NUR3066 Exam #1 | UPDATED Questions with 100%
Verified Answers
Q1: General Survey
A: Includes physical appearance, body structure, mobility, and behavior, starting at first
encounter.
Q2: Vital Signs
A: Assess temp (routes), pulse (rate/amplitude/sites), RR (count 30s x2), pulse ox, and BP
(two-step method).
Q3: Measuring Vital Signs Accurately
A: Use correct cuff size, support arm at heart level, count with second hand, quiet
environment.
Q4: Normal Adult Vital Sign Ranges
A: Temp: 96.8-99.1°F; Pulse: 60-100 bpm; RR: 12-20; BP: <120/<80 mmHg; SpO■: >95%.
Q5: Interventions for Vital Sign Variations
A: Correct technical errors (cuff size, arm position); take immediate action if SpO■ <90%.
Q6: Factors Influencing Pain
A: Physiologic responses (↑BP, ↑HR), acute vs chronic types, developmental level, and
cultural background.
Q7: Pain Assessment Tools
A: Includes OLD CARTS (or PQRST), numeric rating scales (0-10), visual scales, and FLACC
for non-verbal.
Q8: Documenting Pain Assessment
A: Systematically record using OLD CARTS according to patient's cultural and
developmental level.
Q9: Head-to-Toe Assessment
A: Systematic flow within 15 minutes, placing stethoscope on bare skin at least once.
Q10: Assessing HEENT, Neuro, & Cardiac
A: Cardiac auscultation at APT-M sites; Neuro/HEENT includes LOC, orientation, facial
symmetry, PERRLA.
Verified Answers
Q1: General Survey
A: Includes physical appearance, body structure, mobility, and behavior, starting at first
encounter.
Q2: Vital Signs
A: Assess temp (routes), pulse (rate/amplitude/sites), RR (count 30s x2), pulse ox, and BP
(two-step method).
Q3: Measuring Vital Signs Accurately
A: Use correct cuff size, support arm at heart level, count with second hand, quiet
environment.
Q4: Normal Adult Vital Sign Ranges
A: Temp: 96.8-99.1°F; Pulse: 60-100 bpm; RR: 12-20; BP: <120/<80 mmHg; SpO■: >95%.
Q5: Interventions for Vital Sign Variations
A: Correct technical errors (cuff size, arm position); take immediate action if SpO■ <90%.
Q6: Factors Influencing Pain
A: Physiologic responses (↑BP, ↑HR), acute vs chronic types, developmental level, and
cultural background.
Q7: Pain Assessment Tools
A: Includes OLD CARTS (or PQRST), numeric rating scales (0-10), visual scales, and FLACC
for non-verbal.
Q8: Documenting Pain Assessment
A: Systematically record using OLD CARTS according to patient's cultural and
developmental level.
Q9: Head-to-Toe Assessment
A: Systematic flow within 15 minutes, placing stethoscope on bare skin at least once.
Q10: Assessing HEENT, Neuro, & Cardiac
A: Cardiac auscultation at APT-M sites; Neuro/HEENT includes LOC, orientation, facial
symmetry, PERRLA.
