LEWIS MEDICAL SURGICAL NURSING
FINAL PAPER 2026 QUESTIONS ANSWERS
GRADED A+
⩥Temperature Normal Range.
Answer: 97.0-99.5 °F (36.1-37.5 °C). Always measure the same route
for accuracy (oral, axillary, rectal). Fever indicates infection or
inflammation.
⩥Pulse Normal Range.
Answer: 60-100 bpm. Count for 1 full minute if irregular. Note rate,
rhythm, and strength.
⩥Respirations Normal Range.
Answer: 12-20/min. Count for 1 minute. Watch for shallow or labored
breathing.
⩥Blood Pressure Normal Range.
Answer: <120/80 mm Hg. Take on both arms first time; avoid IV arm,
mastectomy arm, or dialysis fistula arm.
⩥Oxygen Saturation Normal Range.
, Answer: 95-100%. Use pulse oximeter. <92% requires immediate
follow-up.
⩥Pain Assessment.
Answer: 0-10 scale. Pain is the '5th vital sign.' Ask location, intensity,
duration, and what helps.
⩥LPN Tip for Vital Signs.
Answer: Always recheck abnormal vitals before reporting to RN or
provider.
⩥Evaluating Effective Client Education.
Answer: LPNs reinforce and evaluate learning after RN teaching.
Effective education is indicated if the patient repeats information
correctly, can demonstrate a skill, shows behavioral changes, or asks
appropriate questions.
⩥Culturally Competent Client Education.
Answer: Cultural competence means respecting the client's beliefs,
language, and customs, including using professional interpreters and
adapting education to reading level and culture.
⩥Learning Domains.
FINAL PAPER 2026 QUESTIONS ANSWERS
GRADED A+
⩥Temperature Normal Range.
Answer: 97.0-99.5 °F (36.1-37.5 °C). Always measure the same route
for accuracy (oral, axillary, rectal). Fever indicates infection or
inflammation.
⩥Pulse Normal Range.
Answer: 60-100 bpm. Count for 1 full minute if irregular. Note rate,
rhythm, and strength.
⩥Respirations Normal Range.
Answer: 12-20/min. Count for 1 minute. Watch for shallow or labored
breathing.
⩥Blood Pressure Normal Range.
Answer: <120/80 mm Hg. Take on both arms first time; avoid IV arm,
mastectomy arm, or dialysis fistula arm.
⩥Oxygen Saturation Normal Range.
, Answer: 95-100%. Use pulse oximeter. <92% requires immediate
follow-up.
⩥Pain Assessment.
Answer: 0-10 scale. Pain is the '5th vital sign.' Ask location, intensity,
duration, and what helps.
⩥LPN Tip for Vital Signs.
Answer: Always recheck abnormal vitals before reporting to RN or
provider.
⩥Evaluating Effective Client Education.
Answer: LPNs reinforce and evaluate learning after RN teaching.
Effective education is indicated if the patient repeats information
correctly, can demonstrate a skill, shows behavioral changes, or asks
appropriate questions.
⩥Culturally Competent Client Education.
Answer: Cultural competence means respecting the client's beliefs,
language, and customs, including using professional interpreters and
adapting education to reading level and culture.
⩥Learning Domains.
