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NSG 3100 + 3100L TEST 2 QUESTIONS AND
ANSWERS ALREADY PASSED
Question : The nurse is measuring blood pressures as part of a
community health fair. Which blood pressure reading would cause the nurse to refer the patient for follow-up regarding hypertension?
- 108/70
- 116/78
- 128/80
- 138/88
CORRECT ANSWER : d
Question : The nurse is admitting a stable patient for a minor
outpatient procedure. What site would the nurse most commonly use to assess pulse rate?
- Radial site
- Apical site
- Brachial site
- Carotid site
CORRECT ANSWER : a
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Question : The unlicensed assistive personnel reports vital signs
for a patient to the nurse: temperature of 99.2° F (37.3° C) oral,
pulse of 88 bpm and regular, respirations of 18 BPM and regular, blood pressure of 178/112 mm Hg, and oxygen saturation of 96%. Which vital sign should the nurse be most concerned about?
- Temperature
- Pulse
- Respirations
- Blood pressure
CORRECT ANSWER : d
Question : From the nurse's understanding, which statements
regarding temperature and heat production in the body are accurate? (Select all that apply.)
- Heat generates energy for cellular functions.
- Hormones, such as thyroid hormones, decrease metabolism
- Exercise decreases heat production through muscular activity.
- Expected temperature readings vary by the route selected for
and heat production.
measurement.
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- Women tend to have more fluctuations in temperature than do
men.
CORRECT ANSWER : a, e, d
Question : The nurse is performing an initial assessment of a
patient with a severe infection at hospital admission. Vital signs for the patient indicate hypotension and tachycardia. Which data would support this evaluation?
- Pulse 78, blood pressure 140/88
- Pulse 86, blood pressure 120/76
- Pulse 100, blood pressure 118/68
- Pulse 114, blood pressure 88/56
CORRECT ANSWER : d
Question : The nurse places a patient with a high fever on a
cooling blanket. How is heat loss achieved with this treatment?
- Radiation
- Convection
- Conduction
- Evaporation
CORRECT ANSWER : c
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Question : Which clinical patient scenario is associated with the
most critical need for the nurse to obtain vital signs?
- Ambulating for the first time after surgery
- Complaining of pressure in the chest
- Completing ambulating 100 feet after a stroke
- Complaining of hunger while NPO (nothing by mouth)
CORRECT ANSWER : b
Question : The nurse understands that which statement is correct
regarding respiratory rates?
- Infants have a lower respiratory rate than adults.
- Healthy adults breathe between 12 and 20 times a minute.
- A compensatory response to a fever is to breathe at a slower
- An increase in intracranial pressure results in an increased
rate.
rate.
CORRECT ANSWER : b
Question : The nurse is caring for a patient who has a blood
pressure of 184/110. An hour after administering an