NSG 3100 + 3100L TEST 2 QUESTIONS AND ANSWERS ALREADY PASSED UPDATED 2025
The nurse is measuring blood pressures as part of a community health fair. Which blood
pressure reading would cause the nurse to refer the patient for follow-up regarding
hypertension?
a. 108/70
b. 116/78
c. 128/80
d. 138/88 - correct answer d
The nurse is admitting a stable patient for a minor outpatient procedure. What site would the
nurse most commonly use to assess pulse rate?
a. Radial site
b. Apical site
c. Brachial site
d. Carotid site - correct answer a
The unlicensed assistive personnel reports vital signs for a patient to the nurse: temperature of
99.2° F (37.3° C) oral, pulse of 88 bpm and regular, respirations of 18 BPM and regular, blood
pressure of 178/112 mm Hg, and oxygen saturation of 96%. Which vital sign should the nurse
be most concerned about?
a. Temperature
b. Pulse
c. Respirations
d. Blood pressure - correct answer d
From the nurse's understanding, which statements regarding temperature and heat production
in the body are accurate? (Select all that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and heat production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for measurement.
e. Women tend to have more fluctuations in temperature than do men. - correct answer
a, e, d
,NSG 3100 + 3100L TEST 2 QUESTIONS AND ANSWERS ALREADY PASSED UPDATED 2025
The nurse is performing an initial assessment of a patient with a severe infection at hospital
admission. Vital signs for the patient indicate hypotension and tachycardia. Which data would
support this evaluation?
a. Pulse 78, blood pressure 140/88
b. Pulse 86, blood pressure 120/76
c. Pulse 100, blood pressure 118/68
d. Pulse 114, blood pressure 88/56 - correct answer d
The nurse places a patient with a high fever on a cooling blanket. How is heat loss achieved
with this treatment?
a. Radiation
b. Convection
c. Conduction
d. Evaporation - correct answer c
Which clinical patient scenario is associated with the most critical need for the nurse to obtain
vital signs?
a. Ambulating for the first time after surgery
b. Complaining of pressure in the chest
c. Completing ambulating 100 feet after a stroke
d. Complaining of hunger while NPO (nothing by mouth) - correct answer b
The nurse understands that which statement is correct regarding respiratory rates?
a. Infants have a lower respiratory rate than adults.
b. Healthy adults breathe between 12 and 20 times a minute.
c. A compensatory response to a fever is to breathe at a slower rate.
d. An increase in intracranial pressure results in an increased rate. - correct answer b
The nurse is caring for a patient who has a blood pressure of 184/110. An hour after
administering an antihypertensive medication, the nurse returns to recheck the blood pressure,
only to find the patient in the chair pale, sweaty, and feeling faint. Which is the expected
explanation for the nurse's observations?
a. The blood pressure is 184/110; the medication has not had an effect.
, NSG 3100 + 3100L TEST 2 QUESTIONS AND ANSWERS ALREADY PASSED UPDATED 2025
b. The blood pressure is 118/76; the sudden drop has caused the signs.
c. The blood pressure is 174/96; the medication has made the patient sick.
d. The blood pressure is 130/82; the symptoms are from another cause. - correct answer
b
It is 6 a.m. and the unlicensed assistive personnel reports to the nurse that the patient has a
temperature of 96.7° F (35.9° C) tympanic. Which factor explains this reading?
a. The patient's room is cold.
b. The patient was drinking cold water.
c. The patient is exhibiting a normal circadian rhythm.
d. The patient just completed a warm shower. - correct answer c
The nurse is caring for a patient who has been diagnosed with methicillin-resistant
Staphylococcus aureus located in her incision. What transmission-based precautions will the
nurse implement for the patient?
a. Private room
b. Private, negative-airflow room
c. Mask worn by the staff when entering the room
d. Mask worn by the staff and the patient when leaving the patient's room - correct
answer a
A new patient is admitted to a medical unit with Clostridium difficile. Which type of precautions
or isolation does the nurse know is appropriate for this patient?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Protective isolation - correct answer c
In which situations does the nurse wear clean gloves as part of standard precautions? (Select all
that apply.)
a. In the care of a patient diagnosed with an infectious process
b. When the patient is diaphoretic
c. During perineal care of each individual under treatment in the facility
The nurse is measuring blood pressures as part of a community health fair. Which blood
pressure reading would cause the nurse to refer the patient for follow-up regarding
hypertension?
a. 108/70
b. 116/78
c. 128/80
d. 138/88 - correct answer d
The nurse is admitting a stable patient for a minor outpatient procedure. What site would the
nurse most commonly use to assess pulse rate?
a. Radial site
b. Apical site
c. Brachial site
d. Carotid site - correct answer a
The unlicensed assistive personnel reports vital signs for a patient to the nurse: temperature of
99.2° F (37.3° C) oral, pulse of 88 bpm and regular, respirations of 18 BPM and regular, blood
pressure of 178/112 mm Hg, and oxygen saturation of 96%. Which vital sign should the nurse
be most concerned about?
a. Temperature
b. Pulse
c. Respirations
d. Blood pressure - correct answer d
From the nurse's understanding, which statements regarding temperature and heat production
in the body are accurate? (Select all that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and heat production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for measurement.
e. Women tend to have more fluctuations in temperature than do men. - correct answer
a, e, d
,NSG 3100 + 3100L TEST 2 QUESTIONS AND ANSWERS ALREADY PASSED UPDATED 2025
The nurse is performing an initial assessment of a patient with a severe infection at hospital
admission. Vital signs for the patient indicate hypotension and tachycardia. Which data would
support this evaluation?
a. Pulse 78, blood pressure 140/88
b. Pulse 86, blood pressure 120/76
c. Pulse 100, blood pressure 118/68
d. Pulse 114, blood pressure 88/56 - correct answer d
The nurse places a patient with a high fever on a cooling blanket. How is heat loss achieved
with this treatment?
a. Radiation
b. Convection
c. Conduction
d. Evaporation - correct answer c
Which clinical patient scenario is associated with the most critical need for the nurse to obtain
vital signs?
a. Ambulating for the first time after surgery
b. Complaining of pressure in the chest
c. Completing ambulating 100 feet after a stroke
d. Complaining of hunger while NPO (nothing by mouth) - correct answer b
The nurse understands that which statement is correct regarding respiratory rates?
a. Infants have a lower respiratory rate than adults.
b. Healthy adults breathe between 12 and 20 times a minute.
c. A compensatory response to a fever is to breathe at a slower rate.
d. An increase in intracranial pressure results in an increased rate. - correct answer b
The nurse is caring for a patient who has a blood pressure of 184/110. An hour after
administering an antihypertensive medication, the nurse returns to recheck the blood pressure,
only to find the patient in the chair pale, sweaty, and feeling faint. Which is the expected
explanation for the nurse's observations?
a. The blood pressure is 184/110; the medication has not had an effect.
, NSG 3100 + 3100L TEST 2 QUESTIONS AND ANSWERS ALREADY PASSED UPDATED 2025
b. The blood pressure is 118/76; the sudden drop has caused the signs.
c. The blood pressure is 174/96; the medication has made the patient sick.
d. The blood pressure is 130/82; the symptoms are from another cause. - correct answer
b
It is 6 a.m. and the unlicensed assistive personnel reports to the nurse that the patient has a
temperature of 96.7° F (35.9° C) tympanic. Which factor explains this reading?
a. The patient's room is cold.
b. The patient was drinking cold water.
c. The patient is exhibiting a normal circadian rhythm.
d. The patient just completed a warm shower. - correct answer c
The nurse is caring for a patient who has been diagnosed with methicillin-resistant
Staphylococcus aureus located in her incision. What transmission-based precautions will the
nurse implement for the patient?
a. Private room
b. Private, negative-airflow room
c. Mask worn by the staff when entering the room
d. Mask worn by the staff and the patient when leaving the patient's room - correct
answer a
A new patient is admitted to a medical unit with Clostridium difficile. Which type of precautions
or isolation does the nurse know is appropriate for this patient?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Protective isolation - correct answer c
In which situations does the nurse wear clean gloves as part of standard precautions? (Select all
that apply.)
a. In the care of a patient diagnosed with an infectious process
b. When the patient is diaphoretic
c. During perineal care of each individual under treatment in the facility
