Answers
Explain the process and how to document 02 saturation? Correct Answ_-Put monitor on a
finger, finger must be clear of nail polish or gel nails, if the finger has gel nails, you can use a toe
or ear
-within range
What types of sounds do you hear with the bell vs diaphragm of the stethoscope? Correct
Answ_-Bell: soft, low pitched sounds
-Diaphragm: high pitched sounds
What test would check for a patients iron level? Correct Answ_hemoglobin, anemia, pale
Why is it important to recognize a clients culture? Correct Answ_to be culturally competent,
not bias
what are the korotkoff sounds? what do they mean? Correct Answ_1-tapping: soft clear
tapping, increasing with intensity (systolic)
,Auscultatory gap: no sounds for 30-40mmHg
2-swooshing: softer murmur that follows tapping, artery still partially occluded
3- knocking- crisp, high pitched sounds, duration of blood flow through artery is longer
4- Abrupt muffling: muting the sound to a low pitched, cushioned murmur, blowing, artery no
longer closes in any part of cardiac cycle
5- silence, velocity of blood flow decreases
How do you validate pain? Correct Answ_Vitals, what you see, Gert objective and subjective
data and compare findings
When do you NOT use an electric monitor Correct Answ_Arrythmias, inaccurate, BP low
List the 12 cranial nerves Correct Answ_1. Olfactory
2. Optic
3. Oculomotor
4. Trochlear
5. Trigeminal
6. Abducens
, 7. Facial
8. Vestibulocochlear
9. Glossopharyngeal
10. Vagus
11. Accessory
12. Hypoglossal
cranial nerve 1 Correct Answ_olfactory
-patency of nostrils
-identify smell with eyes closed
cranial nerve 2 Correct Answ_optic
-snellen chart
-pupil reflex (PEERLA)
-accommodation and convergence
cranial nerve 3,4,6 Correct Answ_oculomotor, trochlear, abducens
-eye movement in star pattern