NSG 3100 EXAM 2 | QUESTIONS AND ANSWERS | 2026
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• 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
• the UAP reports vital signs for a patient to the nurse: temp of 99.2 oral, pulse of
88bpm and regular respirations of 18bpm, BP 178/112mmHg, O2 sat of 96%.
which vital sign should the nurse be most concerned about?
a- temp
b- pulse
c- respiration
d- BP . CORRECT ANSWER: d
• 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 the thyroid, decrease metabolism and heat production.
c. Exercise decreases heat production through muscular activity.
d. Body temperature is 1º to 2º higher in the morning than in late afternoon.
e. Expected temperature readings vary by the route selected for measurement.
f. Women tend to have more fluctuations in temperature than do men. .
CORRECT ANSWER: a, d, e
,• the nurse is performing an initial assessment of a patient with a severe infection at
hospital admission. vital signs for the patient indicate hypotension and tachycardia.
which data would support this evaluation?
a- pulse 78, BP 140/88
b- pulse 86, BP 120/76
c- pulse 100, BP 118/68
d- pulse 114, BP 88/56 . CORRECT ANSWER: d
• 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 . CORRECT ANSWER: c
• 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 100ft after a stroke
d- complaining of hunger while NPO (nothing by mouth) . CORRECT ANSWER:
b
• the nurse understands that which statement is correct regarding respiratory rates?
a- infants have a lower respiratory rate
b- healthy adults breathe between 12-20 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 increase rate . CORRECT
ANSWER: b
• the nurse is caring for a patient who has a blood pressure of 184/110. an hour
after administering an antihypertensive med, the nurse returns to recheck the BP,
only to find the patient in the chair pale, sweaty, feeling faint. which is the
expected explanation for the nurse's observation?
a- the BP is 184/110; medication has no effect
b- the BP is 118/76; the sudden drop has caused the signs
c- the BP is 174/96; the medication has made the patient sick
d- the BP is 13-/82; the symptoms are from another cause . CORRECT ANSWER:
b
• it is 6am and the UAP reports to the nurse that the patient has a temp of 96.7F
tympanic. Which factor explains the reading?
a- the pts room is cold
b- the pt was drinking cold water
c- the pt is exhibiting a normal circadian rhythm
d- the patient just completed a warm shower . CORRECT ANSWER: c
• The nurse is caring for a patient who has been diagnosed with MRSA located in
her incision. what transmission based precautions will the nurse implement for the
patient?
a- private room
b- private, negative airflow room
c- mask worn by the staff when entering the room
d- mask worn by the staff and the patient when leaving the patients room .
CORRECT ANSWER: a
UPDATE | 100% VERIFIED | WITH COMPLETE SOLUTIONS
• 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
• the UAP reports vital signs for a patient to the nurse: temp of 99.2 oral, pulse of
88bpm and regular respirations of 18bpm, BP 178/112mmHg, O2 sat of 96%.
which vital sign should the nurse be most concerned about?
a- temp
b- pulse
c- respiration
d- BP . CORRECT ANSWER: d
• 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 the thyroid, decrease metabolism and heat production.
c. Exercise decreases heat production through muscular activity.
d. Body temperature is 1º to 2º higher in the morning than in late afternoon.
e. Expected temperature readings vary by the route selected for measurement.
f. Women tend to have more fluctuations in temperature than do men. .
CORRECT ANSWER: a, d, e
,• the nurse is performing an initial assessment of a patient with a severe infection at
hospital admission. vital signs for the patient indicate hypotension and tachycardia.
which data would support this evaluation?
a- pulse 78, BP 140/88
b- pulse 86, BP 120/76
c- pulse 100, BP 118/68
d- pulse 114, BP 88/56 . CORRECT ANSWER: d
• 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 . CORRECT ANSWER: c
• 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 100ft after a stroke
d- complaining of hunger while NPO (nothing by mouth) . CORRECT ANSWER:
b
• the nurse understands that which statement is correct regarding respiratory rates?
a- infants have a lower respiratory rate
b- healthy adults breathe between 12-20 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 increase rate . CORRECT
ANSWER: b
• the nurse is caring for a patient who has a blood pressure of 184/110. an hour
after administering an antihypertensive med, the nurse returns to recheck the BP,
only to find the patient in the chair pale, sweaty, feeling faint. which is the
expected explanation for the nurse's observation?
a- the BP is 184/110; medication has no effect
b- the BP is 118/76; the sudden drop has caused the signs
c- the BP is 174/96; the medication has made the patient sick
d- the BP is 13-/82; the symptoms are from another cause . CORRECT ANSWER:
b
• it is 6am and the UAP reports to the nurse that the patient has a temp of 96.7F
tympanic. Which factor explains the reading?
a- the pts room is cold
b- the pt was drinking cold water
c- the pt is exhibiting a normal circadian rhythm
d- the patient just completed a warm shower . CORRECT ANSWER: c
• The nurse is caring for a patient who has been diagnosed with MRSA located in
her incision. what transmission based precautions will the nurse implement for the
patient?
a- private room
b- private, negative airflow room
c- mask worn by the staff when entering the room
d- mask worn by the staff and the patient when leaving the patients room .
CORRECT ANSWER: a