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The tutorial begins with the instructor guiding James through a physical exam. After washing hands, the instructor notes that James is alert and in good health. The first step is to take his vital signs. James is instructed to relax as blood pressure is measured at 126 over 78. Next, James holds a thermometer under his tongue to check his temperature. Concurrently, his heart rate is noted at 62 beats per minute, and his respiratory rate is recorded at 16 breaths per minute. The instructor then asks James to move to the examination table to continue the assessment.