2 PREP PREMIUM MULTIPLE CHOICE
QUESTION PACK
This premium test bank provides a comprehensive, high-yield
review specifically tailored for the NSG 3100 Exam 2 Nursing
Fundamentals curriculum. Every practice question features clear
multiple-choice options, italicized answers, and in-depth bold
italicized rationales to guarantee maximum conceptual clarity. It
serves as an invaluable, ready-to-use study resource designed
to help nursing students master vital signs, isolation
precautions, and wound care management in record time.
Question 1
A nurse is preparing to assess a client's vital signs.
Which of the following respiratory rates indicates
immediate tachypnea in a resting adult client?
14 breaths per minute
18 breaths per minute
26 breaths per minute
10 breaths per minute
Rationale: The normal respiratory rate for a
healthy adult at rest is 12 to 20 breaths per
minute. A rate of 26 breaths per minute is
, elevated, indicating tachypnea and potentially
signaling respiratory distress.
Question 2
The nurse is checking the core body temperature of
an unconscious client. Which anatomical route
provides the most accurate reflection of core body
temperature?
Axillary
Tympanic membrane
Oral
Temporal artery
Rationale: The tympanic membrane shares its
blood supply with the hypothalamus, the body’s
temperature regulation center, making it an
excellent and rapid reflection of core body
temperature in an acute situation.
Question 3
A client is admitted to the medical-surgical unit
with a suspected diagnosis of active pulmonary
Tuberculosis (TB). Which type of isolation
precaution must the nurse implement?
Contact precautions
, Droplet precautions
Airborne precautions
Protective environment precautions
Rationale: Tuberculosis is transmitted via
microscopic droplet nuclei that remain
suspended in the air. This requires airborne
precautions, including a negative-pressure
room and N95 respirator use.
Question 4
The nurse is performing hand hygiene after caring
for a client diagnosed with Clostridium difficile (C.
diff). Which action is mandatory for removing these
pathogens?
Washing hands with antimicrobial soap and
warm water
Applying an alcohol-based hand rub for 15
seconds
Rinsing hands with hot water alone
Wearing sterile gloves during all care activities
Rationale: Clostridium difficile is a spore-
forming bacterium. Alcohol-based sanitizers do
not kill or mechanically remove spores;
, therefore, friction with soap and water is
required to wash them down the drain.
Question 5
A client’s radial pulse is noted to be irregular. What
is the most appropriate secondary action by the
nurse?
Document the finding and recheck it in 4 hours.
Auscultate the apical pulse for a full 60
seconds.
Palpate the carotid pulse for 15 seconds.
Request that an assistive person re-take the
pulse.
Rationale: When an irregular peripheral pulse is
detected, the nurse must assess the apical
pulse for one full minute to determine the
precise heart rate and check for any pulse
deficits.
Question 6
The nurse is preparing to enter a room to care for a
client on droplet precautions. Which piece of
personal protective equipment (PPE) is strictly
required?