Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A patient tells the nurse, Im having a lot of pain in my hip. Which response by the nurse is open-
ended and would stimulate the patient to provide the most complete data? Choose all that are
correct.
1) Is your pain severe?
2) Tell me about your pain.
3) When did you first notice this pain?
4) How would you describe your pain?
ANS:
2) Tell me about your pain.
4) How would you describe your pain?
The responses Tell me about your pain and How would you describe your pain? are open-ended
responses that stimulate conversation. Although it is important information, the question Is your
pain severe? prompts a yes or no response. When did you first notice this pain?also important
informationis likely to stimulate a brief, factual answer. Such questions allow the nurse to control
the patients response. Limiting the response might lead to an incomplete assessment.
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A clients vital signs at the beginning of the shift are as follows: oral temperature 99.3F (37C),
heart rate 82 beats/min, respiratory rate 14 breaths/min, and blood pressure 118/76 mm Hg. Four
hours later the clients oral temperature is 102.2F (39C). Based on the temperature change, the
nurse should anticipate the clients heart rate would be how many beats/min?
1) 62
2) 82
3) 102
4) 122
ANS: 3) 102
Heart rate increases about 10 beats per minute for each degree of temperature to meet increased
metabolic needs and compensate for peripheral dilation.
The nurse is assessing vital signs for a client after surgical procedure on the left leg. IV fluids are
infusing. It would be most important for the nurse to
1) Compare the left pedal pulse with the right pedal pulse
2) Count the clients respiratory rate for 1 full minute
3) Take the blood pressure in the arm without an IV
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
4) Take an oral temperature with an electronic thermometer
ANS: 1) Compare the left pedal pulse with the right pedal pulse
For a client having surgery on the leg, the most important data would be whether the circulation
has been compromised because of the surgery. This can be done only by comparing one leg with
the other. The nurse would, of course, count the respiratory rate for 1 full minute and take the BP
in the arm without the IV. Oral temperatures are commonly obtained using electronic
thermometers.
The nurse hears rhonchi when auscultating a clients lungs. Which nursing intervention would be
appropriate for the nurse to implement before reassessing lung sounds?
1) Have the client take several deep breaths.
2) Request the client take a deep breath and cough.
3) Take the clients blood pressure and apical pulse.
4) Count the clients respiratory rate for 1 minute.
ANS: 2) Request the client take a deep breath and cough.
Rhonchi are caused by secretions in the large airways and may clear with coughing. This is how
you differentiate between rhonchi and other adventitious sounds. Deep breathing will not help to
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
clear crhonchi. cTaking cthe cblood cpressure cand capical cpulse cand ccounting cthe crespiratory crate
care cnot ceffective cfor cclearing crhonchi cand cwould cnot cbe csufficient cfor cthe cnurse cto cidentify
cwhether cthe csounds cwere, cindeed, crhonchi.
Which cof cthe cfollowing csets cof cvital csigns care call cwithin cnormal climits cfor cpatients cat crest?
1) Infant: cT c98.8F c(rectal), cHR c160, cRR c16, cBP c120/54
2) Adolescent: cT c98.2F c(oral), cHR c80, cRR c18, cBP c108/68
3) Adult: cT c99.6F c(oral), cHR c48, cRR c22, cBP c130/84
4) Older cadult: cT c98.6F c(oral), cHR c110, cRR c28, cBP c170/95
ANS: c2) cAdolescent: cT c98.2F c(oral), cHR c80, cRR c18, cBP
c
108/68
c
All cof cthe cadolescents cvital csigns care cwithin cnormal cparameters cfor cthe cage. cThe cinfants
ctemperature cis cbelow cnormal cfor ca crectal creading cbecause cthe ccore ctemperature cis capproximately
c1 cdegree chigher cthan creadings cfrom cother csites. cThe cheart crate c(HR) cfor can cinfant cis chigh, cthe
crespiratory crate c(RR) cis clow, cand cthe cblood cpressure c(BP) cis chigh cfor cthe cage. cFor cthe ctypical
cadult, cthe ctemperature cis chigh, cthe cHR cis clow, cthe cRR cis chigh, cand cthe cBP cis celevated cfor cthe
cage. cFor cthe colder cadult, cthe ctemperature cis chigh-end cnormal, cthe cHR cis chigh, cthe cRR cis chigh,
cand cthe cBP cis chigh cfor cthe cage.
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A patient tells the nurse, Im having a lot of pain in my hip. Which response by the nurse is open-
ended and would stimulate the patient to provide the most complete data? Choose all that are
correct.
1) Is your pain severe?
2) Tell me about your pain.
3) When did you first notice this pain?
4) How would you describe your pain?
ANS:
2) Tell me about your pain.
4) How would you describe your pain?
The responses Tell me about your pain and How would you describe your pain? are open-ended
responses that stimulate conversation. Although it is important information, the question Is your
pain severe? prompts a yes or no response. When did you first notice this pain?also important
informationis likely to stimulate a brief, factual answer. Such questions allow the nurse to control
the patients response. Limiting the response might lead to an incomplete assessment.
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A clients vital signs at the beginning of the shift are as follows: oral temperature 99.3F (37C),
heart rate 82 beats/min, respiratory rate 14 breaths/min, and blood pressure 118/76 mm Hg. Four
hours later the clients oral temperature is 102.2F (39C). Based on the temperature change, the
nurse should anticipate the clients heart rate would be how many beats/min?
1) 62
2) 82
3) 102
4) 122
ANS: 3) 102
Heart rate increases about 10 beats per minute for each degree of temperature to meet increased
metabolic needs and compensate for peripheral dilation.
The nurse is assessing vital signs for a client after surgical procedure on the left leg. IV fluids are
infusing. It would be most important for the nurse to
1) Compare the left pedal pulse with the right pedal pulse
2) Count the clients respiratory rate for 1 full minute
3) Take the blood pressure in the arm without an IV
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
4) Take an oral temperature with an electronic thermometer
ANS: 1) Compare the left pedal pulse with the right pedal pulse
For a client having surgery on the leg, the most important data would be whether the circulation
has been compromised because of the surgery. This can be done only by comparing one leg with
the other. The nurse would, of course, count the respiratory rate for 1 full minute and take the BP
in the arm without the IV. Oral temperatures are commonly obtained using electronic
thermometers.
The nurse hears rhonchi when auscultating a clients lungs. Which nursing intervention would be
appropriate for the nurse to implement before reassessing lung sounds?
1) Have the client take several deep breaths.
2) Request the client take a deep breath and cough.
3) Take the clients blood pressure and apical pulse.
4) Count the clients respiratory rate for 1 minute.
ANS: 2) Request the client take a deep breath and cough.
Rhonchi are caused by secretions in the large airways and may clear with coughing. This is how
you differentiate between rhonchi and other adventitious sounds. Deep breathing will not help to
, Exam 1: NUR 101/ NUR101 (Latest
2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
clear crhonchi. cTaking cthe cblood cpressure cand capical cpulse cand ccounting cthe crespiratory crate
care cnot ceffective cfor cclearing crhonchi cand cwould cnot cbe csufficient cfor cthe cnurse cto cidentify
cwhether cthe csounds cwere, cindeed, crhonchi.
Which cof cthe cfollowing csets cof cvital csigns care call cwithin cnormal climits cfor cpatients cat crest?
1) Infant: cT c98.8F c(rectal), cHR c160, cRR c16, cBP c120/54
2) Adolescent: cT c98.2F c(oral), cHR c80, cRR c18, cBP c108/68
3) Adult: cT c99.6F c(oral), cHR c48, cRR c22, cBP c130/84
4) Older cadult: cT c98.6F c(oral), cHR c110, cRR c28, cBP c170/95
ANS: c2) cAdolescent: cT c98.2F c(oral), cHR c80, cRR c18, cBP
c
108/68
c
All cof cthe cadolescents cvital csigns care cwithin cnormal cparameters cfor cthe cage. cThe cinfants
ctemperature cis cbelow cnormal cfor ca crectal creading cbecause cthe ccore ctemperature cis capproximately
c1 cdegree chigher cthan creadings cfrom cother csites. cThe cheart crate c(HR) cfor can cinfant cis chigh, cthe
crespiratory crate c(RR) cis clow, cand cthe cblood cpressure c(BP) cis chigh cfor cthe cage. cFor cthe ctypical
cadult, cthe ctemperature cis chigh, cthe cHR cis clow, cthe cRR cis chigh, cand cthe cBP cis celevated cfor cthe
cage. cFor cthe colder cadult, cthe ctemperature cis chigh-end cnormal, cthe cHR cis chigh, cthe cRR cis chigh,
cand cthe cBP cis chigh cfor cthe cage.
