UTMB Health Assessment - Exam 1 (Chapters 8 (1-29), 9
(30-51), 10 (52-79), 13 (80-130), & 14 (131-151) Questions
With Complete Solutions
What possible findings could be obtained from using the wrong
blood pressure cuff size?
Yields a falsely high BP because it takes extra pressure to
compress the artery
Explain the significance of phase I Korotkoff sounds during
blood pressure measurement.
Systolic pressure, as cuff lowers to reach intraluminal systolic
pressure, artery opens and blood first spurts into brachial artery.
Blood is at very high velocity because of small opening of artery
and large pressure difference across opening. Creating turbulent
flow which is audible
Explain the significance of phase IV Korotkoff sounds during
blood pressure measurement.
Artery is no longer closed in any part of cardiac cycle. Change
in quality, not intensity
Explain the significance of phase V Korotkoff sounds during
blood pressure measurement.
Decreased velocity of blood flow. Streamlined blood flow is
silent. Disappearance of sound is diastolic pressure. Used to
define diastolic pressure in all age groups
,Given an apparently healthy 20-year-old adult, state the
expected range for oral temperature.
35.8C to 37.3C (96.4F to 99.1F)
Given an apparently healthy 20-year-old adult, state the
expected range for pulse.
50 to 90 BPM
Given an apparently healthy 20-year-old adult, state the
expected range for respirations.
10 to 20 RPM
Given an apparently healthy 20-year-old adult, state the
expected range for blood pressure.
Less than 120 over less than 80
During an initial home visit, the patient's temperature is noted to
be 97.4F. How would you interpret this?
It cannot be evaluated without knowledge of the person's age
Select the best description of an accurate assessment of a
patient's pulse:
Begin counting with zero and count for 30 seconds
After assessing the patient's pulse, the practitioner determines it
to be "normal". This would be recorded as:
2+
Select the best description of an accurate assessment of a
patient's respirations:
, Count for 30 seconds after pulse assessment
Pulse pressure is described as:
The difference between systolic and diastolic pressure
The examiner suspect a patient has coarctation of the aorta
which assessment finding supports this suspicion?
The thigh pressure is lower than the arm
The mean arterial pressure is:
Diastolic pressure plus one third of the pulse pressure
Why is it important to match the appropriate size of blood
pressure cuff to the person's arm and shape and not to the
person's age?
Using a cuff that is too narrow will give a false reading that is
high
A patient is being seen in the clinic for complaints of "fainting
episodes that started last week". How should you proceed with
the examination?
Record the blood pressure in the lying, sitting, and standing
positions
The nurse is conducting a health fair for older adults which
statement is true regarding vital sign measurements in aging
adults?
An increased respiratory rate and a shallower inspiratory phase
are possible findings
What are the three layers associated with the skin?
(30-51), 10 (52-79), 13 (80-130), & 14 (131-151) Questions
With Complete Solutions
What possible findings could be obtained from using the wrong
blood pressure cuff size?
Yields a falsely high BP because it takes extra pressure to
compress the artery
Explain the significance of phase I Korotkoff sounds during
blood pressure measurement.
Systolic pressure, as cuff lowers to reach intraluminal systolic
pressure, artery opens and blood first spurts into brachial artery.
Blood is at very high velocity because of small opening of artery
and large pressure difference across opening. Creating turbulent
flow which is audible
Explain the significance of phase IV Korotkoff sounds during
blood pressure measurement.
Artery is no longer closed in any part of cardiac cycle. Change
in quality, not intensity
Explain the significance of phase V Korotkoff sounds during
blood pressure measurement.
Decreased velocity of blood flow. Streamlined blood flow is
silent. Disappearance of sound is diastolic pressure. Used to
define diastolic pressure in all age groups
,Given an apparently healthy 20-year-old adult, state the
expected range for oral temperature.
35.8C to 37.3C (96.4F to 99.1F)
Given an apparently healthy 20-year-old adult, state the
expected range for pulse.
50 to 90 BPM
Given an apparently healthy 20-year-old adult, state the
expected range for respirations.
10 to 20 RPM
Given an apparently healthy 20-year-old adult, state the
expected range for blood pressure.
Less than 120 over less than 80
During an initial home visit, the patient's temperature is noted to
be 97.4F. How would you interpret this?
It cannot be evaluated without knowledge of the person's age
Select the best description of an accurate assessment of a
patient's pulse:
Begin counting with zero and count for 30 seconds
After assessing the patient's pulse, the practitioner determines it
to be "normal". This would be recorded as:
2+
Select the best description of an accurate assessment of a
patient's respirations:
, Count for 30 seconds after pulse assessment
Pulse pressure is described as:
The difference between systolic and diastolic pressure
The examiner suspect a patient has coarctation of the aorta
which assessment finding supports this suspicion?
The thigh pressure is lower than the arm
The mean arterial pressure is:
Diastolic pressure plus one third of the pulse pressure
Why is it important to match the appropriate size of blood
pressure cuff to the person's arm and shape and not to the
person's age?
Using a cuff that is too narrow will give a false reading that is
high
A patient is being seen in the clinic for complaints of "fainting
episodes that started last week". How should you proceed with
the examination?
Record the blood pressure in the lying, sitting, and standing
positions
The nurse is conducting a health fair for older adults which
statement is true regarding vital sign measurements in aging
adults?
An increased respiratory rate and a shallower inspiratory phase
are possible findings
What are the three layers associated with the skin?
