NSG 3100 EXAM 2 QUESTIONS AND ANSWERS PRACTICE
QUESTIONS (3 LATEST VERSIONS) WITH SOLUTIONS NEWEST
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS|
ALREADY GRADED A+
Practice Questions and Detailed Solutions
1. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding requires the nurse to act first? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Immediately document severe hypoxemia without reassessment
C) Verify circulation, probe placement, and the client's condition
D) Remove the sensor and omit the finding from the record
Correct Answer: C) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
2. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which nursing intervention is the priority? Consider the client situation
described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Remove the sensor and omit the finding from the record
D) Immediately document severe hypoxemia without reassessment
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
3. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which statement by the client indicates correct understanding? Consider
the client situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
,Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
4. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which assessment finding should the nurse follow up on? Consider the
client situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
5. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which action best promotes client safety? Consider the client situation
described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
6. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding is most consistent with the situation? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Remove the sensor and omit the finding from the record
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
,7. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which nursing response is most appropriate? Consider the client
situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Verify circulation, probe placement, and the client's condition
C) Ignore the reading because the monitor is always accurate
D) Immediately document severe hypoxemia without reassessment
Correct Answer: B) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
8. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which intervention should the nurse implement first? Consider the client
situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
9. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which outcome best indicates effective nursing care? Consider the client
situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Immediately document severe hypoxemia without reassessment
C) Ignore the reading because the monitor is always accurate
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
10. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which instruction should the nurse reinforce? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Verify circulation, probe placement, and the client's condition
, C) Remove the sensor and omit the finding from the record
D) Immediately document severe hypoxemia without reassessment
Correct Answer: B) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
11. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which observation warrants additional assessment? Consider the client
situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Verify circulation, probe placement, and the client's condition
D) Immediately document severe hypoxemia without reassessment
Correct Answer: C) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
12. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which action demonstrates correct nursing technique? Consider the
client situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Immediately document severe hypoxemia without reassessment
C) Ignore the reading because the monitor is always accurate
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
13. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding should be reported promptly? Consider the client situation
described by the key concept of vital signs.
A) Immediately document severe hypoxemia without reassessment
B) Ignore the reading because the monitor is always accurate
C) Remove the sensor and omit the finding from the record
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
QUESTIONS (3 LATEST VERSIONS) WITH SOLUTIONS NEWEST
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS|
ALREADY GRADED A+
Practice Questions and Detailed Solutions
1. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding requires the nurse to act first? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Immediately document severe hypoxemia without reassessment
C) Verify circulation, probe placement, and the client's condition
D) Remove the sensor and omit the finding from the record
Correct Answer: C) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
2. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which nursing intervention is the priority? Consider the client situation
described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Remove the sensor and omit the finding from the record
D) Immediately document severe hypoxemia without reassessment
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
3. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which statement by the client indicates correct understanding? Consider
the client situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
,Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
4. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which assessment finding should the nurse follow up on? Consider the
client situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
5. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which action best promotes client safety? Consider the client situation
described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
6. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding is most consistent with the situation? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Remove the sensor and omit the finding from the record
C) Immediately document severe hypoxemia without reassessment
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
,7. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which nursing response is most appropriate? Consider the client
situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Verify circulation, probe placement, and the client's condition
C) Ignore the reading because the monitor is always accurate
D) Immediately document severe hypoxemia without reassessment
Correct Answer: B) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
8. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which intervention should the nurse implement first? Consider the client
situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Ignore the reading because the monitor is always accurate
C) Immediately document severe hypoxemia without reassessment
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
9. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which outcome best indicates effective nursing care? Consider the client
situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Immediately document severe hypoxemia without reassessment
C) Ignore the reading because the monitor is always accurate
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
10. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which instruction should the nurse reinforce? Consider the client
situation described by the key concept of vital signs.
A) Ignore the reading because the monitor is always accurate
B) Verify circulation, probe placement, and the client's condition
, C) Remove the sensor and omit the finding from the record
D) Immediately document severe hypoxemia without reassessment
Correct Answer: B) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
11. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which observation warrants additional assessment? Consider the client
situation described by the key concept of vital signs.
A) Remove the sensor and omit the finding from the record
B) Ignore the reading because the monitor is always accurate
C) Verify circulation, probe placement, and the client's condition
D) Immediately document severe hypoxemia without reassessment
Correct Answer: C) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
12. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which action demonstrates correct nursing technique? Consider the
client situation described by the key concept of vital signs.
A) Verify circulation, probe placement, and the client's condition
B) Immediately document severe hypoxemia without reassessment
C) Ignore the reading because the monitor is always accurate
D) Remove the sensor and omit the finding from the record
Correct Answer: A) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
13. Which nursing action is most appropriate when an adult client's pulse oximeter gives an
unexpectedly poor reading? Which finding should be reported promptly? Consider the client situation
described by the key concept of vital signs.
A) Immediately document severe hypoxemia without reassessment
B) Ignore the reading because the monitor is always accurate
C) Remove the sensor and omit the finding from the record
D) Verify circulation, probe placement, and the client's condition
Correct Answer: D) Verify circulation, probe placement, and the client's condition
Rationale: Poor peripheral perfusion can interfere with pulse-oximetry signal quality, so the nurse should
first verify circulation and sensor placement.
