NURS 211 COMPLETE LATEST UNIT 2
BASED ACTUAL WITH QUESTIONS AND
CORRECT ANSWERS
Components of an effective patient interview. - correct answer-✅1. Orientation (or introduction)
2. Working
3. Termination
Strategies for performing an organized physical assessment - correct answer-✅1. Physical environment:
provide privacy, adequate lighting, space, temperature, eliminate drafts, provide warm blankets,
providing a clean exam table.
2. Equipment: having equipement ready and prepared using asepsis.
3. Patient preparation: verify ID, bathroom, patient dressed for privacy, emotional needs.
4. Privacy and confidentiality
5. Positioning the patient: be aware of patient's level of mobility, physical strength, and comorbid
conditions.
6. Integration of assessment skills with nursing activities
Four common physical assessment techniques. - correct answer-✅1. Inspection
2. Palpation
3. Percussion
4. Auscultation
The purpose of assessing vital signs. - correct answer-✅Serve as a baseline for future assessments to
determine the patient's status.
Health assessment questions relevant to vital signs - correct answer-✅1. Have you had anything to eat
or drink or chewed gum in the last 15 minutes? (temperature)
2. Have you been exercising within the last 30 minutes? (pulse)
3. Are you feeling short of breath? (respiratory rate)
4. Have you recently been engaged in activity, exercise or eating? (blood pressure)
Purpose general survey - correct answer-✅It covers the patient's primary reason for seeking care and
current health status, as well as any obvious deviations from normal.
Components of a general survey - correct answer-✅Hygiene, body image, affect and mood, gait,
speech, and developmental status.
Evidence-based guidelines for the correct use of a stethoscope - correct answer-✅The stethoscope
should be able to detect both faint, high-pitched sounds and low-pitched sounds; it should have short
tubing, snug earpieces, and a chest piece consisting of both a diaphragm and bell (3M Health Care,
2003).Mar 1, 200
Factors that may affect the results of reading vital signs - correct answer-✅Infection and renal,
respiratory and cardiovascular disease. Physical environment, emotional state of the patient,
medications, food and fluid intake, and activity level and tolerance.
Vital sign ranges across the life span - correct answer-✅See photo or page 276 in Yoost.
Measuring Temperature - correct answer-✅Probe orally, axillary, rectal, tympanic, or temporal.
Measuring Pulse - correct answer-✅Wash hands
Obtain watch or clock with a second hand
Position patient's arm in a relaxed position with the palm down
Using the first three fingers, gently grasp the palm side of the patient's wrist approximately 1 inch above
the base of the thumb
One a beat is felt count the number of beats for 30 seconds; times that number by 2 to get the pulse
BASED ACTUAL WITH QUESTIONS AND
CORRECT ANSWERS
Components of an effective patient interview. - correct answer-✅1. Orientation (or introduction)
2. Working
3. Termination
Strategies for performing an organized physical assessment - correct answer-✅1. Physical environment:
provide privacy, adequate lighting, space, temperature, eliminate drafts, provide warm blankets,
providing a clean exam table.
2. Equipment: having equipement ready and prepared using asepsis.
3. Patient preparation: verify ID, bathroom, patient dressed for privacy, emotional needs.
4. Privacy and confidentiality
5. Positioning the patient: be aware of patient's level of mobility, physical strength, and comorbid
conditions.
6. Integration of assessment skills with nursing activities
Four common physical assessment techniques. - correct answer-✅1. Inspection
2. Palpation
3. Percussion
4. Auscultation
The purpose of assessing vital signs. - correct answer-✅Serve as a baseline for future assessments to
determine the patient's status.
Health assessment questions relevant to vital signs - correct answer-✅1. Have you had anything to eat
or drink or chewed gum in the last 15 minutes? (temperature)
2. Have you been exercising within the last 30 minutes? (pulse)
3. Are you feeling short of breath? (respiratory rate)
4. Have you recently been engaged in activity, exercise or eating? (blood pressure)
Purpose general survey - correct answer-✅It covers the patient's primary reason for seeking care and
current health status, as well as any obvious deviations from normal.
Components of a general survey - correct answer-✅Hygiene, body image, affect and mood, gait,
speech, and developmental status.
Evidence-based guidelines for the correct use of a stethoscope - correct answer-✅The stethoscope
should be able to detect both faint, high-pitched sounds and low-pitched sounds; it should have short
tubing, snug earpieces, and a chest piece consisting of both a diaphragm and bell (3M Health Care,
2003).Mar 1, 200
Factors that may affect the results of reading vital signs - correct answer-✅Infection and renal,
respiratory and cardiovascular disease. Physical environment, emotional state of the patient,
medications, food and fluid intake, and activity level and tolerance.
Vital sign ranges across the life span - correct answer-✅See photo or page 276 in Yoost.
Measuring Temperature - correct answer-✅Probe orally, axillary, rectal, tympanic, or temporal.
Measuring Pulse - correct answer-✅Wash hands
Obtain watch or clock with a second hand
Position patient's arm in a relaxed position with the palm down
Using the first three fingers, gently grasp the palm side of the patient's wrist approximately 1 inch above
the base of the thumb
One a beat is felt count the number of beats for 30 seconds; times that number by 2 to get the pulse
