Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
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This Exam contains:
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
1. 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?
a. 108/70
b. 116/78
c. 128/80
d. 138/88
Correct Answer d
Expert Rationale A blood pressure reading of 138/88 mm Hg falls into the Stage 1 Hypertension category
per the latest ACC/AHA guidelines, necessitating follow-up to prevent complications. While 128/80 is
elevated, it does not yet meet criteria for hypertension referral. Early identification and education about
lifestyle modifications are crucial at this stage.
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2. The nurse is admitting a stable patient for a minor outpatient procedure.
What site would the nurse most commonly use to assess pulse rate?
a. Radial site
b. Apical site
c. Brachial site
d. Carotid site
Correct Answer a
Expert Rationale The radial pulse site is the most accessible and non-invasive peripheral pulse location
for routine assessment and provides accurate readings for stable patients. The apical site is reserved for
patients with cardiac conditions or irregular rhythms where peripheral pulse may be inadequate.
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3. 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?
a. Temperature
b. Pulse