answer-Saturation of O2 on hemoglobin (Hgb)
Percent of hemoglobin fully saturated with O2
,Normal adult 93-100%
Anything below 90 is a concern
Normal BP Correct Answer-120/80
Systolic BP Correct Answer-1st Korotkoff sound, top number
Ventricular contraction
Pressure on the arterial wall, normal is 120
Diastolic BP Correct Answer-2nd Korotkoff sound, bottom number
Ventricular relaxation
Pressure at rest or relaxing on arterial walls, normal is 80
Causes of Erroneous BP Readings Correct Answer-Bladder too wide or
too large- false low
Bladder too small- false high
, Vital Signs Special Considerations Correct Answer-Can't take BP on
side of someone who had mastectomy
Food and drink affect temperature- wait to take temp after breakfast
Weighing 400 lbs. there's a special cuff
Purpose of the Health Assessment Correct Answer-Why they're here
Want to learn the baseline data for all future assessments of this patient
What are the assessment techniques Correct Answer-Inspection (1)
Palpation (2)
Percussion (3)
Auscultation (4)
Skin Color Assessment Correct Answer-Jaundice- yellow
Cyanosis- blue
Erythema- red
Pallor- pale
Vitiligo- whitish patches on the skin
Tanned or brown
answers
What are the vital signs? Correct Answer-Temperature
Pulse
Respirations
(TPR)
Blood Pressure
*Pain is considered the 5th vital sign
Normal Temperature Range Correct Answer-96.7F to 100.5F
(35.9C to 38C)
Normal Pulse Rate Correct Answer-60-100 BPM
Bradycardia- less than 60
Tachycardia- greater than 100
Pulse Characteristics Correct Answer-Pulse rate (60-100bpm)
Beats per minute
Pulse rhythm
,Regularity versus irregularity (Dysrhythmia)
Pulse amplitude (strength)
0 Absent, unable to palpate
+1 Diminished, weaker than expected
+2 Brisk, expected (normal)
+3 Bounding
Pulse equality
-Left versus right
Pulse Deficit Correct Answer-Apical pulse higher than radial
Normal Respirations Correct Answer-12-20 breaths per minute
Respirations Characteristics Correct Answer-Rate (12-20)
Rhythm
Amplitude (depth)
Pulse Oximeter Correct Answer-Saturation of O2 on hemoglobin (Hgb)
Percent of hemoglobin fully saturated with O2
,Normal adult 93-100%
Anything below 90 is a concern
Normal BP Correct Answer-120/80
Systolic BP Correct Answer-1st Korotkoff sound, top number
Ventricular contraction
Pressure on the arterial wall, normal is 120
Diastolic BP Correct Answer-2nd Korotkoff sound, bottom number
Ventricular relaxation
Pressure at rest or relaxing on arterial walls, normal is 80
Causes of Erroneous BP Readings Correct Answer-Bladder too wide or
too large- false low
Bladder too small- false high
, Vital Signs Special Considerations Correct Answer-Can't take BP on
side of someone who had mastectomy
Food and drink affect temperature- wait to take temp after breakfast
Weighing 400 lbs. there's a special cuff
Purpose of the Health Assessment Correct Answer-Why they're here
Want to learn the baseline data for all future assessments of this patient
What are the assessment techniques Correct Answer-Inspection (1)
Palpation (2)
Percussion (3)
Auscultation (4)
Skin Color Assessment Correct Answer-Jaundice- yellow
Cyanosis- blue
Erythema- red
Pallor- pale
Vitiligo- whitish patches on the skin
Tanned or brown
