,Galen NSG 3100 Exam 2 – Fundamental Concepts &
Skills for Nursing I (2026) Actual Q&A PDF
1. The nurse is preparing to measure an adult patient’s oral temperature. Which
range is considered normal?
A) 96.8°F to 98.6°F
B) 97.8°F to 99.1°F
C) 98.6°F to 100.4°F
D) 95.0°F to 96.8°F
Correct Answer: 96.8°F to 98.6°F
Rationale: The standard oral temperature for an adult is 96.8°F to 98.6°F (36°C
to 37°C). Values outside this range may indicate hypothermia or fever and
require further assessment.
2. Which route provides the most accurate core body temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
Correct Answer: Rectal
Rationale: Rectal temperature most closely reflects core body temperature
because it is measured inside a body cavity with minimal environmental
influence. Oral and tympanic readings can be affected by external factors.
,3. A patient has a fever that fluctuates widely but always returns to normal at
some point during the day. The nurse documents this pattern as:
A) Sustained
B) Remittent
C) Intermittent
D) Relapsing
Correct Answer: Intermittent
Rationale: Intermittent fever spikes above normal and then returns to baseline.
Remittent fluctuates but does not return to normal; sustained is consistently
elevated; relapsing alternates between febrile and afebrile periods over days.
4. The nurse notes a patient’s temperature has been consistently elevated with
fluctuations of less than 1°C over 24 hours. This is documented as:
A) Intermittent fever
B) Remittent fever
C) Relapsing fever
D) Sustained fever
Correct Answer: Sustained fever
Rationale: Sustained (continuous) fever remains elevated with minimal
variation. Remittent fever varies more but never normalizes; intermittent
returns to normal; relapsing has alternating days of fever and no fever.
, 5. When using a temporal artery scanner, which factor can cause a falsely low
reading?
A) Warm environment
B) Recent ingestion of cold fluids
C) Cool environment causing vasoconstriction
D) Presence of earwax
Correct Answer: Cool environment causing vasoconstriction
Rationale: A cool room can constrict temporal blood vessels, reducing skin
temperature and producing an inaccurate reading. Warming the site or using
another route may be necessary.
6. The nurse obtains a temperature of 97.2°F in an adult patient. What should
the nurse do first?
A) Retake the temperature immediately
B) Check the patient’s previous temperature range
C) Apply a warm blanket
D) Notify the healthcare provider
Correct Answer: Check the patient’s previous temperature range
Rationale: A temperature of 97.2°F may be normal for some individuals.
Reviewing prior readings establishes the patient’s baseline before intervening or
notifying the provider.
Skills for Nursing I (2026) Actual Q&A PDF
1. The nurse is preparing to measure an adult patient’s oral temperature. Which
range is considered normal?
A) 96.8°F to 98.6°F
B) 97.8°F to 99.1°F
C) 98.6°F to 100.4°F
D) 95.0°F to 96.8°F
Correct Answer: 96.8°F to 98.6°F
Rationale: The standard oral temperature for an adult is 96.8°F to 98.6°F (36°C
to 37°C). Values outside this range may indicate hypothermia or fever and
require further assessment.
2. Which route provides the most accurate core body temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
Correct Answer: Rectal
Rationale: Rectal temperature most closely reflects core body temperature
because it is measured inside a body cavity with minimal environmental
influence. Oral and tympanic readings can be affected by external factors.
,3. A patient has a fever that fluctuates widely but always returns to normal at
some point during the day. The nurse documents this pattern as:
A) Sustained
B) Remittent
C) Intermittent
D) Relapsing
Correct Answer: Intermittent
Rationale: Intermittent fever spikes above normal and then returns to baseline.
Remittent fluctuates but does not return to normal; sustained is consistently
elevated; relapsing alternates between febrile and afebrile periods over days.
4. The nurse notes a patient’s temperature has been consistently elevated with
fluctuations of less than 1°C over 24 hours. This is documented as:
A) Intermittent fever
B) Remittent fever
C) Relapsing fever
D) Sustained fever
Correct Answer: Sustained fever
Rationale: Sustained (continuous) fever remains elevated with minimal
variation. Remittent fever varies more but never normalizes; intermittent
returns to normal; relapsing has alternating days of fever and no fever.
, 5. When using a temporal artery scanner, which factor can cause a falsely low
reading?
A) Warm environment
B) Recent ingestion of cold fluids
C) Cool environment causing vasoconstriction
D) Presence of earwax
Correct Answer: Cool environment causing vasoconstriction
Rationale: A cool room can constrict temporal blood vessels, reducing skin
temperature and producing an inaccurate reading. Warming the site or using
another route may be necessary.
6. The nurse obtains a temperature of 97.2°F in an adult patient. What should
the nurse do first?
A) Retake the temperature immediately
B) Check the patient’s previous temperature range
C) Apply a warm blanket
D) Notify the healthcare provider
Correct Answer: Check the patient’s previous temperature range
Rationale: A temperature of 97.2°F may be normal for some individuals.
Reviewing prior readings establishes the patient’s baseline before intervening or
notifying the provider.
