Blood Pressure
Pulse
Temperature
Respirations/O2 Saturation
Pain
100

This is the pressure when the heart contracts and pumps blood into the aorta.

What is systolic pressure?

100

This node is called the heart’s natural pacemaker.

What is the sinoatrial (SA) node?

100

The average normal body temperature in Celsius and Fahrenheit.

What is 37 °C or 98.6 °F?

100

Normal adult respiratory rate.

What is 12–20 breaths per minute?

100

Pain is always defined as this.

What is whatever the client says it is?

200

This happens when the BP cuff is too small.

What is a falsely high blood pressure reading?

200

A heart rate below 60 bpm in adults is called this.

What is bradycardia?

200

Before taking an oral temperature, ask if the patient has done this in the past 15–30 minutes.

What is eaten, drunk, or smoked?

200

Breathing that stops is called this.

What is apnea?

200

Pain lasting less than 6 months is called this.

What is acute pain?

300

The first Korotkoff sound heard with the stethoscope indicates this value.

What is the systolic pressure?

300

When the apical pulse is higher than the radial pulse, this is present.

What is a pulse deficit?

300

This site gives the most accurate measurement of core temperature but carries risk of injury.

What is the rectal site?

300

Deep, rapid respirations commonly seen in diabetic ketoacidosis.

What are Kussmaul respirations?

300

Nerve pain such as diabetic neuropathy is this type.

What is neuropathic pain?

400

Name two factors that increase blood pressure.

What are increased cardiac output and increased blood viscosity?

400

These are the two normal heart sounds you hear when auscultating the apical pulse.

What are S1 (lub) and S2 (dub)?

400

A temperature above 100.4 °F due to hypothalamic set-point change is called this.

What is a fever?

400

The expected normal SpO₂ range in healthy adults.

What is 95–100%?

400

The difference between pain threshold and pain tolerance.

What is threshold = point when pain is first felt; tolerance = amount of pain a client can endure?

500

This condition is diagnosed when a systolic pressure is greater than 180 mmHg or diastolic greater than 120 mmHg.

What is a hypertensive crisis?

500

An irregular pulse should always be confirmed by doing this for 1 full minute.

What is auscultating the apical pulse?

500

Name two methods the body uses to lose heat naturally.

What are evaporation, conduction, ratiation or convection?

500

Before applying a pulse oximeter to a finger, check for these two things.

What are capillary refill <2 seconds and no dark nail polish/artificial nails?

500

Name two nonverbal cues that may indicate pain in a non-communicative patient.

What are grimacing, guarding, restlessness, or vital sign changes?