vital signs
health assessment
hand hygiene
assessment techniques
exam example questions
100

What is the expected range for heart rate? 

60-100 bpm

100

what is objective data vs subjective data 

objective- what the nurse sees (via physical assessment, general survey, lab results) 

subjective- what the patient tells you (pain, history, chief complaint) 

100

how long should you wash your hands for

approx. 15 secs

100

what are the four techniques (in correct order) 

inspection

palpation 

percussion 

auscultation

100

Which finding is considered to be subjective?

A) temperature of 101.2 F
B) pulse rate of 96 beats/min
C) measured weight loss of 20 pounds since the previous measurement
D) Pain lasting 2 hours

D) Pain lasting 2 hours

200

What is the expected blood pressure 

120/80 mm Hg

200

what is autonomy 

the right of the patient to make their own decisions of their body 

200

when should you wash your hands 

entering/exiting a patient's room, when soiled

200

In what system does the order of techniques change? Why? What is then the order?

Gastrointestinal. Order: Inspection, auscultation, palpation, percussion. Changes order because palpating before ausculating can change bowel sounds 

200

You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?

A) Planning
B) Assessment
C) Implementation
D) Diagnosis

A) Planning

300

What is the expected range for temperature

96.8-100.4 

300

what does each letter in "OLDCARTS" stand for 

O- onset 

L- location 

D- duration 

C- characteristics 

A- alleviating/ aggrevating factors 

R- related symptoms 

T- treatments 

S- severity (scale 0-10) 

300

when should you use gloves 

when there is blood or other infectious disease present 

300

what is the purpose of percussion? 

Locate organ borders, identify organ shape and position & determine if an organ is solid or filled with fluid or gas

300

A patient says she is very nervous and nauseated, and she feels like she will vomit. This data would be what type of data?

A) Objective
B) Reflective
C) Subjective
D) Introspective

C) Subjective 

400
what is the expected range for pulse ox

95%-100% (room air or O2)

400

what are the pulse points, show where

radial 

temporal

carotid 

apical

brachial 

femoral 

popliteal 

posterior tibial 

dorsalis pedis 

400

demonstrate how to properly put on/ take off gloves 

put gloves on 

take off first glove grabbing the band, pulling it down and put it in other hand

go underneath second glove and pull off

400

why do we inspect first? 

to get a general idea of what is going on (skin, emotion, any source of blood etc.) 

400

A nurse assesses an oral temperature for an adult patient. The patient's temperature is 37.5°C (99.5°F). What term would the nurse use to report this temperature?

a. Febrile

b. Hypothermia

c. Hypertension

d. Afebrile

D. Afebrile 

500

What is the expected range for respirations 

12-20 breaths/min

500

what is the order of the nursing process 

1. assessment 

2. analysis 

3. planning 

4. implementation 

5. evaluation 

500

demonstrate how to properly wash your hands 

despense paper towel

turn on water

get soap

wash for 15 secs

rinse with fingers down 

grab paper towel and dry well 

turn off water with paper towel

500

demonstrate how to palpate 

.

500

Which vital sign measures the force of blood against the walls of arteries during contraction of the heart?

a. pulse oximeter

b. blood pressure 

c. respiratory rate 

d. pulse 

B. Blood pressure 

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