NSE103 MIDTERM EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Things to consider before health assessment - Answer- using trauma informed
approach, bathroom, equipment, draping/gown, minimize repositioning, developmental
stage and care partners
resonance - Answer- low pitched sound, moderate duration, normal in adults lungs
hyper resonance - Answer- low pitched, more booming, longer duration (this is an
abnormal finding in adults in lungs)
tympany - Answer- high pitched, in fluid filled organs
dullness - Answer- quiet thud, dense organs
flatness - Answer- even more quiet, muscle and bone
high pitched sounds - Answer- lungs, bowel, and some heart
low pitched sounds - Answer- some heart, abnormal vacular sounds of carotid arteries
and aorta
order of vitals - Answer- usually O2, P, PR, BP, T
P Adult Range - Answer- 60-100
P age 12-18 - Answer- 50-100
P age 7-11 - Answer- 60-130
P age 2-6 - Answer- 70-150
P one month - 2 - Answer- 90-160
P newborn to one month - Answer- 100-175
tachycardia - Answer- may occur with caffeine and nicotine use, correlated with fever,
anemia, hyopxia, hyperthyroidism
apical pulse - Answer- fifth intercostal space for adults and fourth for children, should be
supine or seated
, respirations assessment - Answer- consider: relaxed and silent, no use of accessory
muscles (except in children and in men)
RR for adult - Answer- 10-20
RR for 11-18 - Answer- 12-18
RR for 1-10 - Answer- 18-30
RR for >1 year - Answer- 30-60
signs of resp. distress - Answer- nasal flaring, loud breathing, intercostal retractions
considerations when taking o2 - Answer- diagnoses (obesity, COPD), history of
smokers (hypercapnia, cannot differentiate from co2), decreases when talking, anemia
(may appear to be healthy, not enough hg to carry o2)
POC - Answer- any reading under 75 is inaccurate, so immediate care is needed
how to find BMI metric - Answer- weight/height
how to find BMI imperial - Answer- weight/height * 703
waist to hip ratio - Answer- 0.90 for men, 0.85 for women
waist circumference - Answer- 102cm in men and 88cm in women
tympanic - Answer- 36.1-37.9
oral - Answer- 35.8-37.3
axillary - Answer- 34.8-36.3
rectal - Answer- 36.5-37.5
high pulse indications - Answer- arterial stiffness
low pulse indications - Answer- poor heart functions
chronic high bp - Answer- damaged arteries
chronic low bp - Answer- not enough nutrients reaching the cells
factors that affect bp - Answer- cardiac output, peripheral vascular resistance, volume of
circulating blood, elasticity of walls
WITH COMPLETE SOLUTIONS
Things to consider before health assessment - Answer- using trauma informed
approach, bathroom, equipment, draping/gown, minimize repositioning, developmental
stage and care partners
resonance - Answer- low pitched sound, moderate duration, normal in adults lungs
hyper resonance - Answer- low pitched, more booming, longer duration (this is an
abnormal finding in adults in lungs)
tympany - Answer- high pitched, in fluid filled organs
dullness - Answer- quiet thud, dense organs
flatness - Answer- even more quiet, muscle and bone
high pitched sounds - Answer- lungs, bowel, and some heart
low pitched sounds - Answer- some heart, abnormal vacular sounds of carotid arteries
and aorta
order of vitals - Answer- usually O2, P, PR, BP, T
P Adult Range - Answer- 60-100
P age 12-18 - Answer- 50-100
P age 7-11 - Answer- 60-130
P age 2-6 - Answer- 70-150
P one month - 2 - Answer- 90-160
P newborn to one month - Answer- 100-175
tachycardia - Answer- may occur with caffeine and nicotine use, correlated with fever,
anemia, hyopxia, hyperthyroidism
apical pulse - Answer- fifth intercostal space for adults and fourth for children, should be
supine or seated
, respirations assessment - Answer- consider: relaxed and silent, no use of accessory
muscles (except in children and in men)
RR for adult - Answer- 10-20
RR for 11-18 - Answer- 12-18
RR for 1-10 - Answer- 18-30
RR for >1 year - Answer- 30-60
signs of resp. distress - Answer- nasal flaring, loud breathing, intercostal retractions
considerations when taking o2 - Answer- diagnoses (obesity, COPD), history of
smokers (hypercapnia, cannot differentiate from co2), decreases when talking, anemia
(may appear to be healthy, not enough hg to carry o2)
POC - Answer- any reading under 75 is inaccurate, so immediate care is needed
how to find BMI metric - Answer- weight/height
how to find BMI imperial - Answer- weight/height * 703
waist to hip ratio - Answer- 0.90 for men, 0.85 for women
waist circumference - Answer- 102cm in men and 88cm in women
tympanic - Answer- 36.1-37.9
oral - Answer- 35.8-37.3
axillary - Answer- 34.8-36.3
rectal - Answer- 36.5-37.5
high pulse indications - Answer- arterial stiffness
low pulse indications - Answer- poor heart functions
chronic high bp - Answer- damaged arteries
chronic low bp - Answer- not enough nutrients reaching the cells
factors that affect bp - Answer- cardiac output, peripheral vascular resistance, volume of
circulating blood, elasticity of walls
