NURS 311 QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATE 2024/2025
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring a patient's
rectal temperature using an electronic thermometer? - (ANSWER)Use the probe with the red tip.
what contraindicates taking a rectal temperature measurement - (ANSWER)Patient has painful
and swollen hemorrhoids.
Which nursing action best evaluates the effectiveness of an antipyretic medication in a patient
with an oral temperature of 101.6°F? - (ANSWER)Assess oral temperature 30 minutes after the
agent is administered.
Which instruction might the nurse give to nursing assistive personal (NAP) that is applicable
only to tympanic temperature assessment? - (ANSWER)Gently tug the pinna backward, up, and
out before inserting the probe.
Which instruction might the nurse give to nursing assistive personnel (NAP) that is applicable
only to temporal artery temperature assessment? - (ANSWER)Place the sensor flush on the
patient's forehead.
During the admissions process, the nurse initially assesses the patient's radial pulse primarily for
what purpose? - (ANSWER)Establishment of a baseline as part of the patient's vital signs
What will the nurse instruct nursing assistive personal (NAP) to do when measuring an adult
patient's radial pulse? - (ANSWER)Palpate the patient's inner wrist on the thumb side with the
fingertips of your two middle fingers.
What is the nurse's priority action if a patient's radial pulse has an irregular rhythm? -
(ANSWER)Assess the patient for a pulse deficit.
,Inadequate oxygenation to the body will cause the radial pulse to become: -
(ANSWER)Tachycardic
Which action would best assess the effect of exercise on a patient's radial pulse measurement? -
(ANSWER)Measuring the patient's radial pulse before and after exercise
Which action can the nurse take to keep a patient from consciously controlling his or her
breathing during an assessment? - (ANSWER)Assess respiration after measuring the pulse.
On the last assessment of a patient's respiration, her respiratory rate was 10 breaths per minute.
What should the nurse do when conducting the next assessment of this patient's respiratory rate?
- (ANSWER)Count breaths for 60 seconds.
When measuring a patient's respiratory rate, the nurse will count the number of completed
respiratory cycles per minute. What is the definition of a respiratory cycle? - (ANSWER)The
number of inspirations and expirations per minute.
During the assessment of a patient's respiratory rate, when the second hand reaches the 15-
second mark, the respiratory count is 8. What should the nurse do at this time? -
(ANSWER)Continue to count the patient's breaths for a full 60 seconds.
The nurse plans to assess a patient's respiratory rate; however, the patient has just returned from
ambulating to the bathroom. What should the nurse do to minimize the effect of exercise on the
patient's respiratory rate? - (ANSWER)Encourage the patient to rest for 10 minutes before
assessing respiration.
The nurse is preparing to assess a patient's blood pressure. What would cause the blood pressure
reading to be inaccurately high? - (ANSWER)Blood pressure cuff is too loose around the arm
What would cause the nurse to delay the assessment of a patient's blood pressure? -
(ANSWER)Patient has just finished having a cigarette
, The nurse has just measured a patient's blood pressure and is waiting 2 minutes to measure the
pressure again. What is the purpose of taking two measurements? - (ANSWER)Minimize the
effect of anxiety
The nurse is teaching a patient about ways to reduce blood pressure. What will the nurse include
in these instructions? - (ANSWER)Ensure that your diet has an adequate daily intake of calcium.
Where should the nurse measure the blood pressure of a patient recovering from a left-sided
mastectomy? - (ANSWER)Use the right arm to take the blood pressure.
The nurse is planning to measure a patient's blood pressure. What does the systolic measurement
represent? - (ANSWER)The pressure exerted against the arterial wall.
You have assigned a new nursing assistive personnel (NAP) to take routine vital signs. You
notice that the NAP's last three patients have had unusually low blood pressure that you have had
to confirm. What is the most likely reason the NAP is obtaining falsely low blood pressure
readings? - (ANSWER)The blood pressure cuff is too wide for arm circumference.
What should the nurse do if the patient's blood pressure is not within normal limits? -
(ANSWER)This is the correct response, because the patient must be assessed for possible
cardiovascular problems.
What would the nurse do to prevent the spread of infection when assessing a patient's blood
pressure? - (ANSWER)Clean the stethoscope with alcohol before and after using it.
You have assigned a new nursing assistive personnel (NAP) to take routine vital signs. An
experienced NAP has been asked to retake a blood pressure that the newly hired NAP has taken
three times this week. As the nurse, what action do you take? - (ANSWER)Observe the NAP as
she obtains a blood pressure and pulse on a patient.
Which of the following is a risk factor for decreased oxygen saturation level in a patient? -
(ANSWER)Chest wall injury
LATEST UPDATE 2024/2025
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring a patient's
rectal temperature using an electronic thermometer? - (ANSWER)Use the probe with the red tip.
what contraindicates taking a rectal temperature measurement - (ANSWER)Patient has painful
and swollen hemorrhoids.
Which nursing action best evaluates the effectiveness of an antipyretic medication in a patient
with an oral temperature of 101.6°F? - (ANSWER)Assess oral temperature 30 minutes after the
agent is administered.
Which instruction might the nurse give to nursing assistive personal (NAP) that is applicable
only to tympanic temperature assessment? - (ANSWER)Gently tug the pinna backward, up, and
out before inserting the probe.
Which instruction might the nurse give to nursing assistive personnel (NAP) that is applicable
only to temporal artery temperature assessment? - (ANSWER)Place the sensor flush on the
patient's forehead.
During the admissions process, the nurse initially assesses the patient's radial pulse primarily for
what purpose? - (ANSWER)Establishment of a baseline as part of the patient's vital signs
What will the nurse instruct nursing assistive personal (NAP) to do when measuring an adult
patient's radial pulse? - (ANSWER)Palpate the patient's inner wrist on the thumb side with the
fingertips of your two middle fingers.
What is the nurse's priority action if a patient's radial pulse has an irregular rhythm? -
(ANSWER)Assess the patient for a pulse deficit.
,Inadequate oxygenation to the body will cause the radial pulse to become: -
(ANSWER)Tachycardic
Which action would best assess the effect of exercise on a patient's radial pulse measurement? -
(ANSWER)Measuring the patient's radial pulse before and after exercise
Which action can the nurse take to keep a patient from consciously controlling his or her
breathing during an assessment? - (ANSWER)Assess respiration after measuring the pulse.
On the last assessment of a patient's respiration, her respiratory rate was 10 breaths per minute.
What should the nurse do when conducting the next assessment of this patient's respiratory rate?
- (ANSWER)Count breaths for 60 seconds.
When measuring a patient's respiratory rate, the nurse will count the number of completed
respiratory cycles per minute. What is the definition of a respiratory cycle? - (ANSWER)The
number of inspirations and expirations per minute.
During the assessment of a patient's respiratory rate, when the second hand reaches the 15-
second mark, the respiratory count is 8. What should the nurse do at this time? -
(ANSWER)Continue to count the patient's breaths for a full 60 seconds.
The nurse plans to assess a patient's respiratory rate; however, the patient has just returned from
ambulating to the bathroom. What should the nurse do to minimize the effect of exercise on the
patient's respiratory rate? - (ANSWER)Encourage the patient to rest for 10 minutes before
assessing respiration.
The nurse is preparing to assess a patient's blood pressure. What would cause the blood pressure
reading to be inaccurately high? - (ANSWER)Blood pressure cuff is too loose around the arm
What would cause the nurse to delay the assessment of a patient's blood pressure? -
(ANSWER)Patient has just finished having a cigarette
, The nurse has just measured a patient's blood pressure and is waiting 2 minutes to measure the
pressure again. What is the purpose of taking two measurements? - (ANSWER)Minimize the
effect of anxiety
The nurse is teaching a patient about ways to reduce blood pressure. What will the nurse include
in these instructions? - (ANSWER)Ensure that your diet has an adequate daily intake of calcium.
Where should the nurse measure the blood pressure of a patient recovering from a left-sided
mastectomy? - (ANSWER)Use the right arm to take the blood pressure.
The nurse is planning to measure a patient's blood pressure. What does the systolic measurement
represent? - (ANSWER)The pressure exerted against the arterial wall.
You have assigned a new nursing assistive personnel (NAP) to take routine vital signs. You
notice that the NAP's last three patients have had unusually low blood pressure that you have had
to confirm. What is the most likely reason the NAP is obtaining falsely low blood pressure
readings? - (ANSWER)The blood pressure cuff is too wide for arm circumference.
What should the nurse do if the patient's blood pressure is not within normal limits? -
(ANSWER)This is the correct response, because the patient must be assessed for possible
cardiovascular problems.
What would the nurse do to prevent the spread of infection when assessing a patient's blood
pressure? - (ANSWER)Clean the stethoscope with alcohol before and after using it.
You have assigned a new nursing assistive personnel (NAP) to take routine vital signs. An
experienced NAP has been asked to retake a blood pressure that the newly hired NAP has taken
three times this week. As the nurse, what action do you take? - (ANSWER)Observe the NAP as
she obtains a blood pressure and pulse on a patient.
Which of the following is a risk factor for decreased oxygen saturation level in a patient? -
(ANSWER)Chest wall injury
