ECPI NUR164 NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Oral temperature - Answer - ✔ 37.0°C, 98.6°F
Fever - Answer - ✔ >38 C or >100.5 F
Ear positioning for temperature - Answer - ✔ Adults up & back
Child under 2 down & back
Convection - Answer - ✔ the dissemination of heat by motion between areas of unequal
density.
Sites for Detecting Pulse by Light Palpation's - Answer - ✔ Temporal
Carotid
Brachial
Radial
Femoral
Popliteal
Posterior tibial
Dorsal pedis
Dyspnea - Answer - ✔ difficult or labored breathing
Orthopnea - Answer - ✔ ability to breathe easily only in an upright position
Natural recommendation to lower BP - Answer - ✔ Low sodium diet
Capillary refill - Answer - ✔ after blanching nail bed, color should return to normal with in
<3 secs, >3 abnormal refill.
Acne - Answer - ✔ use oil free water based moisturizer & makeup
Purposes of Bathing - Answer - ✔ Cleanses the skin
Acts as a skin conditioner
Helps to relax a person
Promotes circulation
, Serves as musculoskeletal exercise
Stimulates the rate and depth of respirations
Promotes comfort through muscle relaxation and skin stimulation
Provides person with sensory input
Helps improve self-image
Strengthens nurse-patient relationship
Cheilosis - Answer - ✔ an ulceration and dry scaling of the lips with fissures at the
angles of the mouth, is most often caused by vitamin B complex deficiencies (especially
riboflavin).
For impacted cerumen - Answer - ✔ instill 1-2 drops of mineral oil
How do you make sure the hearing aid is working properly? - Answer - ✔ Turn on and
talk in a normal tone.
Do not perform on patients with contraindications! - Answer - ✔ neck injury, open head
injury
Shaving - Answer - ✔ Shave in the direction of growth in short, downward strokes
No blades on diabetic patients, rashes or patients on blood thinners
diabetic foot care - Answer - ✔ -Only cut straight across
-Do not file calluses
-Report any breaks in skin
Douching - Answer - ✔ disturbs the normal flora and pH balance
•It is not recommended
Uncircumcised males - Answer - ✔ Replace the foreskin to its natural position after
cleaning
Infection Cycle - Answer - ✔ Infectious agent, reservoir, portal of exit, means of
transmission, portal of entry and susceptible host.
Prodromal stage - Answer - ✔ person is most infectious, vague and nonspecific signs of
disease
Cardinal Signs - Answer - ✔ redness, swelling, heat, pain
Your best defenses - Answer - ✔ •Intact skin
•Intact mucous membranes
Abduction - Answer - ✔ Movement away from the midline of the body
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Oral temperature - Answer - ✔ 37.0°C, 98.6°F
Fever - Answer - ✔ >38 C or >100.5 F
Ear positioning for temperature - Answer - ✔ Adults up & back
Child under 2 down & back
Convection - Answer - ✔ the dissemination of heat by motion between areas of unequal
density.
Sites for Detecting Pulse by Light Palpation's - Answer - ✔ Temporal
Carotid
Brachial
Radial
Femoral
Popliteal
Posterior tibial
Dorsal pedis
Dyspnea - Answer - ✔ difficult or labored breathing
Orthopnea - Answer - ✔ ability to breathe easily only in an upright position
Natural recommendation to lower BP - Answer - ✔ Low sodium diet
Capillary refill - Answer - ✔ after blanching nail bed, color should return to normal with in
<3 secs, >3 abnormal refill.
Acne - Answer - ✔ use oil free water based moisturizer & makeup
Purposes of Bathing - Answer - ✔ Cleanses the skin
Acts as a skin conditioner
Helps to relax a person
Promotes circulation
, Serves as musculoskeletal exercise
Stimulates the rate and depth of respirations
Promotes comfort through muscle relaxation and skin stimulation
Provides person with sensory input
Helps improve self-image
Strengthens nurse-patient relationship
Cheilosis - Answer - ✔ an ulceration and dry scaling of the lips with fissures at the
angles of the mouth, is most often caused by vitamin B complex deficiencies (especially
riboflavin).
For impacted cerumen - Answer - ✔ instill 1-2 drops of mineral oil
How do you make sure the hearing aid is working properly? - Answer - ✔ Turn on and
talk in a normal tone.
Do not perform on patients with contraindications! - Answer - ✔ neck injury, open head
injury
Shaving - Answer - ✔ Shave in the direction of growth in short, downward strokes
No blades on diabetic patients, rashes or patients on blood thinners
diabetic foot care - Answer - ✔ -Only cut straight across
-Do not file calluses
-Report any breaks in skin
Douching - Answer - ✔ disturbs the normal flora and pH balance
•It is not recommended
Uncircumcised males - Answer - ✔ Replace the foreskin to its natural position after
cleaning
Infection Cycle - Answer - ✔ Infectious agent, reservoir, portal of exit, means of
transmission, portal of entry and susceptible host.
Prodromal stage - Answer - ✔ person is most infectious, vague and nonspecific signs of
disease
Cardinal Signs - Answer - ✔ redness, swelling, heat, pain
Your best defenses - Answer - ✔ •Intact skin
•Intact mucous membranes
Abduction - Answer - ✔ Movement away from the midline of the body
