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NSG 3100 EXAM 2 FUNDAMENTALS CONCEPT and
SKILL FOR NURSING PRACTICE NEWEST Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
Question 1
The client's temperature at 8:00 AM using an oral electronic
thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood
pressure were within normal range, what would the nurse do next?
A) Wait 15 minutes and retake it.
B) Check what the client's temperature was the last time it was taken.
C) Retake it using a different thermometer.
D) Chart the temperature; it is normal.
Answer: B
Explanation: Although the temperature is slightly lower than expected
for the morning, it would be best to determine the client's previous
temperature range next. This may be a normal range for this client.
Depending on that finding, the nurse might want to retake it in a few
minutes—no need to wait 15 minutes or with another thermometer to
see if the initial thermometer was functioning properly. Charting should
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occur after determining that the temperature has been measured
properly.
Question 2
Which client meets the criteria for selection of the apical site for
assessment of the pulse rather than a radial pulse?
A) A client who is in shock.
B) A client whose pulse changes with body position changes.
C) A client with an arrhythmia.
D) A client who had surgery less than 24 hours ago.
Answer: C
Explanation: The apical rate would confirm the rate and determine the
actual cardiac rhythm for a client with an abnormal rhythm; a radial
pulse would only reveal the heart rate and suggest an arrhythmia. For
clients in shock, use the carotid or femoral pulse. The radial pulse is
adequate for determining a change in the orthostatic heart rate and is
appropriate for routine postoperative vital sign checks for clients with
regular pulses.
Question 3
When the nurse enters a client's room to measure routine vital signs,
the client is on the phone. What technique should the nurse use to
determine the respiratory rate?
A) Count the respirations during conversational pauses.
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B) Ask the client to end the phone call now and resume it at a later
time.
C) Wait at the client's bedside until the phone call is completed and
then count respirations.
D) Since there is no evidence of distress or urgency, postpone the
measurement until later.
Answer: D
Explanation: Since the client's needs are always considered first, the
measurement should be delayed unless the client is in distress or there
are other urgent reasons. Respirations should be measured for 30
seconds to 1 minute and are affected by talking. There needs to be an
important reason for interrupting the client, and it is inappropriate to
wait and listen to the client's conversation.
Question 4
What is considered the normal blood pressure range?
A) 130-139/80-89 mm Hg
B) Less than 120/less than 80 mm Hg
C) 140/90 mm Hg or higher
D) 120-129/less than 80 mm Hg
Answer: B
Explanation: Normal blood pressure, according to the American College
of Cardiology/American Heart Association (ACC/AHA) 2017 guidelines,
, 4|Page
is defined as a systolic reading less than 120 mm Hg and a diastolic
reading less than 80 mm Hg. Maintaining BP within this range reduces
strain on cardiovascular structures, minimizes risk of atherosclerosis,
and decreases the likelihood of end-organ complications like
nephropathy or retinopathy.
Question 5
What is considered the Hypertensive Stage 1 blood pressure range?
A) 130-139/80-89 mm Hg
B) 120-129/less than 80 mm Hg
C) 140/90 mm Hg or higher
D) Less than 120/less than 80 mm Hg
Answer: A
Explanation: Stage 1 hypertension is diagnosed when systolic pressure
ranges from 130-139 mm Hg or diastolic pressure ranges from 80-89
mm Hg. This category indicates elevated risk and typically prompts
lifestyle modifications and, in some cases, pharmacological intervention
based on overall cardiovascular risk assessment.
Question 6
Which of the following is a cause of bradypnea?
A) Increased activity
B) Narcotic analgesics
NSG 3100 EXAM 2 FUNDAMENTALS CONCEPT and
SKILL FOR NURSING PRACTICE NEWEST Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
Question 1
The client's temperature at 8:00 AM using an oral electronic
thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood
pressure were within normal range, what would the nurse do next?
A) Wait 15 minutes and retake it.
B) Check what the client's temperature was the last time it was taken.
C) Retake it using a different thermometer.
D) Chart the temperature; it is normal.
Answer: B
Explanation: Although the temperature is slightly lower than expected
for the morning, it would be best to determine the client's previous
temperature range next. This may be a normal range for this client.
Depending on that finding, the nurse might want to retake it in a few
minutes—no need to wait 15 minutes or with another thermometer to
see if the initial thermometer was functioning properly. Charting should
,2|Page
occur after determining that the temperature has been measured
properly.
Question 2
Which client meets the criteria for selection of the apical site for
assessment of the pulse rather than a radial pulse?
A) A client who is in shock.
B) A client whose pulse changes with body position changes.
C) A client with an arrhythmia.
D) A client who had surgery less than 24 hours ago.
Answer: C
Explanation: The apical rate would confirm the rate and determine the
actual cardiac rhythm for a client with an abnormal rhythm; a radial
pulse would only reveal the heart rate and suggest an arrhythmia. For
clients in shock, use the carotid or femoral pulse. The radial pulse is
adequate for determining a change in the orthostatic heart rate and is
appropriate for routine postoperative vital sign checks for clients with
regular pulses.
Question 3
When the nurse enters a client's room to measure routine vital signs,
the client is on the phone. What technique should the nurse use to
determine the respiratory rate?
A) Count the respirations during conversational pauses.
,3|Page
B) Ask the client to end the phone call now and resume it at a later
time.
C) Wait at the client's bedside until the phone call is completed and
then count respirations.
D) Since there is no evidence of distress or urgency, postpone the
measurement until later.
Answer: D
Explanation: Since the client's needs are always considered first, the
measurement should be delayed unless the client is in distress or there
are other urgent reasons. Respirations should be measured for 30
seconds to 1 minute and are affected by talking. There needs to be an
important reason for interrupting the client, and it is inappropriate to
wait and listen to the client's conversation.
Question 4
What is considered the normal blood pressure range?
A) 130-139/80-89 mm Hg
B) Less than 120/less than 80 mm Hg
C) 140/90 mm Hg or higher
D) 120-129/less than 80 mm Hg
Answer: B
Explanation: Normal blood pressure, according to the American College
of Cardiology/American Heart Association (ACC/AHA) 2017 guidelines,
, 4|Page
is defined as a systolic reading less than 120 mm Hg and a diastolic
reading less than 80 mm Hg. Maintaining BP within this range reduces
strain on cardiovascular structures, minimizes risk of atherosclerosis,
and decreases the likelihood of end-organ complications like
nephropathy or retinopathy.
Question 5
What is considered the Hypertensive Stage 1 blood pressure range?
A) 130-139/80-89 mm Hg
B) 120-129/less than 80 mm Hg
C) 140/90 mm Hg or higher
D) Less than 120/less than 80 mm Hg
Answer: A
Explanation: Stage 1 hypertension is diagnosed when systolic pressure
ranges from 130-139 mm Hg or diastolic pressure ranges from 80-89
mm Hg. This category indicates elevated risk and typically prompts
lifestyle modifications and, in some cases, pharmacological intervention
based on overall cardiovascular risk assessment.
Question 6
Which of the following is a cause of bradypnea?
A) Increased activity
B) Narcotic analgesics
