NSG 3100 EXAM 1
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,---
1. The nurse is measuring blood pressures as part of a
community health fair.
Which blood pressure reading would cause the nurse to refer
the patient for follow-up regarding hypertension?
a. 108/70
b. 116/78
c. 128/80
d. 138/88
Correct Answer d
Expert Rationale A blood pressure reading of 138/88 mm Hg falls
into the Stage 1 Hypertension category per the latest ACC/AHA
guidelines, necessitating follow-up to prevent complications. While
128/80 is elevated, it does not yet meet criteria for hypertension
referral. Early identification and education about lifestyle
modifications are crucial at this stage.
---
2. The nurse is admitting a stable patient for a minor outpatient
procedure.
What site would the nurse most commonly use to assess pulse
rate?
,a. Radial site
b. Apical site
c. Brachial site
d. Carotid site
Correct Answer a
Expert Rationale The radial pulse site is the most accessible and
non-invasive peripheral pulse location for routine assessment and
provides accurate readings for stable patients. The apical site is
reserved for patients with cardiac conditions or irregular rhythms
where peripheral pulse may be inadequate.
---
3. The unlicensed assistive personnel reports vital signs for a
patient to the nurse temperature of 99.2° F (37.3° C) oral, pulse of
88 bpm and regular, respirations of 18 BPM and regular, blood
pressure of 178/112 mm Hg, and oxygen saturation of 96%.
Which vital sign should the nurse be most concerned about?
a. Temperature
b. Pulse
c. Respirations
d. Blood pressure
Correct Answer d
Expert Rationale The severely elevated blood pressure of 178/112
mm Hg indicates a hypertensive crisis, presenting significant risk for
end-organ damage such as stroke or myocardial infarction. The
, other vital signs are within normal limits, so immediate clinical
attention should prioritize blood pressure management.
---
4. From the nurse's understanding, which statements regarding
temperature and heat production in the body are accurate?
(Select all that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and
heat production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for
measurement.
e. Women tend to have more fluctuations in temperature than do
men.
Correct Answer a, e
Expert Rationale Heat is produced as a byproduct of cellular
metabolism and is essential for enzymatic functions. Thyroid
hormones actually increase metabolic rate and heat production,
therefore statement b is false. Exercise elevates heat production by
increasing muscular activity. Temperature readings vary by route,
but this is considered a measurement factor rather than a
physiologic truth, making d less applicable here. Hormonal
fluctuations during the menstrual cycle cause more temperature
variability in women, validating statement e.
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,---
1. The nurse is measuring blood pressures as part of a
community health fair.
Which blood pressure reading would cause the nurse to refer
the patient for follow-up regarding hypertension?
a. 108/70
b. 116/78
c. 128/80
d. 138/88
Correct Answer d
Expert Rationale A blood pressure reading of 138/88 mm Hg falls
into the Stage 1 Hypertension category per the latest ACC/AHA
guidelines, necessitating follow-up to prevent complications. While
128/80 is elevated, it does not yet meet criteria for hypertension
referral. Early identification and education about lifestyle
modifications are crucial at this stage.
---
2. The nurse is admitting a stable patient for a minor outpatient
procedure.
What site would the nurse most commonly use to assess pulse
rate?
,a. Radial site
b. Apical site
c. Brachial site
d. Carotid site
Correct Answer a
Expert Rationale The radial pulse site is the most accessible and
non-invasive peripheral pulse location for routine assessment and
provides accurate readings for stable patients. The apical site is
reserved for patients with cardiac conditions or irregular rhythms
where peripheral pulse may be inadequate.
---
3. The unlicensed assistive personnel reports vital signs for a
patient to the nurse temperature of 99.2° F (37.3° C) oral, pulse of
88 bpm and regular, respirations of 18 BPM and regular, blood
pressure of 178/112 mm Hg, and oxygen saturation of 96%.
Which vital sign should the nurse be most concerned about?
a. Temperature
b. Pulse
c. Respirations
d. Blood pressure
Correct Answer d
Expert Rationale The severely elevated blood pressure of 178/112
mm Hg indicates a hypertensive crisis, presenting significant risk for
end-organ damage such as stroke or myocardial infarction. The
, other vital signs are within normal limits, so immediate clinical
attention should prioritize blood pressure management.
---
4. From the nurse's understanding, which statements regarding
temperature and heat production in the body are accurate?
(Select all that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and
heat production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for
measurement.
e. Women tend to have more fluctuations in temperature than do
men.
Correct Answer a, e
Expert Rationale Heat is produced as a byproduct of cellular
metabolism and is essential for enzymatic functions. Thyroid
hormones actually increase metabolic rate and heat production,
therefore statement b is false. Exercise elevates heat production by
increasing muscular activity. Temperature readings vary by route,
but this is considered a measurement factor rather than a
physiologic truth, making d less applicable here. Hormonal
fluctuations during the menstrual cycle cause more temperature
variability in women, validating statement e.
