Exam 2: NSG3100 / NSG 3100 (Latest 2026 / 2027 Update) Fundamental Concepts & Skills for Nursing Practice I | Questions with Verified Answers | 100% Correct | Grade A+ - Galen.

Exam 2: NSG3100 / NSG 3100 (Latest 2026 /
2027 Update) Fundamental Concepts & Skills
for Nursing Practice I | Questions with Verified
Answers | 100% Correct | Grade A+ - Galen.
Question:

When the nurse enters a client's room to measure routine vital signs, the
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client is on the phone. What technique should the nurse use to determine
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the respiratory rate?
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1. Count the respirations during conversational pauses.
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2. Ask the client to end the phone call now and resume it at a later time.
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3. Wait at the client's bedside until the phone call is completed and then
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count respirations.
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4. Since there is no evidence of distress or urgency, postpone the
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measurement until later.? i,- i,-




Answer:
Answer: 4. Rationale: Since the client's needs are always considered first,
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the measurement should be delayed unless the client is in distress or
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there are other urgent reasons. Option 1: Respirations should be
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measured for 30 seconds to 1 minute and are affected by talking. Option
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2: There needs to be an important reason for interrupting the
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client. Option 3: It is inappropriate to wait and listen to the client's
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conversation. Cognitive Level: Understanding. Client Need: Health
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Promotion and Maintenance. Nursing Process: Planning. Learning
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Outcome: 29-3d. i,-

,Question:

For a client with a previous blood pressure of 138/74 mmHg and pulse of
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64 beats/min, approximately how long should the nurse take to release
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the blood pressure cuff in order to obtain an accurate reading?
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1. 10-20 seconds
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2. 30-45 seconds
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3. 1-1.5 minutes
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4. 3-3.5 minutes?
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Answer:

Answer: 2. Rationale: If the cuff is inflated to about 30 mmHg over
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previous systolic pressure, that would be 168. To ensure that the diastolic
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has been determined, the cuff should be released slowly until the mid60s
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mmHg (and then completely) for someone with a previous reading
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of 74. The cuff should be deflated at a rate of 2 to 3 mm per second.
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Thus, a range of 90 mmHg will require 30 to 45 seconds. Cognitive Level:
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Analyzing. Client Need: Health Promotion and Maintenance. Nursing
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Process: Implementation. Learning Outcome: 29-3e
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Question:
It would be appropriate to delegate the taking of vital signs of which
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client to unlicensed assistive personnel?
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, 1. A client being prepared for elective facial surgery with a history of
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stable hypertensioni,-




2. A client receiving a blood transfusion with a history of transfusion
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reactions

3. A client recently started on a new antiarrhythmic agent
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4. A client who is admitted frequently with asthma attacks?
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Answer:

Answer: 1. Rationale: Vital signs measurement may be delegated to UAP if
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the client is in stable condition, the findings are expected to be
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predictable, and the technique requires no modification. Only the
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preoperative client meets these requirements. In addition, UAP are not
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delegated to take apical pulse measurements for the client with an
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irregular pulse as would be the case with the client newly started on
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antiarrhythmic medication (option 3). Cognitive Level: Applying. Client
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Need: Health Promotion and Maintenance. Nursing Process: Planning.
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Learning Outcome: 29-8. i,- i,-




Question:
An 85-year-old client has had a stroke resulting in right-sided facial
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drooping, difficulty swallowing, and the inability to move self or maintain
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position unaided. The nurse determines that which sites are most
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appropriate for taking the temperature? i,- i,- i,- i,-




Select all that apply.
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1. Oral
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2. Rectal
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3. Axillary
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