TAYLOR'S CLINICAL NURSING SKILLS
EXAM QUESTIONS AND ANSWERS
Adult Vitals - Answer-Temp: 96.4-99.5
Pulse: 60-100
Resp: 12-20
BP: 120/80
Cheyne-Stokes respiration - Answer-deep, rapid breathing followed by a period of
apnea; regular
(drug OD, heart failure, increased intracranial pressure, renal failure)
Biot's respirations - Answer-varying depth and rate of breathing, followed by periods
of apnea; irregular
(meningitis, severe brain damage)
Prehypertension - Answer-120-139/80-89
Stage 1 High Blood Pressure - Answer-140-159/90-99
Stage 2 High Blood Pressure - Answer->160/>100
Bruits - Answer-abnormal "swishing" sounds, turbulent blood flow
Ascites - Answer-accumulation of serous fluid in peritoneal cavity
Eccymosis - Answer-bruise
Katz Index - Answer-bathing, dressing, toileting, transferring, continence, feeding
Wheeze - Answer-high-pitched, musical, squeaking adventitious lung sound
Rhonchi - Answer-low-pitched, musical, snoring, adventitious lung sounds caused by
airflow obstruction from secretions
Crackles - Answer-fine, crackling sounds made as air moves through wet secretions
in the lungs
Stridor - Answer-strained, high-pitched sound heard on *inspiration*
Friction Rub - Answer-a coarse, grating, adventitious lung sound heard when the
pleurae are inflamedobstruction from secretions
Crackles - Answer-fine, crackling sounds made as air moves through wet
secretions in the lungs
EXAM QUESTIONS AND ANSWERS
Adult Vitals - Answer-Temp: 96.4-99.5
Pulse: 60-100
Resp: 12-20
BP: 120/80
Cheyne-Stokes respiration - Answer-deep, rapid breathing followed by a period of
apnea; regular
(drug OD, heart failure, increased intracranial pressure, renal failure)
Biot's respirations - Answer-varying depth and rate of breathing, followed by periods
of apnea; irregular
(meningitis, severe brain damage)
Prehypertension - Answer-120-139/80-89
Stage 1 High Blood Pressure - Answer-140-159/90-99
Stage 2 High Blood Pressure - Answer->160/>100
Bruits - Answer-abnormal "swishing" sounds, turbulent blood flow
Ascites - Answer-accumulation of serous fluid in peritoneal cavity
Eccymosis - Answer-bruise
Katz Index - Answer-bathing, dressing, toileting, transferring, continence, feeding
Wheeze - Answer-high-pitched, musical, squeaking adventitious lung sound
Rhonchi - Answer-low-pitched, musical, snoring, adventitious lung sounds caused by
airflow obstruction from secretions
Crackles - Answer-fine, crackling sounds made as air moves through wet secretions
in the lungs
Stridor - Answer-strained, high-pitched sound heard on *inspiration*
Friction Rub - Answer-a coarse, grating, adventitious lung sound heard when the
pleurae are inflamedobstruction from secretions
Crackles - Answer-fine, crackling sounds made as air moves through wet
secretions in the lungs
