Rn Nclex Fundamentals Exam | All Questions And Correct Answers With
Rationales | Graded A+ | Verified Answers | Latest Version | Study This One!
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep
breaths. She has smoked for 35 years and recently lost over 10 lbs. Her vital signs on admission
are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C (98.2° F), and oxygen saturation
94%. She is receiving oxygen at 2 L via a nasal cannula. Which vital sign reflects a positive
outcome of the oxygen therapy?
A. Temperature: 37° C (98.6° F)
B. Radial pulse: 112
C. Respiratory rate: 24
D. Oxygen saturation: 96%
E. Blood pressure: 134/78 - (CORRECT ANSWER)D. Oxygen saturation: 96%
The licensed practice nurse (LPN) provides you with the change-of-shift vital signs on four of
your patients. Which patient do you need to assess first?
A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
B. 54-year-old woman admitted after surgery for fractured arm, BP 160/86 mm Hg, HR 72
C. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1° F), HR 84
D. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 - (CORRECT
ANSWER)A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
A 55-year-old female patient was in a motor vehicle accident and is admitted to a surgical unit
after repair of a fractured left arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is receiving oxygen via a simple face mask. Which sites
do you instruct the nursing assistant to use for obtaining the patient's blood pressure and
temperature?
A. Right antecubital and tympanic membrane
1
,B. Right popliteal and rectal
C. Left antecubital and oral
D. Left popliteal and temporal artery - (CORRECT ANSWER)A. Right antecubital and
tympanic membrane
The nurse observes a nursing student taking a blood pressure (BP) on a patient. The nurse notes
that the student very slowly deflates the cuff in an attempt to hear the sounds. The patient's BP
range over the past 24 hours is 132/64 to 126/72 mm Hg. Which of the following BP readings
made by the student is most likely caused by an incorrect technique?
A. 96/40 mm Hg
B. 110/66 mm Hg
C. 130/90 mm Hg
D. 156/82 mm Hg - (CORRECT ANSWER)C. 130/90 mm Hg
As you are obtaining the oxygen saturation on a 19-year-old college student with severe asthma,
you note that she has black nail polish on her nails. You remove the polish from one nail, and
she asks you why her nail polish had to be removed. What is the best response?
A. Nail polish attracts microorganisms and contaminates the finger sensor.
B. Nail polish increases oxygen saturation.
C. Nail polish interferes with sensor function.
D. Nail polish creates excessive heat in sensor probe. - (CORRECT ANSWER)C. Nail polish
interferes with sensor function.
A patient has been hospitalized for the past 48 hours with a fever of unknown origin. His medical
record indicates tympanic temperatures of 38.7° C (101.6° F) (0400), 36.6° C (97.9° F) (0800),
36.9° C (98.4° F) (1200), 37.6° C (99.6° F) (1600), and 38.3° C (100.9° F) (2000). How would
you describe this pattern of temperature measurements?
2
, A. Usual range of circadian rhythm measurements
B. Sustained fever pattern
C. Intermittent fever pattern
D. Resolving fever pattern - (CORRECT ANSWER)C. Intermittent fever pattern
A patient presents in the clinic with dizziness and fatigue. The nursing assistant reports a slow
but regular radial pulse of 44. What is your priority intervention?
A. Request that the nursing assistant repeat the pulse check
B. Call for a stat electrocardiogram (ECG)
C. Assess the patient's apical pulse and evidence of a pulse deficit
D. Prepare to administer cardiac-stimulating medications - (CORRECT ANSWER)C. Assess the
patient's apical pulse and evidence of a pulse deficit
Which patient is at highest risk for tachycardia?
A. A healthy basketball player during warmup exercises
B. A patient admitted with hypothermia
C. A patient with a fever of 39.4° C (103° F)
D. A 90-year-old male taking beta blockers - (CORRECT ANSWER)C. A patient with a fever of
39.4° C (103° F)
A patient has been admitted for a cerebrovascular accident (stroke). She cannot move her right
arm, and she has a right-sided facial droop. She is able to eat with her dentures in place and
swallow safely. The nursing assistive personnel (NAP) reports to you that the patient will not
keep the oral thermometer probe in her mouth. What direction do you provide to the NAP?
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Rationales | Graded A+ | Verified Answers | Latest Version | Study This One!
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep
breaths. She has smoked for 35 years and recently lost over 10 lbs. Her vital signs on admission
are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C (98.2° F), and oxygen saturation
94%. She is receiving oxygen at 2 L via a nasal cannula. Which vital sign reflects a positive
outcome of the oxygen therapy?
A. Temperature: 37° C (98.6° F)
B. Radial pulse: 112
C. Respiratory rate: 24
D. Oxygen saturation: 96%
E. Blood pressure: 134/78 - (CORRECT ANSWER)D. Oxygen saturation: 96%
The licensed practice nurse (LPN) provides you with the change-of-shift vital signs on four of
your patients. Which patient do you need to assess first?
A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
B. 54-year-old woman admitted after surgery for fractured arm, BP 160/86 mm Hg, HR 72
C. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1° F), HR 84
D. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62 - (CORRECT
ANSWER)A. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
A 55-year-old female patient was in a motor vehicle accident and is admitted to a surgical unit
after repair of a fractured left arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa, and pneumatic compression
stockings are on the right lower leg. She is receiving oxygen via a simple face mask. Which sites
do you instruct the nursing assistant to use for obtaining the patient's blood pressure and
temperature?
A. Right antecubital and tympanic membrane
1
,B. Right popliteal and rectal
C. Left antecubital and oral
D. Left popliteal and temporal artery - (CORRECT ANSWER)A. Right antecubital and
tympanic membrane
The nurse observes a nursing student taking a blood pressure (BP) on a patient. The nurse notes
that the student very slowly deflates the cuff in an attempt to hear the sounds. The patient's BP
range over the past 24 hours is 132/64 to 126/72 mm Hg. Which of the following BP readings
made by the student is most likely caused by an incorrect technique?
A. 96/40 mm Hg
B. 110/66 mm Hg
C. 130/90 mm Hg
D. 156/82 mm Hg - (CORRECT ANSWER)C. 130/90 mm Hg
As you are obtaining the oxygen saturation on a 19-year-old college student with severe asthma,
you note that she has black nail polish on her nails. You remove the polish from one nail, and
she asks you why her nail polish had to be removed. What is the best response?
A. Nail polish attracts microorganisms and contaminates the finger sensor.
B. Nail polish increases oxygen saturation.
C. Nail polish interferes with sensor function.
D. Nail polish creates excessive heat in sensor probe. - (CORRECT ANSWER)C. Nail polish
interferes with sensor function.
A patient has been hospitalized for the past 48 hours with a fever of unknown origin. His medical
record indicates tympanic temperatures of 38.7° C (101.6° F) (0400), 36.6° C (97.9° F) (0800),
36.9° C (98.4° F) (1200), 37.6° C (99.6° F) (1600), and 38.3° C (100.9° F) (2000). How would
you describe this pattern of temperature measurements?
2
, A. Usual range of circadian rhythm measurements
B. Sustained fever pattern
C. Intermittent fever pattern
D. Resolving fever pattern - (CORRECT ANSWER)C. Intermittent fever pattern
A patient presents in the clinic with dizziness and fatigue. The nursing assistant reports a slow
but regular radial pulse of 44. What is your priority intervention?
A. Request that the nursing assistant repeat the pulse check
B. Call for a stat electrocardiogram (ECG)
C. Assess the patient's apical pulse and evidence of a pulse deficit
D. Prepare to administer cardiac-stimulating medications - (CORRECT ANSWER)C. Assess the
patient's apical pulse and evidence of a pulse deficit
Which patient is at highest risk for tachycardia?
A. A healthy basketball player during warmup exercises
B. A patient admitted with hypothermia
C. A patient with a fever of 39.4° C (103° F)
D. A 90-year-old male taking beta blockers - (CORRECT ANSWER)C. A patient with a fever of
39.4° C (103° F)
A patient has been admitted for a cerebrovascular accident (stroke). She cannot move her right
arm, and she has a right-sided facial droop. She is able to eat with her dentures in place and
swallow safely. The nursing assistive personnel (NAP) reports to you that the patient will not
keep the oral thermometer probe in her mouth. What direction do you provide to the NAP?
3
