NURS 226: Exam 1 Questions With Complete Solutions
1st level priority Correct Answer Emergent, life threatening,
and immediate
-airway, breathing, cardiac, "gas exchange"
2nd level priority Correct Answer requires attention such as
abnormal labs, medication etc
3rd level priority Correct Answer patient education
AAOX3 Correct Answer awake alert oriented to person, time,
place
ADLs Correct Answer activities of daily living
-self care activities
-sleep, rest
-eating
-walking
auscultation Correct Answer listening to sounds within the
body
-stethescope
auscultatory gap Correct Answer a brief period when
Korotkoff sounds disappear during auscultation of blood
pressure
-common with hypertension
average BP for adults Correct Answer 120/80
, average pulse Correct Answer 60-100 bpm
average respiration rate Correct Answer 12-20 breaths per
minute
average stroke volume Correct Answer 70 mL
average temperature Correct Answer 98.6 F
bell of stethescope Correct Answer cup-shaped endpiece used
for soft, low-pitched heart sounds
-murmurs
biographical data Correct Answer name, origin, date gender,
race, occupation, language, etc
blood pressure Correct Answer the pressure that is exerted by
the blood against the walls of blood vessels
bradycardia Correct Answer slow heart rate
-less than 60 bpm
CAGE test Correct Answer Felt the need to Cut down on
drinking?
Annoyed by people criticizing your drinking?
Felt Guilty about your drinking?
Need an Eye-opener in the morning?
COLDSPA Correct Answer Character- type of pain
Onset- when it began
Location
1st level priority Correct Answer Emergent, life threatening,
and immediate
-airway, breathing, cardiac, "gas exchange"
2nd level priority Correct Answer requires attention such as
abnormal labs, medication etc
3rd level priority Correct Answer patient education
AAOX3 Correct Answer awake alert oriented to person, time,
place
ADLs Correct Answer activities of daily living
-self care activities
-sleep, rest
-eating
-walking
auscultation Correct Answer listening to sounds within the
body
-stethescope
auscultatory gap Correct Answer a brief period when
Korotkoff sounds disappear during auscultation of blood
pressure
-common with hypertension
average BP for adults Correct Answer 120/80
, average pulse Correct Answer 60-100 bpm
average respiration rate Correct Answer 12-20 breaths per
minute
average stroke volume Correct Answer 70 mL
average temperature Correct Answer 98.6 F
bell of stethescope Correct Answer cup-shaped endpiece used
for soft, low-pitched heart sounds
-murmurs
biographical data Correct Answer name, origin, date gender,
race, occupation, language, etc
blood pressure Correct Answer the pressure that is exerted by
the blood against the walls of blood vessels
bradycardia Correct Answer slow heart rate
-less than 60 bpm
CAGE test Correct Answer Felt the need to Cut down on
drinking?
Annoyed by people criticizing your drinking?
Felt Guilty about your drinking?
Need an Eye-opener in the morning?
COLDSPA Correct Answer Character- type of pain
Onset- when it began
Location
