NUR 155 Exam 1 | Foundations of
Nursing Questions and answers
Rated A+ | 2024/2025 Guide | Galen
Head to toe assessment - Correct Answer - continual process for
assessing the client's condition and progress
Palpation - Correct Answer - use of hands or fingertips to touch and feel
various parts of the body
Percussion - Correct Answer - light, quick tapping on the body surface to
produce sounds
Auscultation - Correct Answer - Listening to sounds produces in the body
with aid of stethescope
ROM - Correct Answer - prevent muscle atrophy. done 2x a day, 3x per
session
Normal Body Temp - Correct Answer - 96.8-99.5
Adult pulse - Correct Answer - 80 (60-100)
Normal BP - Correct Answer - <120/80
Oxygen Saturation Normal - Correct Answer - 95-100%
, Canes - Correct Answer - Hold cane with stronger hand.
Max. support with cane - Correct Answer - Move cane forward then
affected leg then the unaffected leg
Min. Support with cane - Correct Answer - Move cane and weak foot
forward followed by unaffected foot
Max. support with walker - Correct Answer - Move walker then right foot
then left foot
Walker if 1 leg is weaker than the other - Correct Answer - move walked
and weak leg together followed by strong leg
4- point alternative gait - Correct Answer - right crutch advances, left foot
advances, left crutch advances, right foot advances
3-point gait - Correct Answer - both crutches and weak leg advance,
then strong leg advances
2-point alternative gait - Correct Answer - left crutch and right limb
advance, right crutch and left limb advance
Flexion - Correct Answer - nodding yes. move head toward the chest.
reaching arm up to turn on a light
extension - Correct Answer - moving head from chest. nodding yes.
bring arm back down coming down forward
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