Exam 1

Question 1

What is the normal (oral) temperature range for adults?

Answer 1

36.7-37 C
98-98.6 F

Question 2

What is the normal (oral) temperature range for the geriatric population?

Answer 2

35-36 C
95-96.8

Question 3

What is the normal pulse rate for all adults?

Answer 3

60-100 bpm

Question 4

What is the normal respiratory rate for adults?

Answer 4

12-20

Question 5

What is the normal blood pressure for adults?

Answer 5

<120 mmHg systolic / <80 mmHg diastolic

Question 6

What is the normal blood pressure for older adults?

Answer 6

120/80 up to 160/95

Question 7

What is the normal range for pulse ox (SpO2)?

Answer 7

> 95% if its 94 or less need to follow up/ intervene

Question 8

What are some normal variations in geriatric skin?

Answer 8

Dry skin & mucous membranes
Skin tags
Lentigines (liver spots)
Senile purpura
Thinning hair

Question 9

What are the 5 levels of consciousness?

Answer 9

Alert
Lethargic
Obtunded - alert to verbal stimuli
Stuporous - alert to painful stimuli
Comatose

Question 10

Key points of neurological assessment

Answer 10

Level of consciousness (AVPU)
Orientation (person, place, time, event)
Pupillary response
Motor response and strength
Sensation

Question 11

What to assess for in the musculoskeletal system

Answer 11

Symmetry (of face/ arms)
Strength
ROM
Pain

Question 12

What to assess the ears for?

Answer 12

Tenderness/pain
Hearing loss
Hearing aids

Question 13

What are the words used to describe different types of speech?

Answer 13

Clear
Slurred
Garbled
Dysarthria - difficulty speaking
Aphasia (Expressive or receptive)

Question 14

What is a CMS check?

Answer 14

Checking for circulation, motor control, and sensation in one or more extremities

And asking if the patient has any numbness or tingling

Question 15

How to take orthostatic blood pressure and what is a positive result?

Answer 15

Measure blood pressure lying, sitting, and standing 2-5 minutes in between readings.

A positive result is a drop of 20 mmHg or more systolic or a drop of 10 mmHg or more diastolic

Question 16

What is the significance of a positive orthostatic blood pressure?

Answer 16

Could indicate dehydration or blood loss
Indicates a risk of loss of consciousness or falling

Question 17

What is the proper sizing of a blood pressure cuff? What are the results if it is the wrong size?

Answer 17

The width is 2/3 the length of the upper arm, and the bladder length is 80% the circumference of the limb.

If its too small it will have a higher reading
If its too large it will have a lower reading

Question 18

When to avoid taking blood pressure on a limb?

Answer 18

Mastectomy of lymph tissue, hemodialysis grafts or fistulas, picc lines or IVs in the arm.

Question 19

What is the Glasgow coma scale for eye opening response?

Answer 19

Spontaneously 4
To speech 3
To pain 2
No response 1

Question 20

What is the Glasgow coma scale for motor response?

Answer 20

Obeys verbal command 6
Reacts purposefully to pain 5
Flexion - withdrawal 4
Flexion - abnormal (decorticate) 3
Extension - abnormal (decerebrate) 2
No response 1

Question 21

What is the Glasgow coma scale for verbal response?

Answer 21

Oriented (x 3) - 5
Conversation - confused 4
Speech - inappropriate 3
Sounds incomprehensible 2
No response 1

Question 22

What do the terms febrile/afebrile mean?

Answer 22

Fever/ without fever

Question 23

What are rigors?

Answer 23

Shaking chills, starts with a fever, its a sign of an infection and it is a medical emergency.

Question 24

What is pulse deficit?

Answer 24

Variance between apical and peripheral pulses

Question 25

What are the different types of blood pressure measurements?

Answer 25

Direct - Catheter in artery

Indirect - noninvasive - blood pressure cuff (auscultated blood pressure)

Question 26

How to assess pain

Answer 26

Measured on a 0-10 scale
OPQRST - onset, provocation/palliation, quality, radiation, severity, time (frequency)