CCBC NURN155 Exam 1 COMPLETE EXAM Questions and Answers (Verifi
Answers) (Latest Update 2025) UPDATE!!
1. Vital Signs Temperature (T)
Pulse (P)
Respiration (R)
Blood Pressure (BP)
Pain (5th VS)
Pulse Oximetry (Pulse Ox)
2. Importance of Vi- - Most frequent measurement
tal Signs - Provides baseline data
- Indicators of health status
- Identifies changes
- Helps establish the nursing diagnosis, plan, intervention, and evaluation
3. Analyze Vital - Compare to normal ranges
Signs - Compare to patient's baseline
- Compare to patient's trends
- Assess for factors that could affect the patient's VS
4. Heart Rate 60-100 beats/min
5. Respiratory Rate 12-20 breaths/min
6. Blood Pressure <120/80
7. Pulse Oximetry 95-100%
8. Systolic Pressure on arteries during contraction
9. Diastolic Pressure on arteries while at rest
10. Hypertension High blood pressure
11. Hypotension Low blood pressure
, CCBC NURN155 Exam 1 COMPLETE EXAM Questions and Answers (Verifi
Answers) (Latest Update 2025) UPDATE!!
12. Orthostatic Change in blood pressure upon standing (1-3 minutes)
13. Korotkoff Sounds of the heart while taking BP
14. Factors that Af- - Cardiac output
fect BP - Peripheral vascular resistance
- Volume of circulating blood
- Viscosity
- Elasticity of vessel walls
15. Prehypertension 120-139/80-89
16. Stage 1 Hyper- 140-159/90-99
tension
17. Stage 2 Hyper- >=160/>=100
tension
18. Blood Pressure - Teach normal values
Health Promo- - Risks for hypertension
tion - Teach caregiver or patient how to take BP
19. Hyperthermia Elevated body temperature due to failed thermoregulation that occurs when a
body produces or absorbs more heat than it dissipates.
20. Hypothermia Medical emergency that occurs when your body loses heat faster than it can
produce heat, causing a dangerously low body temperature. Temp below 95°F
(35°C).
21. Axillary average Arm Pit [avg 36.5°C (97.7°F)]
temp
22. Rectum [37.5°C (99.5°F)]
, CCBC NURN155 Exam 1 COMPLETE EXAM Questions and Answers (Verifi
Answers) (Latest Update 2025) UPDATE!!
Rectal average
temp
23. Tympanic/Oral Ear/Mouth [avg 37°C (98.6°F)]
average temp
24. Temporal aver- Forehead [avg 36.4°C (97.6°F)]
age temp
25. Diaphoresis Sweating
26. Heat Production - By-product of metabolism
- Voluntary movement
- Shivering
- Conservation of heat: Vasoconstriction
27. Heat Loss - Vasodilation
- Diaphoresis
- Inhibit heat production
- Peripheral vasodilation
28. Hypothalamus Core temperature regulation
29. Factors that in- - Age
fluence tempera- - Diurnal variations
ture - Exercise
- Hormones
- Stress
- Environment
- Illness
30. Tachycardia Rapid heart rate
Answers) (Latest Update 2025) UPDATE!!
1. Vital Signs Temperature (T)
Pulse (P)
Respiration (R)
Blood Pressure (BP)
Pain (5th VS)
Pulse Oximetry (Pulse Ox)
2. Importance of Vi- - Most frequent measurement
tal Signs - Provides baseline data
- Indicators of health status
- Identifies changes
- Helps establish the nursing diagnosis, plan, intervention, and evaluation
3. Analyze Vital - Compare to normal ranges
Signs - Compare to patient's baseline
- Compare to patient's trends
- Assess for factors that could affect the patient's VS
4. Heart Rate 60-100 beats/min
5. Respiratory Rate 12-20 breaths/min
6. Blood Pressure <120/80
7. Pulse Oximetry 95-100%
8. Systolic Pressure on arteries during contraction
9. Diastolic Pressure on arteries while at rest
10. Hypertension High blood pressure
11. Hypotension Low blood pressure
, CCBC NURN155 Exam 1 COMPLETE EXAM Questions and Answers (Verifi
Answers) (Latest Update 2025) UPDATE!!
12. Orthostatic Change in blood pressure upon standing (1-3 minutes)
13. Korotkoff Sounds of the heart while taking BP
14. Factors that Af- - Cardiac output
fect BP - Peripheral vascular resistance
- Volume of circulating blood
- Viscosity
- Elasticity of vessel walls
15. Prehypertension 120-139/80-89
16. Stage 1 Hyper- 140-159/90-99
tension
17. Stage 2 Hyper- >=160/>=100
tension
18. Blood Pressure - Teach normal values
Health Promo- - Risks for hypertension
tion - Teach caregiver or patient how to take BP
19. Hyperthermia Elevated body temperature due to failed thermoregulation that occurs when a
body produces or absorbs more heat than it dissipates.
20. Hypothermia Medical emergency that occurs when your body loses heat faster than it can
produce heat, causing a dangerously low body temperature. Temp below 95°F
(35°C).
21. Axillary average Arm Pit [avg 36.5°C (97.7°F)]
temp
22. Rectum [37.5°C (99.5°F)]
, CCBC NURN155 Exam 1 COMPLETE EXAM Questions and Answers (Verifi
Answers) (Latest Update 2025) UPDATE!!
Rectal average
temp
23. Tympanic/Oral Ear/Mouth [avg 37°C (98.6°F)]
average temp
24. Temporal aver- Forehead [avg 36.4°C (97.6°F)]
age temp
25. Diaphoresis Sweating
26. Heat Production - By-product of metabolism
- Voluntary movement
- Shivering
- Conservation of heat: Vasoconstriction
27. Heat Loss - Vasodilation
- Diaphoresis
- Inhibit heat production
- Peripheral vasodilation
28. Hypothalamus Core temperature regulation
29. Factors that in- - Age
fluence tempera- - Diurnal variations
ture - Exercise
- Hormones
- Stress
- Environment
- Illness
30. Tachycardia Rapid heart rate
