Med-Surg Exam 1 Questions and Verified
Answers| 100% Correct |Grade A (Latest
2025/ 2026 Update) – Chamberlain
Mr. Johnson is a 63-year old gentleman who is hospitalized for pneumonia. He has
history of heart failure and hypertension. He looks dyspneic and is mouth-
breathing. To establish a baseline assessment for Mr. Johnson, the nurse asks you
to measure his vital signs. Inspect Mr. Johnson in the image below and decide what
temperature route should use to obtain his temperature:
a. Orally
b. Tympanically
c. Temporally
d. Rectally - ANSWER c. Temporally
Orally: not appropriate since he is a mouth-breathing with shortness of
breath.Tympanic: not appropriate since he wearing hearing aids.Rectally: not
indicated since a non-invasive route (temporal) is available.
Normally, Mr. Johnson's lowest body temperature would be around:
a. 7 PM
b. 2 PM
c. 3 AM
d. 12 PM - ANSWER c. 3 AM
After you assess the vital signs of Mr. Johnson, which of his vital signs must you
address and report to the nurse immediately:
a. heart rate= 72 beats per minute
b. respiration rate= 28 breaths per minute
c. blood pressure= 135/87 mmHg
,d. Temperature= 37.2C (99F) Oral - ANSWER b. respiration rate=
28 breaths per minute
All VS normal except RR.
Based on Mr. Johnson's vital signs(Heart rate = 72 beats per minute Respiration
rate = 28 breaths per minute
Blood pressure = 135/87 mmHg.
Temperature = 37.2° C (99° F) Oral), you expect the nurse to:
a. administer oxygen via nasal cannula.
b. administer the ordered Tylenol (Acetaminophen).
c. hold Mr. Johnson's next BP medication dose.
d. document the vital signs as normal. - ANSWER a. administer
oxygen via nasal cannula
Tylenol is not indicated since there is no fever.Holding BP medication is not
indicated since BP is not low.Documentation is not enough, an action is indicated
due to high RR.
Based on Mr. Johnson's vital sign(Heart rate = 72 beats per minute Respiration rate
= 28 breaths per minute
Blood pressure = 135/87 mmHg.
Temperature = 37.2° C (99° F) Oral), he is having:
a. Hyperthermia.
b. Hypotension.
c. Tachypnea.
d. Bradycardia. - ANSWER c. tachypnea
After administration of oxygen, which of the following signs indicates that the
oxygen therapy has been successful?
a. BP 130/82 mmHg.
,b. Temp 99.8 F.
c. Oxygen saturation 96%.
d. Respiration rate 24 bpm. - ANSWER c. Oxygen saturation 96%
Knowing that Mr. Johnson has a history of heart failure, which has led atrial
fibrillation dysrhythmia, to accurately measure his pulse, should assess his:
a. radial pulse.
b. brachial pulse.
c. apical pulse.
d. Dorsalis pedis pulse. - ANSWER c. apical pulse
Due to his history of dysrhythmia, you suspect that Mr. Johnson will have pulse
deficit. To measure his pulse deficit, you should:
a. subtract 60 from his pulse rate.
b. subtract his pulse rate from 100.
c. assess his apical pulse and radial pulse for the same minute and subtract the
difference.
d. assess his apical pulse and 30 minutes later assessing his carotid pulse and
subtract the difference. - ANSWER c. assess his apical pulse and
radial pulse for the same minute and subtract the difference.
To assess Mr. Johnson's apical pulse, you should place the stethoscope on his point
of maximum impulse (PMI), which is located:
a. at 5th intercostal space (ICS) and midclavicular line.
b. at 2nd intercostal space (ICS) and left sternal edge.
c. at 2nd intercostal space (ICS) and right sternal edge.
d. at 4th intercostal space (ICS) and midaxillary line. - ANSWER a.
at 5th intercostal space (ICS) and midclavicular line.
, Knowing that Mr. Johnson has a history of heart failure and dysrhythmia, you
expect his radial pulse to be:
a. bounding, 4+, and regular.
b. weak, 1+, and irregular.
c. normal, 2+, and regular.
d. Absent. - ANSWER b. weak, 1+, and irregular.
Mr. Johnson's BP measures 135/87 mmHg. His mean arterial pressure (MAP)
measures:
a. 48 mmHg.
b. 103 mmHg.
c. 119 mmHg.
d. 111 mmHg. - ANSWER b. 103 mmHg.
If you use a child BP cuff, you anticipate that Mr. Johnson's BP would be:
a. false low.
b. false high.
c. accurate.
d. with high pulse pressure. - ANSWER b. false high.
Which of the following BP readings of Mr. Johnson indicates that he is
experiencing orthostatic hypotension?
a. 118/68 when standing and 110/72 when lying down.
b. 140/80, HR 82 bpm when sitting and 136/76, HR 98 bpm when standing.
c. 126/72 lying down and 133/80 when sitting.
d. 146/88 when lying down and 130/78 when standing. - ANSWER
d. 146/88 when lying down and 130/78 when standing.
Answers| 100% Correct |Grade A (Latest
2025/ 2026 Update) – Chamberlain
Mr. Johnson is a 63-year old gentleman who is hospitalized for pneumonia. He has
history of heart failure and hypertension. He looks dyspneic and is mouth-
breathing. To establish a baseline assessment for Mr. Johnson, the nurse asks you
to measure his vital signs. Inspect Mr. Johnson in the image below and decide what
temperature route should use to obtain his temperature:
a. Orally
b. Tympanically
c. Temporally
d. Rectally - ANSWER c. Temporally
Orally: not appropriate since he is a mouth-breathing with shortness of
breath.Tympanic: not appropriate since he wearing hearing aids.Rectally: not
indicated since a non-invasive route (temporal) is available.
Normally, Mr. Johnson's lowest body temperature would be around:
a. 7 PM
b. 2 PM
c. 3 AM
d. 12 PM - ANSWER c. 3 AM
After you assess the vital signs of Mr. Johnson, which of his vital signs must you
address and report to the nurse immediately:
a. heart rate= 72 beats per minute
b. respiration rate= 28 breaths per minute
c. blood pressure= 135/87 mmHg
,d. Temperature= 37.2C (99F) Oral - ANSWER b. respiration rate=
28 breaths per minute
All VS normal except RR.
Based on Mr. Johnson's vital signs(Heart rate = 72 beats per minute Respiration
rate = 28 breaths per minute
Blood pressure = 135/87 mmHg.
Temperature = 37.2° C (99° F) Oral), you expect the nurse to:
a. administer oxygen via nasal cannula.
b. administer the ordered Tylenol (Acetaminophen).
c. hold Mr. Johnson's next BP medication dose.
d. document the vital signs as normal. - ANSWER a. administer
oxygen via nasal cannula
Tylenol is not indicated since there is no fever.Holding BP medication is not
indicated since BP is not low.Documentation is not enough, an action is indicated
due to high RR.
Based on Mr. Johnson's vital sign(Heart rate = 72 beats per minute Respiration rate
= 28 breaths per minute
Blood pressure = 135/87 mmHg.
Temperature = 37.2° C (99° F) Oral), he is having:
a. Hyperthermia.
b. Hypotension.
c. Tachypnea.
d. Bradycardia. - ANSWER c. tachypnea
After administration of oxygen, which of the following signs indicates that the
oxygen therapy has been successful?
a. BP 130/82 mmHg.
,b. Temp 99.8 F.
c. Oxygen saturation 96%.
d. Respiration rate 24 bpm. - ANSWER c. Oxygen saturation 96%
Knowing that Mr. Johnson has a history of heart failure, which has led atrial
fibrillation dysrhythmia, to accurately measure his pulse, should assess his:
a. radial pulse.
b. brachial pulse.
c. apical pulse.
d. Dorsalis pedis pulse. - ANSWER c. apical pulse
Due to his history of dysrhythmia, you suspect that Mr. Johnson will have pulse
deficit. To measure his pulse deficit, you should:
a. subtract 60 from his pulse rate.
b. subtract his pulse rate from 100.
c. assess his apical pulse and radial pulse for the same minute and subtract the
difference.
d. assess his apical pulse and 30 minutes later assessing his carotid pulse and
subtract the difference. - ANSWER c. assess his apical pulse and
radial pulse for the same minute and subtract the difference.
To assess Mr. Johnson's apical pulse, you should place the stethoscope on his point
of maximum impulse (PMI), which is located:
a. at 5th intercostal space (ICS) and midclavicular line.
b. at 2nd intercostal space (ICS) and left sternal edge.
c. at 2nd intercostal space (ICS) and right sternal edge.
d. at 4th intercostal space (ICS) and midaxillary line. - ANSWER a.
at 5th intercostal space (ICS) and midclavicular line.
, Knowing that Mr. Johnson has a history of heart failure and dysrhythmia, you
expect his radial pulse to be:
a. bounding, 4+, and regular.
b. weak, 1+, and irregular.
c. normal, 2+, and regular.
d. Absent. - ANSWER b. weak, 1+, and irregular.
Mr. Johnson's BP measures 135/87 mmHg. His mean arterial pressure (MAP)
measures:
a. 48 mmHg.
b. 103 mmHg.
c. 119 mmHg.
d. 111 mmHg. - ANSWER b. 103 mmHg.
If you use a child BP cuff, you anticipate that Mr. Johnson's BP would be:
a. false low.
b. false high.
c. accurate.
d. with high pulse pressure. - ANSWER b. false high.
Which of the following BP readings of Mr. Johnson indicates that he is
experiencing orthostatic hypotension?
a. 118/68 when standing and 110/72 when lying down.
b. 140/80, HR 82 bpm when sitting and 136/76, HR 98 bpm when standing.
c. 126/72 lying down and 133/80 when sitting.
d. 146/88 when lying down and 130/78 when standing. - ANSWER
d. 146/88 when lying down and 130/78 when standing.
