Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
A fpatient ftells fthe fnurse, fIm fhaving fa flot fof fpain fin fmy fhip. fWhich fresponse fby fthe fnurse fis
fopen- fended fand fwould fstimulate fthe fpatient fto fprovide fthe fmost fcomplete fdata? fChoose fall
fthat fare fcorrect.
1) Is fyour fpain fsevere?
2) Tell fme fabout fyour fpain.
3) When fdid fyou ffirst fnotice fthis fpain?
4) How fwould fyou fdescribe fyour fpain?
f ANS:
2) fTell fme fabout fyour fpain.
4) fHow fwould fyou fdescribe fyour fpain?
The fresponses fTell fme fabout fyour fpain fand fHow fwould fyou fdescribe fyour fpain? fare fopen-
ended fresponses fthat fstimulate fconversation. fAlthough fit fis fimportant finformation, fthe fquestion
fIs fyour fpain fsevere? fprompts fa fyes for fno fresponse. fWhen fdid fyou ffirst fnotice fthis fpain?also
fimportant finformationis flikely fto fstimulate fa fbrief, ffactual fanswer. fSuch fquestions fallow fthe
fnurse fto fcontrol fthe fpatients fresponse. fLimiting fthe fresponse fmight flead fto fan fincomplete
fassessment.
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
A fclients fvital fsigns fat fthe fbeginning fof fthe fshift fare fas ffollows: foral ftemperature f99.3F f(37C),
fheart frate f82 fbeats/min, frespiratory frate f14 fbreaths/min, fand fblood fpressure f118/76 fmm fHg.
fFour fhours flater fthe fclients foral ftemperature fis f102.2F f(39C). fBased fon fthe ftemperature fchange,
fthe fnurse fshould fanticipate fthe fclients fheart frate fwould fbe fhow fmany fbeats/min?
1) f62
2) f82
3) f102
4) f122
ANS: f3) f102
Heart frate fincreases fabout f10 fbeats fper fminute ffor feach fdegree fof ftemperature fto fmeet fincreased
fmetabolic fneeds fand fcompensate ffor fperipheral fdilation.
The fnurse fis fassessing fvital fsigns ffor fa fclient fafter fsurgical fprocedure fon fthe fleft fleg. fIV ffluids fare
finfusing. fIt fwould fbe fmost fimportant ffor fthe fnurse fto
1) Compare fthe fleft fpedal fpulse fwith fthe fright fpedal fpulse
2) Count fthe fclients frespiratory frate ffor f1 ffull fminute
3) Take fthe fblood fpressure fin fthe farm fwithout fan fIV
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
4) Take fan foral ftemperature fwith fan felectronic fthermometer
f ANS: f1) fCompare fthe fleft fpedal fpulse fwith fthe fright fpedal
pulse
f
For fa fclient fhaving fsurgery fon fthe fleg, fthe fmost fimportant fdata fwould fbe fwhether fthe
fcirculation fhas fbeen fcompromised fbecause fof fthe fsurgery. fThis fcan fbe fdone fonly fby fcomparing
fone fleg fwith fthe fother. fThe fnurse fwould, fof fcourse, fcount fthe frespiratory frate ffor f1 ffull fminute
fand ftake fthe fBP fin fthe farm fwithout fthe fIV. fOral ftemperatures fare fcommonly fobtained fusing
felectronic fthermometers.
The fnurse fhears frhonchi fwhen fauscultating fa fclients flungs. fWhich fnursing fintervention fwould fbe
fappropriate ffor fthe fnurse fto fimplement fbefore freassessing flung fsounds?
1) Have fthe fclient ftake fseveral fdeep fbreaths.
2) Request fthe fclient ftake fa fdeep fbreath fand fcough.
3) Take fthe fclients fblood fpressure fand fapical fpulse.
4) Count fthe fclients frespiratory frate ffor f1 fminute.
ANS: f2) fRequest fthe fclient ftake fa fdeep fbreath fand fcough.
Rhonchi fare fcaused fby fsecretions fin fthe flarge fairways fand fmay fclear fwith fcoughing. fThis fis
fhow fyou fdifferentiate fbetween frhonchi fand fother fadventitious fsounds. fDeep fbreathing fwill fnot
fhelp fto
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
clear frhonchi. fTaking fthe fblood fpressure fand fapical fpulse fand fcounting fthe frespiratory frate
fare fnot feffective ffor fclearing frhonchi fand fwould fnot fbe fsufficient ffor fthe fnurse fto fidentify
fwhether fthe fsounds fwere, findeed, frhonchi.
Which fof fthe ffollowing fsets fof fvital fsigns fare fall fwithin fnormal flimits ffor fpatients fat frest?
1) Infant: fT f98.8F f(rectal), fHR f160, fRR f16, fBP f120/54
2) Adolescent: fT f98.2F f(oral), fHR f80, fRR f18, fBP f108/68
3) Adult: fT f99.6F f(oral), fHR f48, fRR f22, fBP f130/84
4) Older fadult: fT f98.6F f(oral), fHR f110, fRR f28, fBP f170/95
f ANS: f2) fAdolescent: fT f98.2F f(oral), fHR f80, fRR f18, fBP
108/68
f
All fof fthe fadolescents fvital fsigns fare fwithin fnormal fparameters ffor fthe fage. fThe finfants
ftemperature fis fbelow fnormal ffor fa frectal freading fbecause fthe fcore ftemperature fis fapproximately
f1 fdegree fhigher fthan freadings ffrom fother fsites. fThe fheart frate f(HR) ffor fan finfant fis fhigh, fthe
frespiratory frate f(RR) fis flow, fand fthe fblood fpressure f(BP) fis fhigh ffor fthe fage. fFor fthe ftypical
fadult, fthe ftemperature fis fhigh, fthe fHR fis flow, fthe fRR fis fhigh, fand fthe fBP fis felevated ffor fthe
fage. fFor fthe folder fadult, fthe ftemperature fis fhigh-end fnormal, fthe fHR fis fhigh, fthe fRR fis fhigh,
fand fthe fBP fis fhigh ffor fthe fage.
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
A fpatient ftells fthe fnurse, fIm fhaving fa flot fof fpain fin fmy fhip. fWhich fresponse fby fthe fnurse fis
fopen- fended fand fwould fstimulate fthe fpatient fto fprovide fthe fmost fcomplete fdata? fChoose fall
fthat fare fcorrect.
1) Is fyour fpain fsevere?
2) Tell fme fabout fyour fpain.
3) When fdid fyou ffirst fnotice fthis fpain?
4) How fwould fyou fdescribe fyour fpain?
f ANS:
2) fTell fme fabout fyour fpain.
4) fHow fwould fyou fdescribe fyour fpain?
The fresponses fTell fme fabout fyour fpain fand fHow fwould fyou fdescribe fyour fpain? fare fopen-
ended fresponses fthat fstimulate fconversation. fAlthough fit fis fimportant finformation, fthe fquestion
fIs fyour fpain fsevere? fprompts fa fyes for fno fresponse. fWhen fdid fyou ffirst fnotice fthis fpain?also
fimportant finformationis flikely fto fstimulate fa fbrief, ffactual fanswer. fSuch fquestions fallow fthe
fnurse fto fcontrol fthe fpatients fresponse. fLimiting fthe fresponse fmight flead fto fan fincomplete
fassessment.
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
A fclients fvital fsigns fat fthe fbeginning fof fthe fshift fare fas ffollows: foral ftemperature f99.3F f(37C),
fheart frate f82 fbeats/min, frespiratory frate f14 fbreaths/min, fand fblood fpressure f118/76 fmm fHg.
fFour fhours flater fthe fclients foral ftemperature fis f102.2F f(39C). fBased fon fthe ftemperature fchange,
fthe fnurse fshould fanticipate fthe fclients fheart frate fwould fbe fhow fmany fbeats/min?
1) f62
2) f82
3) f102
4) f122
ANS: f3) f102
Heart frate fincreases fabout f10 fbeats fper fminute ffor feach fdegree fof ftemperature fto fmeet fincreased
fmetabolic fneeds fand fcompensate ffor fperipheral fdilation.
The fnurse fis fassessing fvital fsigns ffor fa fclient fafter fsurgical fprocedure fon fthe fleft fleg. fIV ffluids fare
finfusing. fIt fwould fbe fmost fimportant ffor fthe fnurse fto
1) Compare fthe fleft fpedal fpulse fwith fthe fright fpedal fpulse
2) Count fthe fclients frespiratory frate ffor f1 ffull fminute
3) Take fthe fblood fpressure fin fthe farm fwithout fan fIV
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
4) Take fan foral ftemperature fwith fan felectronic fthermometer
f ANS: f1) fCompare fthe fleft fpedal fpulse fwith fthe fright fpedal
pulse
f
For fa fclient fhaving fsurgery fon fthe fleg, fthe fmost fimportant fdata fwould fbe fwhether fthe
fcirculation fhas fbeen fcompromised fbecause fof fthe fsurgery. fThis fcan fbe fdone fonly fby fcomparing
fone fleg fwith fthe fother. fThe fnurse fwould, fof fcourse, fcount fthe frespiratory frate ffor f1 ffull fminute
fand ftake fthe fBP fin fthe farm fwithout fthe fIV. fOral ftemperatures fare fcommonly fobtained fusing
felectronic fthermometers.
The fnurse fhears frhonchi fwhen fauscultating fa fclients flungs. fWhich fnursing fintervention fwould fbe
fappropriate ffor fthe fnurse fto fimplement fbefore freassessing flung fsounds?
1) Have fthe fclient ftake fseveral fdeep fbreaths.
2) Request fthe fclient ftake fa fdeep fbreath fand fcough.
3) Take fthe fclients fblood fpressure fand fapical fpulse.
4) Count fthe fclients frespiratory frate ffor f1 fminute.
ANS: f2) fRequest fthe fclient ftake fa fdeep fbreath fand fcough.
Rhonchi fare fcaused fby fsecretions fin fthe flarge fairways fand fmay fclear fwith fcoughing. fThis fis
fhow fyou fdifferentiate fbetween frhonchi fand fother fadventitious fsounds. fDeep fbreathing fwill fnot
fhelp fto
, Exam 1: NUR 101/ NUR101 (Latest
f f f f f
2026/ 2027 Update) Health
f f f f
Assessment | Questions & f f f
Answers| Grade A| 100% Correct f f f f
(Verified Elaborations)- Fortis
f f f
clear frhonchi. fTaking fthe fblood fpressure fand fapical fpulse fand fcounting fthe frespiratory frate
fare fnot feffective ffor fclearing frhonchi fand fwould fnot fbe fsufficient ffor fthe fnurse fto fidentify
fwhether fthe fsounds fwere, findeed, frhonchi.
Which fof fthe ffollowing fsets fof fvital fsigns fare fall fwithin fnormal flimits ffor fpatients fat frest?
1) Infant: fT f98.8F f(rectal), fHR f160, fRR f16, fBP f120/54
2) Adolescent: fT f98.2F f(oral), fHR f80, fRR f18, fBP f108/68
3) Adult: fT f99.6F f(oral), fHR f48, fRR f22, fBP f130/84
4) Older fadult: fT f98.6F f(oral), fHR f110, fRR f28, fBP f170/95
f ANS: f2) fAdolescent: fT f98.2F f(oral), fHR f80, fRR f18, fBP
108/68
f
All fof fthe fadolescents fvital fsigns fare fwithin fnormal fparameters ffor fthe fage. fThe finfants
ftemperature fis fbelow fnormal ffor fa frectal freading fbecause fthe fcore ftemperature fis fapproximately
f1 fdegree fhigher fthan freadings ffrom fother fsites. fThe fheart frate f(HR) ffor fan finfant fis fhigh, fthe
frespiratory frate f(RR) fis flow, fand fthe fblood fpressure f(BP) fis fhigh ffor fthe fage. fFor fthe ftypical
fadult, fthe ftemperature fis fhigh, fthe fHR fis flow, fthe fRR fis fhigh, fand fthe fBP fis felevated ffor fthe
fage. fFor fthe folder fadult, fthe ftemperature fis fhigh-end fnormal, fthe fHR fis fhigh, fthe fRR fis fhigh,
fand fthe fBP fis fhigh ffor fthe fage.
