NSG 3100 EXAM QUESTIONS AND ANSWERS
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: d
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: a
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 con-cerned about?
a. Temperature
b. Pulse
c. Respirations
,d. Blood pressure: d
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
measure-ment.
e. Women tend to have more fluctuations in temperature than do
men.: a, e, d
,5. The nurse is performing an initial assessment of a patient with a
severe in-fection at hospital admission. Vital signs for the patient
indicate hypotension and tachycardia. Which data would support
this evaluation?
a. Pulse 78, blood pressure 140/88
b. Pulse 86, blood pressure 120/76
c. Pulse 100, blood pressure 118/68
d. Pulse 114, blood pressure 88/56: d
6. The nurse places a patient with a high fever on a cooling blanket. How
is heat loss achieved with this treatment?
a. Radiation
b. Convection
c. Conduction
d. Evaporation: c
7. Which clinical patient scenario is associated with the most critical
need for the nurse to obtain vital signs?
a. Ambulating for the first time after surgery
b. Complaining of pressure in the chest
c. Completing ambulating 100 feet after a stroke
d. Complaining of hunger while NPO (nothing by mouth): b
8. The nurse understands that which statement is correct regarding
respirato-ry rates?
a. Infants have a lower respiratory rate than adults.
b. Healthy adults breathe between 12 and 20 times a minute.
c. A compensatory response to a fever is to breathe at a slower rate.
d. An increase in intracranial pressure results in an increased rate.: b
9. The nurse is caring for a patient who has a blood pressure of
184/110. An hour after administering an antihypertensive
, medication, the nurse returns to recheck the blood pressure, only
to find the patient in the chair pale, sweaty, and feeling faint.
Which is the expected explanation for the nurse's observations?
a. The blood pressure is 184/110; the medication has not had an
effect.
b. The blood pressure is 118/76; the sudden drop has caused the
signs.
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: d
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: a
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 con-cerned about?
a. Temperature
b. Pulse
c. Respirations
,d. Blood pressure: d
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
measure-ment.
e. Women tend to have more fluctuations in temperature than do
men.: a, e, d
,5. The nurse is performing an initial assessment of a patient with a
severe in-fection at hospital admission. Vital signs for the patient
indicate hypotension and tachycardia. Which data would support
this evaluation?
a. Pulse 78, blood pressure 140/88
b. Pulse 86, blood pressure 120/76
c. Pulse 100, blood pressure 118/68
d. Pulse 114, blood pressure 88/56: d
6. The nurse places a patient with a high fever on a cooling blanket. How
is heat loss achieved with this treatment?
a. Radiation
b. Convection
c. Conduction
d. Evaporation: c
7. Which clinical patient scenario is associated with the most critical
need for the nurse to obtain vital signs?
a. Ambulating for the first time after surgery
b. Complaining of pressure in the chest
c. Completing ambulating 100 feet after a stroke
d. Complaining of hunger while NPO (nothing by mouth): b
8. The nurse understands that which statement is correct regarding
respirato-ry rates?
a. Infants have a lower respiratory rate than adults.
b. Healthy adults breathe between 12 and 20 times a minute.
c. A compensatory response to a fever is to breathe at a slower rate.
d. An increase in intracranial pressure results in an increased rate.: b
9. The nurse is caring for a patient who has a blood pressure of
184/110. An hour after administering an antihypertensive
, medication, the nurse returns to recheck the blood pressure, only
to find the patient in the chair pale, sweaty, and feeling faint.
Which is the expected explanation for the nurse's observations?
a. The blood pressure is 184/110; the medication has not had an
effect.
b. The blood pressure is 118/76; the sudden drop has caused the
signs.
