NSG 3100 Exam 2 Practice Questions with Answers

NSG 3100 Exam 2 Practice Questions with Answers


1. A nurse is assessing a client’s bilateral pulses for symmetry. Which pulse site should not be
assessed on both sides of the body at the same time?
a. Radial
b. Carotid
c. Femoral
d. Brachial

B: It is unsafe to palpate both carotid arteries at the same time. Slight compression of both
carotid arteries can interfere with blood flow to the brain. In the addition, excessive
compression of the carotid arteries can stimulate the carotid sinuses causing a reflex drop in
the heart rate.


2. Which patient requires the nurse to assess further?
a. 18-year-old woman with pulse rate of 140 after riding two miles on an exercise bike
b. 50-year-old man with a BP 112/60 mm Hg on awakening in the morning
c. 65-year-old man with a respiratory rate of 10
d. 40-year-old woman with a pulse of 88

C: A respiratory rate of 10 is below the expected respiratory rate for an adult and should be
assessed further. The expected respiratory rate is 12-20 breaths per minute.


3. Which vital sign will change first when a postoperative client has an internal bleed?
a. Body temperature
b. Blood pressure
c. Pulse pressure
d. Heart rate

D: The initial stage of shock begins baroreceptors in the aortic arch and the carotid sinuses
detect drop in the arterial pressure. The sympathetic nervous system responds by
constricting the peripheral vessels increasing the pulse rate and the respiratory rate.


4. A nurse obtains the blood pressure of several adults. Which blood pressure results should cause
the most concern?
a. 102/70 mm Hg
b. 140/92 mm Hg
c. 125/78 mm Hg
d. 135/85 mm Hg

B: A BP of 140/92 mm Hg is considered high-stage II hypertension and is the BP that should
cause the most concern. A systolic more than 129 mmHg or a diastolic more than 89 mm Hg
is high-stage II hypertension




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, NSG 3100 Exam 2 Practice Questions with Answers


5. A nurse is taking care of a patient in isolation and needs to take a rectal temperature with a plas
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tic thermometer. Which should the nurse do?
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a. Take the temperature for 5 minutes cv cv cv cv cv




b. Wear gloves throughout the procedure cv cv cv cv




c. Place the patient in the right lateral position cv cv cv cv cv cv cv




d. Insert the thermometer 2 inches into the client’s anus cv cv cv cv cv cv cv cv




B: Gloves, personal protective pieces of equipment, are the best way the nurse is protected fro
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m contracting or transmitting a pathogen.
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6. A nurse in the emergency department is caring for a client who is diagnosed with hypothermia. Wh
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ich factor present in the client’s history may have precipitated this condition?
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a. Heatstroke
b. Inability to sweat cv cv




c. Excessive exercise cv




d. High alcohol intake cv cv




D: Excessive alcohol intake interferes with thermoregulation by providing a false sense of warmt
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h, inhibiting shivering, and causing vasodilation which promotes heat loss.
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7. The adult’s vital signs are: T: 99.0 (oral), pulse 88 beats per minute, respirations 16 breaths per min
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ute and blood pressure of 182/100 mm Hg. Which sign should cause concern?
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a. Pulse
b. Respirations
c. Temperature
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D: The blood pressure is more than the expected systolic value of less than 120 mm Hg and a dias
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tolic value less than 80 mm Hg .
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8. A client is admitted to the emergency department with difficulty breathing. Which client res
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ponse identified by the nurse causes the most concern?
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a. Low pulse oximetry cv cv




b. Wheezes on expiration cv cv




c. Shortness of breath on exertion cv cv cv cv




d. Use of accessory muscles of respiration cv cv cv cv cv




A: Pulse oximeter is a non-
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invasive procedure to measure the oxygen saturation of the blood. /the expected value is 95%
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or more. If a client’s pulse oximetry result is low, the client is hypoxic and need medical interven
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tion.


9. A nurse concluded that a client is experiencing pyrexia. Which client assessment precipitated this co
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nclusion?
a. Mental confusion cv




b. Increased appetite cv




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