NEWEST EXAM 2 VERSIONS WITH 550
QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS ALREADY GRADED
A+/ NSG 3100 EXAM 2 (FUNDAMENTAL
CONCEPTS & SKILLS FOR NURSING
PRACTICE I)
VERSION A
A client is admitted to the emergency department
with difficulty breathing. Which client response
identified by the nurse causes the most concern?
a. Low pulse oximetry
b. Wheezes on expiration
c. Shortness of breath on exertion
d. Use of accessory muscles of respiration -
....ANSWER....a. Low pulse oximetry
The adult's vital signs are T: 99.0 (oral), pulse 88
beats per minute, respirations 16 breaths per minute
,and blood pressure of 182/100 mm Hg. Which sign
should cause concern?
a. Pulse
b. Respirations
c. Temperature - ....ANSWER....d. Blood Pressure
A nurse in the emergency department is caring for a
client who is diagnosed with hypothermia. Which
factor present in the client's history may have
precipitated this condition?
a. Heatstroke
b. Inability to sweat
c. Excessive exercise
d. High alcohol intake - ....ANSWER....d. High alcohol
intake
A nurse is taking care of a patient in isolation and
needs to take a rectal temperature with aplastic
thermometer. Which should the nurse do?
a. Take the temperature for 5 minutes
b. Wear gloves throughout the procedure
c. Place the patient in the right lateral position
,d. Insert the thermometer 2 inches into the client's
anus - ....ANSWER....b. Wear gloves throughout the
procedure
A nurse obtains the blood pressure of several
adults. Which blood pressure results should cause
the most concern?
a. 102/70 mm Hg
b. 140/92 mm Hg
c. 125/78 mm Hg
d. 135/85 mm Hg - ....ANSWER....b. 140/92 mm Hg
Which vital sign will change first when a
postoperative client has an internal bleed?
a. Body temperature
b. Blood pressure
c. Pulse pressure
d. Heart rate - ....ANSWER....d. Heart rate
Which patient requires the nurse to assess further?
a. 18-year-old woman with pulse rate of 140 after
riding two miles on an exercise bike
, b. 50-year-old man with a BP 112/60 mm Hg on
awakening in the morning
c. 65-year-old man with a respiratory rate of 10
d. 40-year-old woman with a pulse of 88 -
....ANSWER....c. 65-year-old man with a respiratory
rate of 10
A nurse is assessing a client's bilateral pulses for
symmetry. Which pulse site should not be assessed
on both sides of the body at the same time?
a. Radial
b. Carotid
c. Femoral
d. Brachial - ....ANSWER....b. Carotid
The RN is reviewing patient vital signs. The RN notes
a blood pressure of 128/84.This is
a. normal blood pressure for this patient, they have
not had medications yet
b. Hypertension (stage I)
c. Hypertension (stage 2)
d. Hypotension - ....ANSWER....b. Hypertension (stage
I)