NUR 112 EXAM 1 PRACTICE WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027|NUR 112
FUNDAMENTAL CONCEPT OF NURSING
Vital Signs ++
CH 29
The nurse assesses the following vital signs in a 78-year-old man: T 97.8°F, temporal; P
72 bpm, regular, +2 ; R 18 breaths/minute, regular, no use of accessory muscles; BP
142/92 mm Hg. Which of the findings is abnormal?
-
a. Pulse
b. BP
c. Respirations
d. Temperature
b. BP
Rationale: In older adults, both the SBP and DBP increase due to increased
stiffness of arterial walls. This finding is outside of the normal range. Temperature
in the older adult tends to be at the lower range of normal.
A nurse assesses an oral temperature for an adult patient and records that the patient is
"afebrile." What would be the nurse's best response to this finding?
-
a.Check the patient record for prescribed antipyretic medication.
b.Report the finding to the primary care provider.
1|Page
,c.Take the patient temperature using a different method.
d.No action is necessary; this is a normal reading.
d. no action is necessary; this is a normal reading.
Rationale - Afebrile means without fever. Therefore the temperature assessed is
within the normal range for an adult. The nurse does not need to perform any other
actions based on this finding.
Upon assessment of a patient, the nurse determines that a patient is at risk of losing
body heat through the process of convection. What would be the nurse's best
response?
-
a. Turn off the overhead fan in the patient's room.
b. Remove the patient's ice pack.
c. Reduce the temperature in the room.
d. Increase the temperature in the room.
a. Turn off the overhead fan in the patient's room.
Rationale - With convection, the heat is disseminated by motion between areas of
unequal density, for example, the action of a fan blowing cool air over the body.
Turning off the fan would reduce heat loss via convection. Removing the patient's
ice pack is an intervention to prevent heat loss via conduction. Reducing the
temperature in the room may decrease heat loss via perspiration (evaporation);
increasing the temperature in the room might increase heat loss via evaporation.
A nurse takes a patient's vital signs. Which of the following is considered a vital sign?
-
a. mental status
b. visual acuity
c. blood pressure
d. urinary output
c. blood pressure
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,Which of the following patients should have their vital signs monitored at least every 4
hours?
-
a. a patient in a critical care unit
b. a patient hospitalized for high blood pressure
c. a resident in a long-term care facility
d. a long-term care resident on Medicare A
b. a patient hospitalized for high blood pressure
In which of the following situations is it protocol for the nurse to take a patient's vital
signs? Select all that apply.
-
a. upon admitting a patient to a hospital
b. at a healthcare screening
c. when medications are given for a cardiac arrhythmia
d. following a diagnostic procedure
e. prior to an invasive procedure
f. when daily medications are dispensed
a. upon admitting a patient to a hospital
b. at a healthcare screening
c. when medications are given for a cardiac arrhythmia
d. following a diagnostic procedure
e. prior to an invasive procedure
A nurse has an order to take the core temperature of a patient. At which of the following
sites would a core body temperature be measured?
-
a. Rectal
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, b. oral
c. axillary
d. skin surface
a. rectal
Which of the following is the primary source of heat in the body?
-
a. hormones
b. metabolism
c. blood circulation
d. muscles
b. metabolism
The arterial blood gases for a patient in shock demonstrate increased carbon dioxide
and decreased oxygen. What type of respirations would the nurse expect to assess
based on these findings?
-
a. absent and infrequent
b. shallow and slow
C. rapid and deep
d. noisy and difficult
c. rapid and deep
A nurse walks into a patient's room and finds him having difficulty breathing and
complaining of chest pain. He has bradycardia and hypotension. What should the nurse
do next?
-
a. Take vital signs again in 15 to 30 minutes.
b. Document the data and report it later.
c. Ask the patient if he is anxious or afraid.
d. Report findings to the physician immediately.
d. report findings to the physician immediately.
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027|NUR 112
FUNDAMENTAL CONCEPT OF NURSING
Vital Signs ++
CH 29
The nurse assesses the following vital signs in a 78-year-old man: T 97.8°F, temporal; P
72 bpm, regular, +2 ; R 18 breaths/minute, regular, no use of accessory muscles; BP
142/92 mm Hg. Which of the findings is abnormal?
-
a. Pulse
b. BP
c. Respirations
d. Temperature
b. BP
Rationale: In older adults, both the SBP and DBP increase due to increased
stiffness of arterial walls. This finding is outside of the normal range. Temperature
in the older adult tends to be at the lower range of normal.
A nurse assesses an oral temperature for an adult patient and records that the patient is
"afebrile." What would be the nurse's best response to this finding?
-
a.Check the patient record for prescribed antipyretic medication.
b.Report the finding to the primary care provider.
1|Page
,c.Take the patient temperature using a different method.
d.No action is necessary; this is a normal reading.
d. no action is necessary; this is a normal reading.
Rationale - Afebrile means without fever. Therefore the temperature assessed is
within the normal range for an adult. The nurse does not need to perform any other
actions based on this finding.
Upon assessment of a patient, the nurse determines that a patient is at risk of losing
body heat through the process of convection. What would be the nurse's best
response?
-
a. Turn off the overhead fan in the patient's room.
b. Remove the patient's ice pack.
c. Reduce the temperature in the room.
d. Increase the temperature in the room.
a. Turn off the overhead fan in the patient's room.
Rationale - With convection, the heat is disseminated by motion between areas of
unequal density, for example, the action of a fan blowing cool air over the body.
Turning off the fan would reduce heat loss via convection. Removing the patient's
ice pack is an intervention to prevent heat loss via conduction. Reducing the
temperature in the room may decrease heat loss via perspiration (evaporation);
increasing the temperature in the room might increase heat loss via evaporation.
A nurse takes a patient's vital signs. Which of the following is considered a vital sign?
-
a. mental status
b. visual acuity
c. blood pressure
d. urinary output
c. blood pressure
2|Page
,Which of the following patients should have their vital signs monitored at least every 4
hours?
-
a. a patient in a critical care unit
b. a patient hospitalized for high blood pressure
c. a resident in a long-term care facility
d. a long-term care resident on Medicare A
b. a patient hospitalized for high blood pressure
In which of the following situations is it protocol for the nurse to take a patient's vital
signs? Select all that apply.
-
a. upon admitting a patient to a hospital
b. at a healthcare screening
c. when medications are given for a cardiac arrhythmia
d. following a diagnostic procedure
e. prior to an invasive procedure
f. when daily medications are dispensed
a. upon admitting a patient to a hospital
b. at a healthcare screening
c. when medications are given for a cardiac arrhythmia
d. following a diagnostic procedure
e. prior to an invasive procedure
A nurse has an order to take the core temperature of a patient. At which of the following
sites would a core body temperature be measured?
-
a. Rectal
3|Page
, b. oral
c. axillary
d. skin surface
a. rectal
Which of the following is the primary source of heat in the body?
-
a. hormones
b. metabolism
c. blood circulation
d. muscles
b. metabolism
The arterial blood gases for a patient in shock demonstrate increased carbon dioxide
and decreased oxygen. What type of respirations would the nurse expect to assess
based on these findings?
-
a. absent and infrequent
b. shallow and slow
C. rapid and deep
d. noisy and difficult
c. rapid and deep
A nurse walks into a patient's room and finds him having difficulty breathing and
complaining of chest pain. He has bradycardia and hypotension. What should the nurse
do next?
-
a. Take vital signs again in 15 to 30 minutes.
b. Document the data and report it later.
c. Ask the patient if he is anxious or afraid.
d. Report findings to the physician immediately.
d. report findings to the physician immediately.
4|Page
