Nur/Nur 210 Exam with Detailed Questions And Correct
Answers A+(2024-2025)
Name the vital signs - ANSWER--temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? - ANSWER-Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? - ANSWER-trends for that individual
What is the role as a nurse when assessing vital signs? - ANSWER--decide frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? - ANSWER-retake, record, report
What does the body temperature reflect? - ANSWER-a balance/imbalance between
heat produced and heat lost
What is body temperature regulated by? - ANSWER-hypothalamus
Describe the core - ANSWER-body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c - ANSWER-98.6 f
37 c
What is the range for body temperature in adults? - ANSWER-96.8-100.4 (36-38c)
If temperature is above the range what is this called? - ANSWER-Febrile
What is the trend for elderly patients body temperature? - ANSWER-usually below
normal range
Name all influencing factors for body temp? - ANSWER-age
exercise
hormones
,circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? - ANSWER-temp may go up
Describe the trends of the circadian rhythms and body temperature? - ANSWER-in the
morning this rhythm may be lower and higher in the evening. It depends on the activity
of the patients on a normal basis.
As far as body temperature goes how might you help a patent with dementia? -
ANSWER-You should help them stay warm or cooler to keep their body temperature
stable
In a female how might hormones affect body temperature? - ANSWER-During ovulation
progesterone is released so they will be warmer than usual.
How will stress influence body temperature? - ANSWER-stress will influence hormones
and they will influence body temp.
What is another name for fever? - ANSWER-Pyrexia
Describe a set point - ANSWER-set point is used to describe a baseline for a individuals
body temperature
-everyone has a different set point
Word for no fever - ANSWER-afebrile
Signs/ symptoms of fever - ANSWER-chills
malaise- feeling unwell
increase in body metabolism
Hypothermia - ANSWER-abnormally low body temperature
Hyperthermia - ANSWER-Abnormally high body temperature
An increase in body metabolism may cause the needs: - ANSWER--increase in
nutritional needs
-increase in oxygen needs
-possible dehydration
What nursing measures should be taken for a patient with a fever? - ANSWER--
minimize heat production
-maximize heat loss
,-Promote pt. comfort
-satisfy requirement for increased metabolic rate
-monitor pulse and respirations
How can you minimize heat production for a pt. with fever? - ANSWER-allow pt. to rest
How can you maximize heat loss for a pt. laying in bed with a fever? - ANSWER-
decrease covers on body
How can you promote pt. comfort with a fever? - ANSWER-keep clothing, linen dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? - ANSWER-
replace fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever?
- ANSWER-keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? -
ANSWER-oral-mouth 3 min at least
tympanic- ear
rectal
axillary
skin
temporal
What site for body temperature has the best core? - ANSWER-rectal
When would oral temp be inappropriate? - ANSWER-on a baby
someone with oral surgery
what things should you do/get before taking a temp? - ANSWER-hand hygiene
2 identifiers
appropriate thermometer
What does the pulse reflect? - ANSWER-reflects functioning cardiovascular system
The pulse is a indirect measure of what? - ANSWER-cardiac output
Normal range for pulse in adult? - ANSWER-60-100 beats/min
What is bradycardia? - ANSWER-slow pulse
below 60
, what is tachycardia - ANSWER-fast pulse (heart rate)
above 100
What is dysrhythmia
what is arrhythmia - ANSWER--regular
irregular
if a person has a beta blocker what would that do to their pulse (heart rate) - ANSWER--
make the heart rate low
/What do you assess for when checking pulse. - ANSWER--rate
-rhythm
-strength
-equality
-elasticity
-apical hr vs. peripheral hr
How is the strength of a pulse described - ANSWER--how strong it is
- +1 to +4
How is the rhythm of pulse described? - ANSWER-regular/ irregular
-can be regularly irregular
how may the elasticity change with age
what is elasticity referring to - ANSWER--as you age you lose in the vessels elasticity
and may be hard to feel for
-how bouncy the pulse is
What are the influencing factors for a pulse and describe their trends - ANSWER--
exercise- increase
-fever, heat- increase
-anxiety, emotions- increase
-medications- up or down
-pain- usually up
-hemorrhage- up initially but if you bleed out enough it will decrease
-postural changes- laying down- decrease. moving around= increase
-pulmonary conditions that cause decrease oxygenation
Name all of the sites to take pulse - ANSWER--radial- thumb side
-carotid
-brachial
-temporal
-femoral
-popliteal
-apical- point of maximum pulse: 5th intercostal space, mid clavicular line, right under
breast of a women
Answers A+(2024-2025)
Name the vital signs - ANSWER--temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? - ANSWER-Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? - ANSWER-trends for that individual
What is the role as a nurse when assessing vital signs? - ANSWER--decide frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? - ANSWER-retake, record, report
What does the body temperature reflect? - ANSWER-a balance/imbalance between
heat produced and heat lost
What is body temperature regulated by? - ANSWER-hypothalamus
Describe the core - ANSWER-body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c - ANSWER-98.6 f
37 c
What is the range for body temperature in adults? - ANSWER-96.8-100.4 (36-38c)
If temperature is above the range what is this called? - ANSWER-Febrile
What is the trend for elderly patients body temperature? - ANSWER-usually below
normal range
Name all influencing factors for body temp? - ANSWER-age
exercise
hormones
,circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? - ANSWER-temp may go up
Describe the trends of the circadian rhythms and body temperature? - ANSWER-in the
morning this rhythm may be lower and higher in the evening. It depends on the activity
of the patients on a normal basis.
As far as body temperature goes how might you help a patent with dementia? -
ANSWER-You should help them stay warm or cooler to keep their body temperature
stable
In a female how might hormones affect body temperature? - ANSWER-During ovulation
progesterone is released so they will be warmer than usual.
How will stress influence body temperature? - ANSWER-stress will influence hormones
and they will influence body temp.
What is another name for fever? - ANSWER-Pyrexia
Describe a set point - ANSWER-set point is used to describe a baseline for a individuals
body temperature
-everyone has a different set point
Word for no fever - ANSWER-afebrile
Signs/ symptoms of fever - ANSWER-chills
malaise- feeling unwell
increase in body metabolism
Hypothermia - ANSWER-abnormally low body temperature
Hyperthermia - ANSWER-Abnormally high body temperature
An increase in body metabolism may cause the needs: - ANSWER--increase in
nutritional needs
-increase in oxygen needs
-possible dehydration
What nursing measures should be taken for a patient with a fever? - ANSWER--
minimize heat production
-maximize heat loss
,-Promote pt. comfort
-satisfy requirement for increased metabolic rate
-monitor pulse and respirations
How can you minimize heat production for a pt. with fever? - ANSWER-allow pt. to rest
How can you maximize heat loss for a pt. laying in bed with a fever? - ANSWER-
decrease covers on body
How can you promote pt. comfort with a fever? - ANSWER-keep clothing, linen dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? - ANSWER-
replace fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever?
- ANSWER-keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? -
ANSWER-oral-mouth 3 min at least
tympanic- ear
rectal
axillary
skin
temporal
What site for body temperature has the best core? - ANSWER-rectal
When would oral temp be inappropriate? - ANSWER-on a baby
someone with oral surgery
what things should you do/get before taking a temp? - ANSWER-hand hygiene
2 identifiers
appropriate thermometer
What does the pulse reflect? - ANSWER-reflects functioning cardiovascular system
The pulse is a indirect measure of what? - ANSWER-cardiac output
Normal range for pulse in adult? - ANSWER-60-100 beats/min
What is bradycardia? - ANSWER-slow pulse
below 60
, what is tachycardia - ANSWER-fast pulse (heart rate)
above 100
What is dysrhythmia
what is arrhythmia - ANSWER--regular
irregular
if a person has a beta blocker what would that do to their pulse (heart rate) - ANSWER--
make the heart rate low
/What do you assess for when checking pulse. - ANSWER--rate
-rhythm
-strength
-equality
-elasticity
-apical hr vs. peripheral hr
How is the strength of a pulse described - ANSWER--how strong it is
- +1 to +4
How is the rhythm of pulse described? - ANSWER-regular/ irregular
-can be regularly irregular
how may the elasticity change with age
what is elasticity referring to - ANSWER--as you age you lose in the vessels elasticity
and may be hard to feel for
-how bouncy the pulse is
What are the influencing factors for a pulse and describe their trends - ANSWER--
exercise- increase
-fever, heat- increase
-anxiety, emotions- increase
-medications- up or down
-pain- usually up
-hemorrhage- up initially but if you bleed out enough it will decrease
-postural changes- laying down- decrease. moving around= increase
-pulmonary conditions that cause decrease oxygenation
Name all of the sites to take pulse - ANSWER--radial- thumb side
-carotid
-brachial
-temporal
-femoral
-popliteal
-apical- point of maximum pulse: 5th intercostal space, mid clavicular line, right under
breast of a women
