Elsevier Prep Questions Exam 2 Test Questions with
Answers 100% Pass
D (Oxygen saturation: 96%) days ago, RR 22, BP 148/62
(Oxygen therapy increases oxygen saturation.
Temperature is not affected by the oxygen.
There is no change in heart rate. Administering A, B, D, G
oxygen should decrease the respiratory rate. The
decline in blood pressure is unlikely to be caused (You need to determine the patient's usual
by oxygen.) - -A 52-year-old woman is temperature to evaluate the degree of
admitted with dyspnea and discomfort in her left temperature elevation. Heart rate and respiratory
chest with deep breaths. She has smoked for 35 rate increase with temperature. The presence of
years and recently lost over 10 pounds. Her vital diaphoresis may contribute to fluid volume deficit
signs on admission are: HR 112, BP 138/82, RR from hyperthermia.) - -A 56-year-old patient
22, tympanic temperature 36.8°C (98.2°F), and with diabetes admitted for community acquired
oxygen saturation 94%. She is receiving oxygen pneumonia has a temperature of 38.2°C
at 2 L via a nasal cannula. Which vital sign (100.8°F) via the temporal artery. Which
reflects a positive outcome of the oxygen additional assessment data are needed in
therapy? planning interventions for the patient's infection?
(Select all that apply.)
A) Temperature: 37°C (98.6°F)
B) Radial pulse: 112 A) Heart rate
C) Respiratory rate: 24 B) Presence of diaphoresis
D) Oxygen saturation: 96% C) Smoking history
E) Blood pressure: 134/78 D) Respiratory rate
E) Recent bowel movement
F) Blood pressure in right arm
G) Patient's normal temperature
A (84-year-old man recently admitted with H) Blood pressure in distal extremity
pneumonia, RR 28, SpO2 89%)
(Oxygen saturation is low, indicating a problem
with ventilation or diffusion, which is related to B (Right popliteal and right axillae)
the respiratory rate.) - -The licensed
practice nurse (LPN) provides you with the (The only extremity that does not have a
change-of-shift vital signs on four of your compromised artery to auscultate is the right
patients. Which patient do you need to assess lower leg after the sequential device is removed.
first? The tympanic membrane and temporal artery are
affected by facial surgery and oxygen mask.) -
A) 84-year-old man recently admitted with -A 55-year-old widowed patient was in a
pneumonia, RR 28, SpO2 89% motor vehicle accident and is admitted to a
B) 54-year-old woman admitted after surgery for surgical unit after repair of a fractured left arm
fractured arm, BP 160/86 mm Hg, HR 72 and left leg. She also has a laceration on her
C) 63-year-old man with venous ulcers from forehead. An intravenous (IV) line is infusing in
diabetes, temperature 37.3°C (99.1°F), HR 84 the right antecubital fossa, and pneumatic
D) 77-year-old woman with left mastectomy 2 compression stockings are on the right lower leg.
,Elsevier Prep Questions Exam 2 Test Questions with
Answers 100% Pass
She is receiving oxygen via a simple face mask. additional information is helpful in evaluating the
What sites do you instruct the nursing assistant patient's racing heart? (Select all that apply.)
to use for obtaining the patient's blood pressure
and temperature? A) Dietary habits
B) Medication list
A) Right antecubital and tympanic membrane C) Exercise regimen
B) Right popliteal and right axillae D) Age, weight, and height
C) Left antecubital and oral
D) Left popliteal and temporal artery
D (156/82 mm Hg)
C (Baseline vital signs) (When you use a blood pressure cuff that is too
narrow or short, your patient will most likely have
(Knowledge of baseline vital signs is needed to a BP reading that is higher than it really is; you
prioritize care.) - -A patient has been will get a false-high reading.) - -You
transferred to your unit from the respiratory observe a nursing student taking a blood
intensive care unit, where he has been for the pressure (BP) on a patient. The patient's BP
past 2 weeks recovering from pneumonia. He is range over the past 24 hours is 132/64 to 126/72
receiving oxygen via 4 L nasal cannula. His mm Hg. The student used a BP cuff that was too
respiratory rate is 26 breaths/min, and his narrow for the patient. Which of the following BP
oxygen saturation is 92%. In planning his care, readings made by the student is most likely
which information is most helpful in determining caused by the incorrect choice of BP cuff?
your priority nursing interventions?
A) 96/40 mm Hg
A) Activity order B) 110/66 mm Hg
B) Medication list C) 130/70 mm Hg
C) Baseline vital signs D) 156/82 mm Hg
D) Patient's perception of dyspnea
C (Nail polish interferes with sensor function.)
A, B
(Nail polish reduces light transmission and can
(Dietary habits may include caffeine fluids and alter oxygen saturation measurement.) - -
foods that stimulate heart rate. Medication list As you are obtaining the oxygen saturation on a
may include pharmacological agents that 19-year-old college student with severe asthma,
increase or decrease heart rate.) - -During you note that she has black nail polish on her
a patient's routine annual physical, she tells you nails. You remove the polish from one nail, and
that she has noted that her heart feels like it's " she asks you why her nail polish had to be
racing, " usually in the later morning, early removed. Your best reply is:
afternoon, or just before she goes to bed. Her
radial pulse rate is 68 beats/min and regular; her A) Nail polish attracts microorganisms and
blood pressure is 134/82 mm Hg. What contaminates the finger sensor.
, Elsevier Prep Questions Exam 2 Test Questions with
Answers 100% Pass
B) Nail polish increases oxygen saturation. evidence of a pulse deficit
C) Nail polish interferes with sensor function. D) Prepare to administer cardiac-stimulating
D) Nail polish creates excessive heat in sensor medications
probe.
C (A patient with a fever of 39.4°C (103°F))
C (Intermittent fever pattern) - -A patient
has been hospitalized for the past 48 hours with (Patients with a fever have a high heart rate. A
a fever of unknown origin. His medical record healthy athlete has a low heart rate because of
indicates tympanic temperatures of 38.7°C conditioning. Hypothermia slows the heart. Beta-
(101.6°F) (0400), 36.6°C (97.9°F) (0800), 36.9°C blockers reduce heart rate.) - -Which of the
(98.4°F) (1200), 37.6°C (99.6°F) (1600), and following patients is most at risk for tachycardia?
38.3°C (100.9°F) (2000). How would you
describe this pattern of temperature A) A healthy professional tennis player
measurements? B) A patient admitted with hypothermia
C) A patient with a fever of 39.4°C (103°F)
A) Usual range of circadian rhythm D) A 90-year-old male taking beta blockers
measurements
B) Sustained fever pattern
C) Intermittent fever pattern
D) Resolving fever pattern A, B
(Rib fractures would cause splinting and pain to
increase respiratory rate. Pregnancy impedes
C (Assess the patient's apical pulse and diaphragmatic excursion, causing shallow,
evidence of a pulse deficit) frequent breaths.) - -Which of the following
patients is at most risk for tachypnea? (Select all
(Your priority is to assess the patient first. The that apply.)
nurse cannot delegate vital signs to an unstable
patient. Therefore first you determine if the A) Patient just admitted with four rib fractures
patient has a pulse deficit. Calling for a stat B) Woman who is 9 months' pregnant
electrocardiogram and preparing to administer C) Adult who has consumed alcoholic beverages
cardiac-stimulating medications require D) Adolescent awaking from sleep
notification of the health care provider and occur
after you assess the patient.) - -A patient
presents in the clinic with dizziness and fatigue.
The nursing assistant reports a very slow radial C (148/82, 148/78, 134/86)
pulse of 44. What is your priority intervention?
(The definition of hypertension requires two
A) Request that the nursing assistant repeat the elevated blood pressure measurements in a row.
pulse check All of the other choices describe
B) Call for a stat electrocardiogram (ECG) prehypertension.) - -The following blood
C) Assess the patient's apical pulse and pressures, taken 6 months apart, were recorded
Answers 100% Pass
D (Oxygen saturation: 96%) days ago, RR 22, BP 148/62
(Oxygen therapy increases oxygen saturation.
Temperature is not affected by the oxygen.
There is no change in heart rate. Administering A, B, D, G
oxygen should decrease the respiratory rate. The
decline in blood pressure is unlikely to be caused (You need to determine the patient's usual
by oxygen.) - -A 52-year-old woman is temperature to evaluate the degree of
admitted with dyspnea and discomfort in her left temperature elevation. Heart rate and respiratory
chest with deep breaths. She has smoked for 35 rate increase with temperature. The presence of
years and recently lost over 10 pounds. Her vital diaphoresis may contribute to fluid volume deficit
signs on admission are: HR 112, BP 138/82, RR from hyperthermia.) - -A 56-year-old patient
22, tympanic temperature 36.8°C (98.2°F), and with diabetes admitted for community acquired
oxygen saturation 94%. She is receiving oxygen pneumonia has a temperature of 38.2°C
at 2 L via a nasal cannula. Which vital sign (100.8°F) via the temporal artery. Which
reflects a positive outcome of the oxygen additional assessment data are needed in
therapy? planning interventions for the patient's infection?
(Select all that apply.)
A) Temperature: 37°C (98.6°F)
B) Radial pulse: 112 A) Heart rate
C) Respiratory rate: 24 B) Presence of diaphoresis
D) Oxygen saturation: 96% C) Smoking history
E) Blood pressure: 134/78 D) Respiratory rate
E) Recent bowel movement
F) Blood pressure in right arm
G) Patient's normal temperature
A (84-year-old man recently admitted with H) Blood pressure in distal extremity
pneumonia, RR 28, SpO2 89%)
(Oxygen saturation is low, indicating a problem
with ventilation or diffusion, which is related to B (Right popliteal and right axillae)
the respiratory rate.) - -The licensed
practice nurse (LPN) provides you with the (The only extremity that does not have a
change-of-shift vital signs on four of your compromised artery to auscultate is the right
patients. Which patient do you need to assess lower leg after the sequential device is removed.
first? The tympanic membrane and temporal artery are
affected by facial surgery and oxygen mask.) -
A) 84-year-old man recently admitted with -A 55-year-old widowed patient was in a
pneumonia, RR 28, SpO2 89% motor vehicle accident and is admitted to a
B) 54-year-old woman admitted after surgery for surgical unit after repair of a fractured left arm
fractured arm, BP 160/86 mm Hg, HR 72 and left leg. She also has a laceration on her
C) 63-year-old man with venous ulcers from forehead. An intravenous (IV) line is infusing in
diabetes, temperature 37.3°C (99.1°F), HR 84 the right antecubital fossa, and pneumatic
D) 77-year-old woman with left mastectomy 2 compression stockings are on the right lower leg.
,Elsevier Prep Questions Exam 2 Test Questions with
Answers 100% Pass
She is receiving oxygen via a simple face mask. additional information is helpful in evaluating the
What sites do you instruct the nursing assistant patient's racing heart? (Select all that apply.)
to use for obtaining the patient's blood pressure
and temperature? A) Dietary habits
B) Medication list
A) Right antecubital and tympanic membrane C) Exercise regimen
B) Right popliteal and right axillae D) Age, weight, and height
C) Left antecubital and oral
D) Left popliteal and temporal artery
D (156/82 mm Hg)
C (Baseline vital signs) (When you use a blood pressure cuff that is too
narrow or short, your patient will most likely have
(Knowledge of baseline vital signs is needed to a BP reading that is higher than it really is; you
prioritize care.) - -A patient has been will get a false-high reading.) - -You
transferred to your unit from the respiratory observe a nursing student taking a blood
intensive care unit, where he has been for the pressure (BP) on a patient. The patient's BP
past 2 weeks recovering from pneumonia. He is range over the past 24 hours is 132/64 to 126/72
receiving oxygen via 4 L nasal cannula. His mm Hg. The student used a BP cuff that was too
respiratory rate is 26 breaths/min, and his narrow for the patient. Which of the following BP
oxygen saturation is 92%. In planning his care, readings made by the student is most likely
which information is most helpful in determining caused by the incorrect choice of BP cuff?
your priority nursing interventions?
A) 96/40 mm Hg
A) Activity order B) 110/66 mm Hg
B) Medication list C) 130/70 mm Hg
C) Baseline vital signs D) 156/82 mm Hg
D) Patient's perception of dyspnea
C (Nail polish interferes with sensor function.)
A, B
(Nail polish reduces light transmission and can
(Dietary habits may include caffeine fluids and alter oxygen saturation measurement.) - -
foods that stimulate heart rate. Medication list As you are obtaining the oxygen saturation on a
may include pharmacological agents that 19-year-old college student with severe asthma,
increase or decrease heart rate.) - -During you note that she has black nail polish on her
a patient's routine annual physical, she tells you nails. You remove the polish from one nail, and
that she has noted that her heart feels like it's " she asks you why her nail polish had to be
racing, " usually in the later morning, early removed. Your best reply is:
afternoon, or just before she goes to bed. Her
radial pulse rate is 68 beats/min and regular; her A) Nail polish attracts microorganisms and
blood pressure is 134/82 mm Hg. What contaminates the finger sensor.
, Elsevier Prep Questions Exam 2 Test Questions with
Answers 100% Pass
B) Nail polish increases oxygen saturation. evidence of a pulse deficit
C) Nail polish interferes with sensor function. D) Prepare to administer cardiac-stimulating
D) Nail polish creates excessive heat in sensor medications
probe.
C (A patient with a fever of 39.4°C (103°F))
C (Intermittent fever pattern) - -A patient
has been hospitalized for the past 48 hours with (Patients with a fever have a high heart rate. A
a fever of unknown origin. His medical record healthy athlete has a low heart rate because of
indicates tympanic temperatures of 38.7°C conditioning. Hypothermia slows the heart. Beta-
(101.6°F) (0400), 36.6°C (97.9°F) (0800), 36.9°C blockers reduce heart rate.) - -Which of the
(98.4°F) (1200), 37.6°C (99.6°F) (1600), and following patients is most at risk for tachycardia?
38.3°C (100.9°F) (2000). How would you
describe this pattern of temperature A) A healthy professional tennis player
measurements? B) A patient admitted with hypothermia
C) A patient with a fever of 39.4°C (103°F)
A) Usual range of circadian rhythm D) A 90-year-old male taking beta blockers
measurements
B) Sustained fever pattern
C) Intermittent fever pattern
D) Resolving fever pattern A, B
(Rib fractures would cause splinting and pain to
increase respiratory rate. Pregnancy impedes
C (Assess the patient's apical pulse and diaphragmatic excursion, causing shallow,
evidence of a pulse deficit) frequent breaths.) - -Which of the following
patients is at most risk for tachypnea? (Select all
(Your priority is to assess the patient first. The that apply.)
nurse cannot delegate vital signs to an unstable
patient. Therefore first you determine if the A) Patient just admitted with four rib fractures
patient has a pulse deficit. Calling for a stat B) Woman who is 9 months' pregnant
electrocardiogram and preparing to administer C) Adult who has consumed alcoholic beverages
cardiac-stimulating medications require D) Adolescent awaking from sleep
notification of the health care provider and occur
after you assess the patient.) - -A patient
presents in the clinic with dizziness and fatigue.
The nursing assistant reports a very slow radial C (148/82, 148/78, 134/86)
pulse of 44. What is your priority intervention?
(The definition of hypertension requires two
A) Request that the nursing assistant repeat the elevated blood pressure measurements in a row.
pulse check All of the other choices describe
B) Call for a stat electrocardiogram (ECG) prehypertension.) - -The following blood
C) Assess the patient's apical pulse and pressures, taken 6 months apart, were recorded
