I don't know where to begin.

fathernurse. . .in my adn program 30 years ago we had no lectures--only notebooks we got each semester with modules containing lists of objectives and some guidance as to how to find the answers to those objectives. what we all ended up doing was treating each objective as if it was an important essay question. although you won't be able to answer each one of these questions, good ones to start out asking are: who, what, where, when and why?

look at each objective. what is the main point(s) being asked about. then, pull out your nursing textbooks and start by looking in back of the books in the index for those terms as a starting point. for vital signs, start by reviewing physiology. what is a pulse? what constitutes a pulse? (this can be found in an a&p book, so i hope you kept yours.) where are the pulse points? if you look a little closer at your anatomy book there will be one or two lines that you might have ignored that will address this. you will now be taking that information and applying it clinically. if you have a nursing fundamentals book some of that information will be there as well. do you have videos or other instructional materials at your nursing lab or put aside for nursing students at your school library? you should be reviewing those because many of the answers will be there as well. you should also becoming familiar with the library's reference section and the nursing index of periodical literature. there will be one or two nursing journal articles in the past that explain what blood pressure is. then, write, write, write all of this information you are gathering from these sources on pages that you put into a notebook next to these objective so you don't lose them.

i recommend that you consult with one of your nursing instructors for help and guidance with this as well. many programs take the viewpoint that nursing students are college students who are expected to think critically. some expect their students to be able to plan their learning activities as i describe above. they may let you ask questions about guidance, but may not tell you the answers outright, only giving you advice on where to look for the answers. i guarantee that learning this way makes you more independent and much more knowledgeable. it also helps to discuss these things with other students and compare notes.

the answers are not going to be in front of you all the time. you are going to have to dig for them. this is how you are going to develop thinking skills you will need throughout your career in nursing.