NURS 258 Exam 1 Questions and Answers Latest Update 2025 Graded A+

NURS 258 Exam 1 Questions and Answers Latest Update 2025 Graded A+ In order, what are the skills required for a physical assessment? - Answers Inspection, Palpation, Percussion and Auscultation What is the first skill performed during a physical assessment, it often begins with the eyes as soon as you enter the room? - Answers Inspection There are two forms of this skill, both performed via touch. Light-one handed to inspect texture, warmth, moisture, tenderness and pulsation. Deep- two hands typically as a BSN, we do not perform this technique. - Answers Palpation Skill that involves tapping the skin, however, nurses do not perform this skill. - Answers Percussion A technique used to listen. Ear pieces pointing towards the nose. Diaphragm used to listen for high pitch. Bell used to listen for low pitches. Recommended to warm stethoscope with hands before performing this technique, place it directly on the skin, clean stethoscope following each pt. - Answers Auscultation What is the most appropriate setting for an exam room? - Answers A warm and private environment, must have good lighting and have all equipment handy. Developed to improve accuracy of pt identification, reduces the risk of healthcare associated identifications, nosocomial infection, hand washing, alcohol-based hand rub, clean equipment with each pt contact. - Answers National Patient Safety Goals for Patient Care At what age to you NOT use the head-to-toe assessment approach? At this age it is important to do less invasive approach first and then more invasive approach last to ensure more compliance. - Answers Infant and Toddler During an examination, at what age do you ask a child if he wants to sit on the exam table or in a parents lap? Do not offer options if there are no options. If this age of child appears resistant do more invasive items last. - Answers Preschool Child During an examination at what age do you allow for rest periods and minimize position changes? - Answers Older Adult What is a safe place to start when assessing a pt? Something that should be done more frequently following critical situations, after surgery, during blood transfusions, and changes in the pt status. - Answers Vital Signs May range from 96.8-100/4°F, anything above 100.4° is considered a fever. - Answers Temperature What are some factors that affect a persons temperature? - Answers Age, exercise, hormone level, circadian rhythm, stress and environment. What are the main points where temperature can be taken? - Answers Mouth-Oral Rectum-Rectal Underarm-Axilla Ear-Tympanic Forehead-Temporal Core-Urinary Catheter, central lines Rate taken right over the heart. Auscultate, most accurate, cardiac needs, pediatrics. - Answers Apical Pulse The most common area to take a pulse, thumb side of the wrist, do not use the thumb to take this pulse. - Answers Radial Pulse Infant 120-160 bpm Toddler 90-140 bpm Preschooler 80-110 bpm School age Child 75-100 bpm Adolescent 60-90 bpm Adult 60-100 bpm *A athletic/in shape person may have a pulse as low as 40bpm - Answers Pulse Ranges Regular rate- count for 30 secondsX2 Irregular Rate-count for a full minute -Tachycardia >100bpm -Bradycardia<60bpm -Many factors influence rate including exercise, temperature, emotions, medications,