NURS 209 Final Exam Questions And Answers | Complete Study Solutions | Updates 100% Correct
Tests
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
, NURS 209 Final Exam Questions And Answers | Complete Study Solutions | Updates 100% Correct
Tests
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
What is the medical term for an absence of lung sounds? - (ANSWER)Apnea
What is the medical term for breathing easier in an upright position? - (ANSWER)Orthopnea
Does a decreased cardiac output increase or decrease blood pressure? - (ANSWER)Decrease
Signs of hypotension - (ANSWER)Pallor, dizziness, headache, shortness of breath, shallow breathing,
irregular heartbeat, sweating, diarrhea, vomiting
Nursing interventions for orthostatic hypotension - (ANSWER)
Tests
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
, NURS 209 Final Exam Questions And Answers | Complete Study Solutions | Updates 100% Correct
Tests
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
What is the medical term for an absence of lung sounds? - (ANSWER)Apnea
What is the medical term for breathing easier in an upright position? - (ANSWER)Orthopnea
Does a decreased cardiac output increase or decrease blood pressure? - (ANSWER)Decrease
Signs of hypotension - (ANSWER)Pallor, dizziness, headache, shortness of breath, shallow breathing,
irregular heartbeat, sweating, diarrhea, vomiting
Nursing interventions for orthostatic hypotension - (ANSWER)
