NUR 256 EXAM 1 WITH VERIFIED SOLUTIONS
1.week vg1 vgmaterial: vg-vital vgsigns vg+ vgpain
-clinical vgjudgement vgand vgcritical vgthinking
2.Average vgadult vgtemperature vgrange: vg36 vgC vgto vg38 vgC vg(96.8 vgF vgto vg100.
vgF)
3.average vgolder vgadult vgtemperature vgrange: vg35 vgC vgto vg36.1 vgC vg(95 vgF vgto
vg97 vgF)
4.factors vgaffecting vgbody vgtemperature: vg-Age
-exercise
-hormone vglevel
-circadian vgrhythm
-stress
-environment
-temperature vgalterations
-time vgof vgday vg( vglowest vgat vg0600, vghighest vgat vg1600)
5.hyperthermia: vgAn vgelevated vgbody vgtemperature vgrelated vgto vgthe
vginability vgof vgthe vgbody vgto vgpromote vgheat vgloss vgor vgreduce vgheat
vgproduction.
-any vgdisease vgof vghypothalamus vgimpairs vgheat vgloss
6.malignant vghyperthermia: vgA vghereditary vgcondition vgof vguncontrolled
vgheat vgproduction vgthat vgoccurs vgwhen vgsusceptible vgpeople vgreceive
vgcertain vganesthetic vgdrugs.
7.heatstroke: vga vgbody vgtemp vgof vg104 vgor vgmore vgaccompanied vgby vghot
vgdry vgskin vgand vgCNS vgabnormalities vgsuch vgas vgdelirium, vgconvulsions
vgor vgcoma
8.heat vgexhaustion: vgcaused vgby vgenvironmental vgheat vgexposure vgand
vgpresents vgwith vgprofuse vgdiaphoresis vgthat vgresults vgin vgexcess
1 vg/
vg27
,vgelectrolyte vgand vgwater vgloss
9.hypothermia: vgheat vgloss vgduring vgprolonged vgexposure vgto vgcold
vgoverwhelms vgthe vgability vgof vgthe vgbody vgto vgproduce vgheat
-mild vghypothermia vg= vg90 vg-95 vgF
10.routes vgto vgtake vgtemp: vg-oral vg(most vgcommon, vgask vgif vgthey vghave
vgeaten vgor vgdrank vgin vglast vg30 vgmin)
-rectal vg(most vgaccurate vgcore vgtemp)
-axillary vg(taken vgin vgarmpit/ vgmost vgaccurate vgwhen vgrectal vgand vgoral
vgaren't vgavailable)
-tympanic vg(in vgear)
-temporal vg(forehead)
11.parts vgof vgstethoscope: vgear vgpieces, vgbinaurals, vgtubing, vgchest
vgpiece vg(diaphragm vgand vgbell)
-should vgbe vgplaced vgdirectly vgon vgskin
-do vgnot vghold vgchest vgpiece vgwith vgthumb
-clean vgbetween vguse
12.bell vgtransmits: vglow vgpitched vgsounds vg(heart vgand vgvascular vgsounds)
13.diaphragm vgtransmits: vghigh vgpitched vgsounds vg(bowel, vglungs, vgheart
vgsounds)
14.pulse: vgPalpable vgbounding vgof vgthe vgblood vgflow vgin vga vgperipheral
vgartery
-indirect vgindicator vgof vgcirculatory vgstatus
2 vg/
vg27
, 15.average vgpulse vgrange vgfor vgadult: vg60-100
16.average vgpulse vgrange vgfor vginfant: vg120-160
17.average vgpulse vgrange vgfor vgtoddler: vg90-140
18.average vgpulse vgrange vgfor vgpreschooler: vg80-110
19.average vgpulse vgrange vgfor vgschool vgage vgchild: vg75-100
20.average vgpulse vgrange vgfor vgadolescent: vg60-90
21.average vgpulse vgrange vgfor vgolder vgadults vgis: vgdecreased
22.Tachycardia: vgfast vgheart vgrate vg(higher vgthan vg100BPM)
23.Bradychardia: vgslow vgheart vgrate vg(less vgthan vg60BPM)
24.pule vgdeficit: vgan vginefficient vgcontraction vgof vgthe vgheart vgthat vgfails
vgtp vgtransmit vgpulse vgwave vgto vgthe vgperipheral vgpulse vgsite
25.how vgto vgcount vgpulse: vg-if vgrhythm vgis vgregular vg= vg30 vgsec vgX vg2
-if vgrhythm vgis vgirregular vg= vg1 vgmin
26.when vgtaking vgpulse vgyou vgneed vgto vglook vgfor: vg-rate vg(the vgnumber vgyou
vgget)
-rhythm vg( vgregular/irregular)
-strength vg( vg4+, vg3+, vg2+, vg1+, vg0)
-equality vg( vgare vgthey vgequal vgin vgstrength)
27.what vgfactors vgincrease vgpulse vgrate?: vgexercise vg(short vgterm),
vgtemperature vg(fever vgand vgheat), vgacute vgpain, vgemotions, vgmedications
vg(epinephrine) vg, vghemorrhage, vgpostural vgchanges vg( vgstanding vgor
vgsitting) vg, vgpulmonary vgconditions
28.what vgfactors vgdecrease vgpulse vgrate?: vgexercise vg(long vgterm
vgexercise) vg, vgtemp vg(hy- vgpothermia), vgchronic vgpain, vgmedications
vg( vgdigitalis, vgbeta vgadrenergic, vgcalcium vgchannel vgblockers), vgpostural
vgchanges vg(lying vgdown)
29.What vgare vgthe vg10 vgpulse vgsites?: vgTemporal, vgcarotid, vgfemoral, vgradial,
vgulnar, vgbrachial, vgdorsalis vgpedis, vgposterior vgtibial vg, vgpopliteal, vgapical
30.apical vgand vgradial vgpulse vgdeficit: vgdifference vgbetween vgapical vgan
vgradial vgpulse
-two vgexaminers vgneeded vgto vgtake vgpule vgin vg2 vglocations vgat vgthe vgsam
vgtime
31.What vgcontrols vgrespiration?: vg-brain vgstem vgand vgautonomic vgnervous
vgsystem
32.Hypoxia: vgdecreased vgoxygen vgto vgtissues
33.hypoxemia: vgdecreased vglevel vgof vgoxygen vgin vgthe vgblood
34.atelectasis: vgcollapse vgof vgalveoli
35.cyanosis: vgbluish vgdiscoloration vgof vgthe vgskin
36.Dyspnea: vgdifficult vgor vglabored vgbreathing
3 vg/
vg27
1.week vg1 vgmaterial: vg-vital vgsigns vg+ vgpain
-clinical vgjudgement vgand vgcritical vgthinking
2.Average vgadult vgtemperature vgrange: vg36 vgC vgto vg38 vgC vg(96.8 vgF vgto vg100.
vgF)
3.average vgolder vgadult vgtemperature vgrange: vg35 vgC vgto vg36.1 vgC vg(95 vgF vgto
vg97 vgF)
4.factors vgaffecting vgbody vgtemperature: vg-Age
-exercise
-hormone vglevel
-circadian vgrhythm
-stress
-environment
-temperature vgalterations
-time vgof vgday vg( vglowest vgat vg0600, vghighest vgat vg1600)
5.hyperthermia: vgAn vgelevated vgbody vgtemperature vgrelated vgto vgthe
vginability vgof vgthe vgbody vgto vgpromote vgheat vgloss vgor vgreduce vgheat
vgproduction.
-any vgdisease vgof vghypothalamus vgimpairs vgheat vgloss
6.malignant vghyperthermia: vgA vghereditary vgcondition vgof vguncontrolled
vgheat vgproduction vgthat vgoccurs vgwhen vgsusceptible vgpeople vgreceive
vgcertain vganesthetic vgdrugs.
7.heatstroke: vga vgbody vgtemp vgof vg104 vgor vgmore vgaccompanied vgby vghot
vgdry vgskin vgand vgCNS vgabnormalities vgsuch vgas vgdelirium, vgconvulsions
vgor vgcoma
8.heat vgexhaustion: vgcaused vgby vgenvironmental vgheat vgexposure vgand
vgpresents vgwith vgprofuse vgdiaphoresis vgthat vgresults vgin vgexcess
1 vg/
vg27
,vgelectrolyte vgand vgwater vgloss
9.hypothermia: vgheat vgloss vgduring vgprolonged vgexposure vgto vgcold
vgoverwhelms vgthe vgability vgof vgthe vgbody vgto vgproduce vgheat
-mild vghypothermia vg= vg90 vg-95 vgF
10.routes vgto vgtake vgtemp: vg-oral vg(most vgcommon, vgask vgif vgthey vghave
vgeaten vgor vgdrank vgin vglast vg30 vgmin)
-rectal vg(most vgaccurate vgcore vgtemp)
-axillary vg(taken vgin vgarmpit/ vgmost vgaccurate vgwhen vgrectal vgand vgoral
vgaren't vgavailable)
-tympanic vg(in vgear)
-temporal vg(forehead)
11.parts vgof vgstethoscope: vgear vgpieces, vgbinaurals, vgtubing, vgchest
vgpiece vg(diaphragm vgand vgbell)
-should vgbe vgplaced vgdirectly vgon vgskin
-do vgnot vghold vgchest vgpiece vgwith vgthumb
-clean vgbetween vguse
12.bell vgtransmits: vglow vgpitched vgsounds vg(heart vgand vgvascular vgsounds)
13.diaphragm vgtransmits: vghigh vgpitched vgsounds vg(bowel, vglungs, vgheart
vgsounds)
14.pulse: vgPalpable vgbounding vgof vgthe vgblood vgflow vgin vga vgperipheral
vgartery
-indirect vgindicator vgof vgcirculatory vgstatus
2 vg/
vg27
, 15.average vgpulse vgrange vgfor vgadult: vg60-100
16.average vgpulse vgrange vgfor vginfant: vg120-160
17.average vgpulse vgrange vgfor vgtoddler: vg90-140
18.average vgpulse vgrange vgfor vgpreschooler: vg80-110
19.average vgpulse vgrange vgfor vgschool vgage vgchild: vg75-100
20.average vgpulse vgrange vgfor vgadolescent: vg60-90
21.average vgpulse vgrange vgfor vgolder vgadults vgis: vgdecreased
22.Tachycardia: vgfast vgheart vgrate vg(higher vgthan vg100BPM)
23.Bradychardia: vgslow vgheart vgrate vg(less vgthan vg60BPM)
24.pule vgdeficit: vgan vginefficient vgcontraction vgof vgthe vgheart vgthat vgfails
vgtp vgtransmit vgpulse vgwave vgto vgthe vgperipheral vgpulse vgsite
25.how vgto vgcount vgpulse: vg-if vgrhythm vgis vgregular vg= vg30 vgsec vgX vg2
-if vgrhythm vgis vgirregular vg= vg1 vgmin
26.when vgtaking vgpulse vgyou vgneed vgto vglook vgfor: vg-rate vg(the vgnumber vgyou
vgget)
-rhythm vg( vgregular/irregular)
-strength vg( vg4+, vg3+, vg2+, vg1+, vg0)
-equality vg( vgare vgthey vgequal vgin vgstrength)
27.what vgfactors vgincrease vgpulse vgrate?: vgexercise vg(short vgterm),
vgtemperature vg(fever vgand vgheat), vgacute vgpain, vgemotions, vgmedications
vg(epinephrine) vg, vghemorrhage, vgpostural vgchanges vg( vgstanding vgor
vgsitting) vg, vgpulmonary vgconditions
28.what vgfactors vgdecrease vgpulse vgrate?: vgexercise vg(long vgterm
vgexercise) vg, vgtemp vg(hy- vgpothermia), vgchronic vgpain, vgmedications
vg( vgdigitalis, vgbeta vgadrenergic, vgcalcium vgchannel vgblockers), vgpostural
vgchanges vg(lying vgdown)
29.What vgare vgthe vg10 vgpulse vgsites?: vgTemporal, vgcarotid, vgfemoral, vgradial,
vgulnar, vgbrachial, vgdorsalis vgpedis, vgposterior vgtibial vg, vgpopliteal, vgapical
30.apical vgand vgradial vgpulse vgdeficit: vgdifference vgbetween vgapical vgan
vgradial vgpulse
-two vgexaminers vgneeded vgto vgtake vgpule vgin vg2 vglocations vgat vgthe vgsam
vgtime
31.What vgcontrols vgrespiration?: vg-brain vgstem vgand vgautonomic vgnervous
vgsystem
32.Hypoxia: vgdecreased vgoxygen vgto vgtissues
33.hypoxemia: vgdecreased vglevel vgof vgoxygen vgin vgthe vgblood
34.atelectasis: vgcollapse vgof vgalveoli
35.cyanosis: vgbluish vgdiscoloration vgof vgthe vgskin
36.Dyspnea: vgdifficult vgor vglabored vgbreathing
3 vg/
vg27
