NUR 209 Unit 1:NUR 209 Exam 2:NUR 209 Exam 3: NURS 209 Final Exam: NURS
209 Final Exam: Study Guide
Normal blood pressure - ANSWER:120/80
Normal pulse rate - ANSWER:60-100
Normal respiratory rate - ANSWER:12-20
Normal temperature - ANSWER:98.6 F or 37 C
True or false: older adults may have a naturally lower body temperature - ANSWER:True
Indications for measuring vital signs - ANSWER:Change in health status, before or after
medications/interventions affecting vital signs, transfer to another unit, routine orders, before or after
procedures
True or false: older adults may not exhibit a fever with infections - ANSWER:True
Nursing interventions for fever - ANSWER:Decrease activity, increase fluids, assess skin, measure intake
& output, provide oral hygiene, ensure the patient and their bed is dry, monitor labs
Signs of fever - ANSWER:Loss of appetite, headache, thirst, flushed face, fatigue, muscle aches,
diaphoresis, chills, increased pulse, increased respirations
True or false: any thermometer can be used rectally - ANSWER:False - only thermometers with a red
probe may be used rectally
How long after eating, drinking, chewing gum, or smoking can an oral temperature be taken? -
ANSWER:15-30 minutes
Contraindications to rectal temperatures - ANSWER:Cardiac patients, neutropenic patients, diarrhea,
rectal surgery, low platelets
Which way must the pinna be pulled on an adult patient getting their tympanic temperature taken? -
ANSWER:Up and back
What is the priority action when a nurse cannot find a pulse on a conscious patient? - ANSWER:Use a
doppler ultrasound to locate the pulse
What is the location of the apical pulse? - ANSWER:Fifth intercostal space, midclavicular line
What are the five cardiac auscultation points, in the order they should be auscultated? - ANSWER:Aortic,
pulmonic, Erb's point, tricuspid, mitral (apical)
List all seven peripheral pulses to assess in the head-to-toe assessment - ANSWER:Carotid, brachial,
radial, femoral, popliteal, posterior tibialis, dorsalis pedis
What is a pulse deficit? - ANSWER:Difference between the apical and radial pulse
What is the medical term for a pulse of 60 or less? - ANSWER:Bradycardia
209 Final Exam: Study Guide
Normal blood pressure - ANSWER:120/80
Normal pulse rate - ANSWER:60-100
Normal respiratory rate - ANSWER:12-20
Normal temperature - ANSWER:98.6 F or 37 C
True or false: older adults may have a naturally lower body temperature - ANSWER:True
Indications for measuring vital signs - ANSWER:Change in health status, before or after
medications/interventions affecting vital signs, transfer to another unit, routine orders, before or after
procedures
True or false: older adults may not exhibit a fever with infections - ANSWER:True
Nursing interventions for fever - ANSWER:Decrease activity, increase fluids, assess skin, measure intake
& output, provide oral hygiene, ensure the patient and their bed is dry, monitor labs
Signs of fever - ANSWER:Loss of appetite, headache, thirst, flushed face, fatigue, muscle aches,
diaphoresis, chills, increased pulse, increased respirations
True or false: any thermometer can be used rectally - ANSWER:False - only thermometers with a red
probe may be used rectally
How long after eating, drinking, chewing gum, or smoking can an oral temperature be taken? -
ANSWER:15-30 minutes
Contraindications to rectal temperatures - ANSWER:Cardiac patients, neutropenic patients, diarrhea,
rectal surgery, low platelets
Which way must the pinna be pulled on an adult patient getting their tympanic temperature taken? -
ANSWER:Up and back
What is the priority action when a nurse cannot find a pulse on a conscious patient? - ANSWER:Use a
doppler ultrasound to locate the pulse
What is the location of the apical pulse? - ANSWER:Fifth intercostal space, midclavicular line
What are the five cardiac auscultation points, in the order they should be auscultated? - ANSWER:Aortic,
pulmonic, Erb's point, tricuspid, mitral (apical)
List all seven peripheral pulses to assess in the head-to-toe assessment - ANSWER:Carotid, brachial,
radial, femoral, popliteal, posterior tibialis, dorsalis pedis
What is a pulse deficit? - ANSWER:Difference between the apical and radial pulse
What is the medical term for a pulse of 60 or less? - ANSWER:Bradycardia
