TEST BANK
FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
Chamberlain College of Nursing NR 302
Health Assessment Exam 2 Bundle FULL
EXAM | + 200 FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW(2025/2026)
Which blood pressure reading is most indicative of hypertension stage 2
according to the American Heart Association?
a) BP 116/76
b) BP 138/88
c) BP 120/80
d) BP 140/90
Correct Answer: d) BP 140/90
EXPERT DESCRIPTION
According to the American Heart Association (AHA), hypertension is classified
,based on specific systolic and diastolic thresholds. Normal blood pressure is less
than 120/80 mmHg, while elevated blood pressure is 120–129 mmHg systolic with
a diastolic less than 80 mmHg. Stage 1 hypertension is defined as a systolic
pressure of 130–139 mmHg or a diastolic pressure of 80–89 mmHg. Stage 2
hypertension occurs when the systolic pressure is ≥140 mmHg or the diastolic
pressure is ≥90 mmHg. Based on these criteria, a blood pressure reading of
140/90 mmHg is most indicative of stage 2 hypertension because it meets the
threshold for both systolic and diastolic values, making it the clearest example
among the given options.
The nurse recognizes that with a blood pressure reading of 120/90, the 90
reflects what physiologic action?
a) Pressure present during the contraction of the heart
b) Difference between systolic and diastolic pressure
c) Pulse pressure present in the aortic arch
d) Pressure present when the ventricles are at rest
Correct Answer: d) Pressure present when the ventricles are at rest
EXPERT DESCRIPTION
In a blood pressure reading of 120/90 mmHg, the systolic value (120 mmHg)
represents the pressure in the arteries during ventricular contraction (systole),
while the diastolic value (90 mmHg) represents the pressure in the arteries when
the ventricles are at rest between beats (diastole). Diastole is the phase of cardiac
relaxation, during which the heart fills with blood and arterial pressure is
maintained by vascular tone. Therefore, the “90” in this reading specifically
reflects the diastolic pressure, which is the pressure exerted in the arterial system
when the ventricles are relaxed. This corresponds to option (d), as it accurately
describes the physiologic state during ventricular rest.
,When should a nurse take vital signs? Select all that apply.
a) Before and after surgical or diagnostic procedures
b) As ordered by a provider
c) Only at the request of the client
d) At the beginning and end of the general survey
e) Upon admission
Correct Answer: A, B, D & E
EXPERT DESCRIPTION
Vital signs are a fundamental component of patient assessment and are
performed at specific clinical intervals to monitor a patient’s physiological status
and detect early signs of deterioration. Nurses are expected to obtain vital signs
before and after surgical or diagnostic procedures to establish baseline
measurements and evaluate post-procedure changes. They are also taken as
ordered by a healthcare provider to ensure ongoing monitoring based on the
patient’s condition. In addition, vital signs are assessed during the nursing
assessment process, including upon admission to establish a baseline and at key
points during the general survey to support clinical judgment. However, vital signs
are not obtained only at the client’s request, as they are a structured nursing
responsibility rather than a patient-driven action. Therefore, the correct selections
are A, B, D, and E.
, A nurse obtains an oral temperature on an adult client during a routine health
assessment. Which reading is considered within the normal baseline range for
this route?
a) 98.6°F (37°C)
b) 97.6°F (36.4°C)
c) 99.6°F (37.6°C)
d) 100.4°F (38°C)
Correct Answer: a) 98.6°F (37°C)
EXPERT DESCRIPTION
An oral temperature in adults is commonly used in clinical assessment because it
reflects core body temperature with reasonable accuracy. The normal baseline
range for oral temperature is generally considered to be approximately 97.6°F to
99.6°F (36.4°C to 37.6°C), depending on factors such as time of day, metabolic
activity, and individual variation. Among the options provided, 98.6°F (37°C) is
traditionally recognized as the average normal oral temperature and falls squarely
within the expected physiologic range for a healthy adult. Therefore, it is
considered the best answer, while values such as 99.6°F approach the upper limit
of normal and 100.4°F indicates fever.
The nurse takes a client’s temperature using the rectal route. Which finding
should the nurse recognize as the expected baseline normal for this method?
a) 97.6°F (36.4°C)
b) 98.6°F (37°C)
c) 99.6°F (37.6°C)
d) 100.0°F (37.8°C)
Correct Answer: c) 99.6°F (37.6°C)
FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
Chamberlain College of Nursing NR 302
Health Assessment Exam 2 Bundle FULL
EXAM | + 200 FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW(2025/2026)
Which blood pressure reading is most indicative of hypertension stage 2
according to the American Heart Association?
a) BP 116/76
b) BP 138/88
c) BP 120/80
d) BP 140/90
Correct Answer: d) BP 140/90
EXPERT DESCRIPTION
According to the American Heart Association (AHA), hypertension is classified
,based on specific systolic and diastolic thresholds. Normal blood pressure is less
than 120/80 mmHg, while elevated blood pressure is 120–129 mmHg systolic with
a diastolic less than 80 mmHg. Stage 1 hypertension is defined as a systolic
pressure of 130–139 mmHg or a diastolic pressure of 80–89 mmHg. Stage 2
hypertension occurs when the systolic pressure is ≥140 mmHg or the diastolic
pressure is ≥90 mmHg. Based on these criteria, a blood pressure reading of
140/90 mmHg is most indicative of stage 2 hypertension because it meets the
threshold for both systolic and diastolic values, making it the clearest example
among the given options.
The nurse recognizes that with a blood pressure reading of 120/90, the 90
reflects what physiologic action?
a) Pressure present during the contraction of the heart
b) Difference between systolic and diastolic pressure
c) Pulse pressure present in the aortic arch
d) Pressure present when the ventricles are at rest
Correct Answer: d) Pressure present when the ventricles are at rest
EXPERT DESCRIPTION
In a blood pressure reading of 120/90 mmHg, the systolic value (120 mmHg)
represents the pressure in the arteries during ventricular contraction (systole),
while the diastolic value (90 mmHg) represents the pressure in the arteries when
the ventricles are at rest between beats (diastole). Diastole is the phase of cardiac
relaxation, during which the heart fills with blood and arterial pressure is
maintained by vascular tone. Therefore, the “90” in this reading specifically
reflects the diastolic pressure, which is the pressure exerted in the arterial system
when the ventricles are relaxed. This corresponds to option (d), as it accurately
describes the physiologic state during ventricular rest.
,When should a nurse take vital signs? Select all that apply.
a) Before and after surgical or diagnostic procedures
b) As ordered by a provider
c) Only at the request of the client
d) At the beginning and end of the general survey
e) Upon admission
Correct Answer: A, B, D & E
EXPERT DESCRIPTION
Vital signs are a fundamental component of patient assessment and are
performed at specific clinical intervals to monitor a patient’s physiological status
and detect early signs of deterioration. Nurses are expected to obtain vital signs
before and after surgical or diagnostic procedures to establish baseline
measurements and evaluate post-procedure changes. They are also taken as
ordered by a healthcare provider to ensure ongoing monitoring based on the
patient’s condition. In addition, vital signs are assessed during the nursing
assessment process, including upon admission to establish a baseline and at key
points during the general survey to support clinical judgment. However, vital signs
are not obtained only at the client’s request, as they are a structured nursing
responsibility rather than a patient-driven action. Therefore, the correct selections
are A, B, D, and E.
, A nurse obtains an oral temperature on an adult client during a routine health
assessment. Which reading is considered within the normal baseline range for
this route?
a) 98.6°F (37°C)
b) 97.6°F (36.4°C)
c) 99.6°F (37.6°C)
d) 100.4°F (38°C)
Correct Answer: a) 98.6°F (37°C)
EXPERT DESCRIPTION
An oral temperature in adults is commonly used in clinical assessment because it
reflects core body temperature with reasonable accuracy. The normal baseline
range for oral temperature is generally considered to be approximately 97.6°F to
99.6°F (36.4°C to 37.6°C), depending on factors such as time of day, metabolic
activity, and individual variation. Among the options provided, 98.6°F (37°C) is
traditionally recognized as the average normal oral temperature and falls squarely
within the expected physiologic range for a healthy adult. Therefore, it is
considered the best answer, while values such as 99.6°F approach the upper limit
of normal and 100.4°F indicates fever.
The nurse takes a client’s temperature using the rectal route. Which finding
should the nurse recognize as the expected baseline normal for this method?
a) 97.6°F (36.4°C)
b) 98.6°F (37°C)
c) 99.6°F (37.6°C)
d) 100.0°F (37.8°C)
Correct Answer: c) 99.6°F (37.6°C)
