Week 2 Content

Question 1

What scale is used for pain assessment?

Answer 1

0-10 scale

Question 2

What does LOTTAARP stand for in pain assessment?

Answer 2

• Location
• Onset
• Timing
• Type
• Associated Symptoms
• Alleviating Factors
• Radiation
• Precipitating Event

Question 3

What is the normal oral temperature range?

Answer 3

35.8ºC - 37.3ºC

Question 4

How much lower is the axillary temperature compared to oral temperature?

Answer 4

1ºC lower

Question 5

How much higher is the tympanic membrane temperature compared to oral temperature?

Answer 5

0.3°C - 0.6°C higher

Question 6

What is the normal resting heart rate range?

Answer 6

60-100 BPM

Question 7

What are the three methods of taking pulse?

Answer 7

• Radial
• Apical
• Carotid

Question 8

What is the normal respiratory rate range?

Answer 8

10-20 breaths per minute

Question 9

What is the normal blood pressure reading?

Answer 9

120/80 mmHg

Question 10

What does the first number in blood pressure represent?

Answer 10

Systolic Pressure

Question 11

What does the second number in blood pressure represent?

Answer 11

Diastolic Pressure

Question 12

What is the normal oxygen saturation level?

Answer 12

> /= 97%

Question 13

What does hypoxemia refer to?

Answer 13

Low arterial oxygen

Question 14

What does hypoxia refer to?

Answer 14

Low oxygen in the tissues

Question 15

What is the most common cause of hypoxia?

Answer 15

Hypoxemia

Question 16

Name two conditions that contribute to hypoxemia.

Answer 16

• Asthma
• COPD
• Pneumonia
• Heart failure

Question 17

What are the components of the initial and emergency assessment known as ABCCS?

Answer 17

• Airway
• Breathing
• Circulation
• Consciousness
• Safety

Question 18

What is the purpose of performing hand hygiene in focused assessments?

Answer 18

To prevent infection

Question 19

What should be done to confirm patient identity?

Answer 19

Use two patient identifiers (e.g., name and date of birth)

Question 20

What is the purpose of oxygen therapy?

Answer 20

To treat hypoxia and hypoxemia

Question 21

What type of mask provides 24-40% oxygen?

Answer 21

Nasal cannula

Question 22

What is the oxygen percentage delivered by a non-rebreather mask?

Answer 22

60-80%

Question 23

What is the risk associated with a non-rebreather mask?

Answer 23

Risk of suffocation if airflow is interrupted

Question 24

What is the oxygen saturation range for COPD patients?

Answer 24

88-92%

Question 25

What is the normal range for oxygen saturation in healthy individuals?

Answer 25

>/= 97%

Question 26

What should be done as part of the management of hypoxia?

Answer 26

* Raise head of bed * Deep breathing and coughing * Oxygen therapy * Assess need for bronchodilators * Oral suctioning * Pain relief * Devices to enhance secretion clearance * Rest between activity

Question 27

True or False: Oxygen saturation is referred to as the 5th vital sign.

Answer 27

True

Question 28

What are the signs of hypoxia?

Answer 28

* Tachypnea * Dyspnea * Use of accessory muscles * Noisy breathing * Decreased oxygen saturation * Flared nostrils * Pursed lips * Change in mental status * Restlessness

Question 29

What is the purpose of auscultation in the respiratory assessment?

Answer 29

To listen for abnormal lung sounds (e.g., crackles, wheezing)

Question 30

Fill in the blank: The _______ pulse is taken at the wrist.

Answer 30

Radial

Question 31

Fill in the blank: The _______ pulse is taken at the chest using a stethoscope.

Answer 31

Apical