NUR 209 FINAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |GET IT 100% ACCURATE!! 2025 / 2026 TEST!!

NUR 209 FINAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |GET IT 100% ACCURATE!! 2025 / 2026 TEST!! Normal blood pressure Correct Answer 120/80 Normal pulse rate Correct Answer 60-100 Normal respiratory rate Correct Answer 12-20 Normal temperature Correct Answer 98.6 F or 37 C True or false: older adults may have a naturally lower body temperature Correct Answer True Indications for measuring vital signs Correct 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 Correct Answer True Nursing interventions for fever Correct 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 Correct 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 Correct 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? Correct Answer 15-30 minutes Contraindications to rectal temperatures Correct 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? Correct Answer Up and back What is the priority action when a nurse cannot find a pulse on a conscious patient? Correct Answer Use a doppler ultrasound to locate the pulse What is the location of the apical pulse? Correct Answer Fifth intercostal space, midclavicular line What are the five cardiac auscultation points, in the order they should be auscultated? Correct Answer Aortic, pulmonic, Erb's point, tricuspid, mitral (apical) List all seven peripheral pulses to assess in the head-to-toe assessment Correct Answer Carotid, brachial, radial, femoral, popliteal, posterior tibialis, dorsalis pedis What is a pulse deficit? Correct Answer Difference between the apical and radial pulse What is the medical term for a pulse of 60 or less? Correct Answer Bradycardia What is the medical term for an absence of lung sounds? Correct Answer Apnea What is the medical term for breathing easier in an upright position? Correct Answer Orthopnea Does a decreased cardiac output increase or decrease blood pressure? Correct Answer Decrease Signs of hypotension Correct Answer Pallor, dizziness, headache, shortness of breath, shallow breathing, irregular heartbeat, sweating, diarrhea, vomiting Nursing interventions for orthostatic hypotension Correct Answer Nursing interventions for orthostatic hypotension Correct Answer Implement fall risk interventions (fall mats, fall bracelet, bed alarm, assistance when out of bed); move patient slowly True or false: you can take a blood pressure on an arm receiving an IV infusion Correct Answer False True or false: using the patient's exact wording when charting is not encouraged Correct Answer False What are the ABCDE's of melanomas? Correct Answer A - asymmetry B - border uneven C - color changes D - diameter larger than 1/4 inch E - evolving mole