NSG 3100
NSG 3100 Exam 2 Practice NCLEX Questions KEY Vital Signs, Infection
Control, Wounds | Latest (2026/2027) Updated Version – Galen College of
Nursing
THIS DOCUMENT CONTAINS:
❖NSG 3100 Exam 2
❖Practice NCLEX Questions KEY
❖Vital Signs, Infection Control, Wounds
❖Galen College of Nursing
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
, 3100 EXAM 2 PRACTICE QUESTIONS KEY
3100 Exam 2 Practice NCLEX Questions
KEY
Vital Signs, Infection Control, Wounds
MULTIPLE CHOICE
1. ANS: C
Baseline values, or initial vital signs, are used to identify changes in patient status; a series of vital sign
measurements establishes patient trends. The task of obtaining vital signs is relatively easy to learn but
interpreting the meaning of the values and incorporating the results into the management of patient care
requires knowledge, problem solving, and clinical judgment. Individual vital signs are not as important as
the trends. For instance, a patient may have a blood pressure higher than “normal” that is normal for the
patient. Trends give more useful information than a single reading. Documentation is important, but the
nurse needs to do more. If the readings are significantly abnormal, the provider should be notified. The
nurse may retake the vital signs if he/she is not confident of the first set of measurements but should not
wait for time to pass.
PTS: 1 DIF: Applying REF: Concepts: Perfusion | Concepts: Gas Exchange
OBJ: 19.1 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. ANS: D
The task of obtaining vital signs is relatively easy to learn but interpreting the meaning of the values and
incorporating the results into the management of patient care requires knowledge, problem solving, and
clinical judgment. The nurse providing care uses clinical judgment to determine the need to assess vital
signs more frequently on the basis of the patient’s condition. Recognizing cues that alert the nurse to
assess vital signs based on the patient status is an important part of recognizing a change in patient status
that may need early intervention. The nurse should plan to assess vital signs more often in this patient.
Since this is a significant change, the nurse should not wait another hour even though this is what the
provider prescribed. It is not necessary for another nurse to double-check the vital signs. Documentation
needs to occur, but the priority is to plan to take the vitals more often.
PTS: 1 DIF: Applying REF: Concepts: Perfusion | Concepts: Gas Exchange
OBJ: 19.1 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. ANS: B
A temperature of 98.4 °F is normal. “Afebrile” means having a normal temperature. The other readings
are not related to this term.
PTS: 1 DIF: Remembering REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
4. ANS: B
Conduction is the transfer of and reaction to heat through direct contact. Heat from the body is lost when
it comes in contact with a cooler object, such as an ice pack or cool cloth. A cooling fan would help
lower temperature by convection. Spraying the patient with a mist of water would lead to evaporative
cooling. Turning the temperature down is an example of radiation.
, 3100 EXAM 2 PRACTICE QUESTIONS KEY
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
5. ANS: B
Oral temperatures will be inaccurate if the patient has been drinking or eating hot or cold foods. The
nurse instructs the patient not to continue drinking the coffee and returns in 30 minutes to take the
temperature. Drinking room temperature water will not “even out” the patient’s mouth temperature. The
rectal route is not preferred by patients and should not be used in this situation. The nurse needs a
temperature and so should not document that it was not obtained.
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Management
6. ANS: B
For an adult, the correct procedure for taking a tympanic temperature includes pulling the pinna of the
patient’s ear up and back. Children’s pinnae are pulled down and back. Washing hands and explaining
the procedure are appropriate.
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
7. ANS: A
Tachycardia (rapid heart rate) is often caused by factors such as pain, anxiety, fever, or fluid volume
alterations. The nurse should assess the patient thoroughly for possible causative factors. If the peripheral
pulse is irregular, count an apical pulse for 1 full minute to ensure accurate measurement. Since the pulse
is regular, there is no reason to take an apical pulse. The findings should be documented, but the nurse
needs to do more. The provider may or may not need to be notified, depending on the outcome of the
nurse’s assessment.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
8. ANS: B
The dorsalis pedis pulse is palpated on the top of the foot. The other assessment locations and pulses are
correct.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.3 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
9. ANS: A
A pulse that is hard to obliterate (a bounding pulse) can be caused by fluid volume overload, or
overhydration. The nurse should assess for this situation. The other actions are not necessary.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.3 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
10. ANS: C
NSG 3100 Exam 2 Practice NCLEX Questions KEY Vital Signs, Infection
Control, Wounds | Latest (2026/2027) Updated Version – Galen College of
Nursing
THIS DOCUMENT CONTAINS:
❖NSG 3100 Exam 2
❖Practice NCLEX Questions KEY
❖Vital Signs, Infection Control, Wounds
❖Galen College of Nursing
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
, 3100 EXAM 2 PRACTICE QUESTIONS KEY
3100 Exam 2 Practice NCLEX Questions
KEY
Vital Signs, Infection Control, Wounds
MULTIPLE CHOICE
1. ANS: C
Baseline values, or initial vital signs, are used to identify changes in patient status; a series of vital sign
measurements establishes patient trends. The task of obtaining vital signs is relatively easy to learn but
interpreting the meaning of the values and incorporating the results into the management of patient care
requires knowledge, problem solving, and clinical judgment. Individual vital signs are not as important as
the trends. For instance, a patient may have a blood pressure higher than “normal” that is normal for the
patient. Trends give more useful information than a single reading. Documentation is important, but the
nurse needs to do more. If the readings are significantly abnormal, the provider should be notified. The
nurse may retake the vital signs if he/she is not confident of the first set of measurements but should not
wait for time to pass.
PTS: 1 DIF: Applying REF: Concepts: Perfusion | Concepts: Gas Exchange
OBJ: 19.1 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. ANS: D
The task of obtaining vital signs is relatively easy to learn but interpreting the meaning of the values and
incorporating the results into the management of patient care requires knowledge, problem solving, and
clinical judgment. The nurse providing care uses clinical judgment to determine the need to assess vital
signs more frequently on the basis of the patient’s condition. Recognizing cues that alert the nurse to
assess vital signs based on the patient status is an important part of recognizing a change in patient status
that may need early intervention. The nurse should plan to assess vital signs more often in this patient.
Since this is a significant change, the nurse should not wait another hour even though this is what the
provider prescribed. It is not necessary for another nurse to double-check the vital signs. Documentation
needs to occur, but the priority is to plan to take the vitals more often.
PTS: 1 DIF: Applying REF: Concepts: Perfusion | Concepts: Gas Exchange
OBJ: 19.1 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. ANS: B
A temperature of 98.4 °F is normal. “Afebrile” means having a normal temperature. The other readings
are not related to this term.
PTS: 1 DIF: Remembering REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
4. ANS: B
Conduction is the transfer of and reaction to heat through direct contact. Heat from the body is lost when
it comes in contact with a cooler object, such as an ice pack or cool cloth. A cooling fan would help
lower temperature by convection. Spraying the patient with a mist of water would lead to evaporative
cooling. Turning the temperature down is an example of radiation.
, 3100 EXAM 2 PRACTICE QUESTIONS KEY
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
5. ANS: B
Oral temperatures will be inaccurate if the patient has been drinking or eating hot or cold foods. The
nurse instructs the patient not to continue drinking the coffee and returns in 30 minutes to take the
temperature. Drinking room temperature water will not “even out” the patient’s mouth temperature. The
rectal route is not preferred by patients and should not be used in this situation. The nurse needs a
temperature and so should not document that it was not obtained.
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Management
6. ANS: B
For an adult, the correct procedure for taking a tympanic temperature includes pulling the pinna of the
patient’s ear up and back. Children’s pinnae are pulled down and back. Washing hands and explaining
the procedure are appropriate.
PTS: 1 DIF: Applying REF: Concepts: Thermoregulation
OBJ: 19.2 TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
7. ANS: A
Tachycardia (rapid heart rate) is often caused by factors such as pain, anxiety, fever, or fluid volume
alterations. The nurse should assess the patient thoroughly for possible causative factors. If the peripheral
pulse is irregular, count an apical pulse for 1 full minute to ensure accurate measurement. Since the pulse
is regular, there is no reason to take an apical pulse. The findings should be documented, but the nurse
needs to do more. The provider may or may not need to be notified, depending on the outcome of the
nurse’s assessment.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.2 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
8. ANS: B
The dorsalis pedis pulse is palpated on the top of the foot. The other assessment locations and pulses are
correct.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.3 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
9. ANS: A
A pulse that is hard to obliterate (a bounding pulse) can be caused by fluid volume overload, or
overhydration. The nurse should assess for this situation. The other actions are not necessary.
PTS: 1 DIF: Applying REF: Concepts: Perfusion
OBJ: 19.3 TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
10. ANS: C
