Name
Exam 2 Score
Date
NSG 3100 - Practice Questions
1. The nurse has applied a pulse oximeter to the finger of a patient who is hypothemic. The
pulse oximeter does not provide a good reading. What action by the nurse is best?
A Move the oximeter probe to another finger.
B Remove any fingenail polish present on the fingenail.
Assess the fingers for good circulation.
C
D Document that the reading cannot be obtained.
2. A nurse pefoms othostatic blood pressure readings on a patient with the following
results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?
Reassess the blood pressures in 1 hour.
A
B Reassure the patient that these findings are nomal.
C Document the findings and continue to monitor.
Instuct the patient not to get up without help.
D
3. A nurse obseves a student taking an adult patient’s tympanic temperature. What action
by the student requires the nurse to intevene?
A Student pulls the pinna of the patient’s ear down and back.
Student washes hands pior to patient contact.
B
C Student explains the procedure to the patient.
Student pulls the pinna of the patient’s ear up and back.
D
4. The nurse receives a hand-off repot on four patients. Which patient finding should the
nurse assess first?
A Pulse oximety 96%
Pulse 42 beats/min
B
C Blood pressure 102/62 mm Hg
D Respiratoy rate 18 breaths/min
, 5. Which patient assessment result would require the nurse to assess that patient futher?
A A 65-year-old man with a respiratoy rate of 8
B A 50-year-old man with a BP of 112/60 upon awakening in the moning
C A 40-year-old woman with a radial pulse of 68
D A 12-year-old with a pulse of 92 after ambulating in the hallway
6. The nurse is caing for a woman who had a ight-sided mastectomy 2 years ago. What
action by the nurse is most appropiate?
A Place a sign above the bed: “No blood pressures on the ight am.”
B Place a sign above the bed: “Blood pressures in legs only.”
C No specific action is needed for this situation.
D Place a sign above the bed: “No continuous blood pressures on the ight am.”
7. A nurse is caing for a patient who has othopnea. What action by the nurse is most
appropiate?
A Medicate the patient for pain as needed.
B Monitor the length of time the patient doesn’t breathe.
C Keep the head of the bed elevated.
D Encourage deep breathing and coughing.
8. A nurse assesses a patient’s radial pulse rate to be 110 beats/min and regular. What action
by the nurse is best?
A Assess the patient for causes of tachycardia.
B Take an apical heat rate and compare the two.
C Notify the patient’s health care provider.
D Document the findings in the patient’s chat.
9. The nurse is caing for a patient on contact precautions. Which action will be most
appropiate to prevent the spread of disease?
A Place the patient in a room with negative aiflow.
B Wear a gown, gloves, face mask, and goggles for interactions with the patient.
C Transpot the patient safely and quickly when going to the radiology depatment.
D Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.
Exam 2 Score
Date
NSG 3100 - Practice Questions
1. The nurse has applied a pulse oximeter to the finger of a patient who is hypothemic. The
pulse oximeter does not provide a good reading. What action by the nurse is best?
A Move the oximeter probe to another finger.
B Remove any fingenail polish present on the fingenail.
Assess the fingers for good circulation.
C
D Document that the reading cannot be obtained.
2. A nurse pefoms othostatic blood pressure readings on a patient with the following
results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?
Reassess the blood pressures in 1 hour.
A
B Reassure the patient that these findings are nomal.
C Document the findings and continue to monitor.
Instuct the patient not to get up without help.
D
3. A nurse obseves a student taking an adult patient’s tympanic temperature. What action
by the student requires the nurse to intevene?
A Student pulls the pinna of the patient’s ear down and back.
Student washes hands pior to patient contact.
B
C Student explains the procedure to the patient.
Student pulls the pinna of the patient’s ear up and back.
D
4. The nurse receives a hand-off repot on four patients. Which patient finding should the
nurse assess first?
A Pulse oximety 96%
Pulse 42 beats/min
B
C Blood pressure 102/62 mm Hg
D Respiratoy rate 18 breaths/min
, 5. Which patient assessment result would require the nurse to assess that patient futher?
A A 65-year-old man with a respiratoy rate of 8
B A 50-year-old man with a BP of 112/60 upon awakening in the moning
C A 40-year-old woman with a radial pulse of 68
D A 12-year-old with a pulse of 92 after ambulating in the hallway
6. The nurse is caing for a woman who had a ight-sided mastectomy 2 years ago. What
action by the nurse is most appropiate?
A Place a sign above the bed: “No blood pressures on the ight am.”
B Place a sign above the bed: “Blood pressures in legs only.”
C No specific action is needed for this situation.
D Place a sign above the bed: “No continuous blood pressures on the ight am.”
7. A nurse is caing for a patient who has othopnea. What action by the nurse is most
appropiate?
A Medicate the patient for pain as needed.
B Monitor the length of time the patient doesn’t breathe.
C Keep the head of the bed elevated.
D Encourage deep breathing and coughing.
8. A nurse assesses a patient’s radial pulse rate to be 110 beats/min and regular. What action
by the nurse is best?
A Assess the patient for causes of tachycardia.
B Take an apical heat rate and compare the two.
C Notify the patient’s health care provider.
D Document the findings in the patient’s chat.
9. The nurse is caing for a patient on contact precautions. Which action will be most
appropiate to prevent the spread of disease?
A Place the patient in a room with negative aiflow.
B Wear a gown, gloves, face mask, and goggles for interactions with the patient.
C Transpot the patient safely and quickly when going to the radiology depatment.
D Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.
