NUR 101 : Exam 1 QUESTIONS
AND VERIFIED CORRECT
ANSWERS GRADED A+ 100%
GUARANTEED PASS [ LATEST
2026-2027]
.
Which one of the following clients would probably have a higher than normal respiratory rate?
A client who has
1) Had surgery and is receiving a narcotic analgesic
2) Had surgery and lost a unit of blood intraoperatively
3) Lived at a high altitude and then moved to sea level
4) Been exposed to the cold and is now hypothermic - CORRECT ANSWER-ANS: 2) Had surgery
and lost a unit of blood intraoperatively
A reduction in hemoglobin from blood loss would increase the respiratory rate. Narcotics and
hypothermia slow the respiratory rate. Going from lower altitudes to higher altitudes inhibits
,oxygen binding, so going to a lower altitude would decrease the respiratory rate or have no
effect. Hypothermia decreases the metabolic rate, so the respiratory rate would likely decrease.
For which of the following adult clients should the nurse make follow-up observations and
monitor the vital signs closely? A client whose
1) Resting morning blood pressure is 136/86 while the afternoon BP is 128/84 mm Hg
2) Oral temperature is 97.9F in the morning and 99.8F in the evening
3) Heart rate was 76 beats/min before eating and 88 beats/min after eating
4) Respiratory rate is 16 breaths/min when standing and 18 when lying down - CORRECT
ANSWER-ANS: 1) Resting morning blood pressure is 136/86 while the afternoon BP is 128/84
mm Hg
Both the blood pressures would be classified as prehypertension according to the JNC 7 Express
guidelines. Body temperature normally increases during the course of a day. Heart rate
increases for several hours after eating. Respiratory depth decreases when lying down, so it
would be normal for the rate would increase; both rates are within normal limits.
A client who has been hospitalized for an infection states, The nursing assistant told me my vital
signs are all within normal limits; that means Im cured. The nurses best response would be
which of the following?
1) Your vital signs confirm that your infection is resolved; how do you feel?
2) Ill let your healthcare provider know so you can be discharged.
3) Your vital signs are stable, but there are other things to assess.
4) We still need to keep monitoring your temperature for a while. - CORRECT ANSWER-ANS: 3)
Your vital signs are stable, but there are other things to assess.
Vital signs are one indicator of a clients physiological status, but they are not an absolute
indicator of well-being from every aspect. It may be inaccurate to state that the vital signs
,indicate the infection is resolved; vital signs could stabilize even if the infection remains active.
The healthcare providers decision regarding the clients readiness for discharge is not based
exclusively on the vital signs but rather is based on a compilation of other sources of
information, primarily the clients clinical status, but also cultures, complete blood counts, and
various other laboratory and possibly radiologic evidence. Although the nurse will need to
continue monitoring the temperature, other clinical signs must also be monitored; therefore,
the statement We still need to keep monitoring your temperature . . . is incomplete and less
useful than the statement that begins Your vital signs are stable, but . . .
The nursing instructor asks students how they would assess the fifth vital sign. Which student
would be correct?
1) I would have the client rate her pain on a scale of 0 to 10.
2) I would ask the client when she had her last bowel movement.
3) I would take the clients pulse oximetry reading.
4) I would interview the client about history of tobacco use. - CORRECT ANSWER-ANS: 1) I
would have the client rate her pain on a scale of 0 to 10.
Pain is considered to be the fifth vital sign.
A clients axillary temperature is 100.8F. The nurse realizes this is outside normal range for this
client and that axillary temperatures do not reflect core temperature. What should the nurse do
to obtain a good estimate of the core temperature?
1) Add 1F to 100.8F to obtain an oral equivalent.
2) Add 2F to 100.8F to obtain a rectal equivalent.
3) Obtain a rectal temperature reading.
4) Obtain a tympanic membrane reading. - CORRECT ANSWER-ANS: 3) Obtain a rectal
temperature reading.
, Body temperatures, from lowest to highest, are axillary, oral, rectal, and tympanic. For oral,
axillary, and rectal temperatures, there is a 1F degree difference between each site and the next
higher one. However, mathematical conversions between sites are not reliable and should be
used only when a rough estimate is neededfor instance, to decide whether a reading needs to
be validated by another site or another thermometer. Rectal temperatures are most reliable
and most accurately reflect the core temperature. Tympanic membrane readings are considered
by most to be the least accurate and least reliable.
In caring for a client who has a fever, it would be important for the nurse to monitor for
increased
1) Urine output
2) Sensitivity to pain
3) Blood pressure
4) Respiratory rate - CORRECT ANSWER-ANS: 4) Respiratory rate
The metabolic rate increases with a fever, increasing a persons respiratory rate. Urine output
would more likely decrease, rather than increase, because of increased insensible loss and
possible loss of intake because of loss of appetite. Change in pain sensation is not a symptom of
a fever. Blood pressure is more likely to decrease with a fever because of peripheral
vasodilation.
The nurse is teaching a client how to use a portable blood pressure device to monitor his blood
pressure at home. It would be most important for the nurse to
1) Ask the client to demonstrate the use of the blood pressure device
2) Explain the importance of frequent calibration of the device
3) Give the client a chart to record his blood pressure readings
4) Provide written instructions of the information taught - CORRECT ANSWER-ANS: 1) Ask the
client to demonstrate the use of the blood pressure device
AND VERIFIED CORRECT
ANSWERS GRADED A+ 100%
GUARANTEED PASS [ LATEST
2026-2027]
.
Which one of the following clients would probably have a higher than normal respiratory rate?
A client who has
1) Had surgery and is receiving a narcotic analgesic
2) Had surgery and lost a unit of blood intraoperatively
3) Lived at a high altitude and then moved to sea level
4) Been exposed to the cold and is now hypothermic - CORRECT ANSWER-ANS: 2) Had surgery
and lost a unit of blood intraoperatively
A reduction in hemoglobin from blood loss would increase the respiratory rate. Narcotics and
hypothermia slow the respiratory rate. Going from lower altitudes to higher altitudes inhibits
,oxygen binding, so going to a lower altitude would decrease the respiratory rate or have no
effect. Hypothermia decreases the metabolic rate, so the respiratory rate would likely decrease.
For which of the following adult clients should the nurse make follow-up observations and
monitor the vital signs closely? A client whose
1) Resting morning blood pressure is 136/86 while the afternoon BP is 128/84 mm Hg
2) Oral temperature is 97.9F in the morning and 99.8F in the evening
3) Heart rate was 76 beats/min before eating and 88 beats/min after eating
4) Respiratory rate is 16 breaths/min when standing and 18 when lying down - CORRECT
ANSWER-ANS: 1) Resting morning blood pressure is 136/86 while the afternoon BP is 128/84
mm Hg
Both the blood pressures would be classified as prehypertension according to the JNC 7 Express
guidelines. Body temperature normally increases during the course of a day. Heart rate
increases for several hours after eating. Respiratory depth decreases when lying down, so it
would be normal for the rate would increase; both rates are within normal limits.
A client who has been hospitalized for an infection states, The nursing assistant told me my vital
signs are all within normal limits; that means Im cured. The nurses best response would be
which of the following?
1) Your vital signs confirm that your infection is resolved; how do you feel?
2) Ill let your healthcare provider know so you can be discharged.
3) Your vital signs are stable, but there are other things to assess.
4) We still need to keep monitoring your temperature for a while. - CORRECT ANSWER-ANS: 3)
Your vital signs are stable, but there are other things to assess.
Vital signs are one indicator of a clients physiological status, but they are not an absolute
indicator of well-being from every aspect. It may be inaccurate to state that the vital signs
,indicate the infection is resolved; vital signs could stabilize even if the infection remains active.
The healthcare providers decision regarding the clients readiness for discharge is not based
exclusively on the vital signs but rather is based on a compilation of other sources of
information, primarily the clients clinical status, but also cultures, complete blood counts, and
various other laboratory and possibly radiologic evidence. Although the nurse will need to
continue monitoring the temperature, other clinical signs must also be monitored; therefore,
the statement We still need to keep monitoring your temperature . . . is incomplete and less
useful than the statement that begins Your vital signs are stable, but . . .
The nursing instructor asks students how they would assess the fifth vital sign. Which student
would be correct?
1) I would have the client rate her pain on a scale of 0 to 10.
2) I would ask the client when she had her last bowel movement.
3) I would take the clients pulse oximetry reading.
4) I would interview the client about history of tobacco use. - CORRECT ANSWER-ANS: 1) I
would have the client rate her pain on a scale of 0 to 10.
Pain is considered to be the fifth vital sign.
A clients axillary temperature is 100.8F. The nurse realizes this is outside normal range for this
client and that axillary temperatures do not reflect core temperature. What should the nurse do
to obtain a good estimate of the core temperature?
1) Add 1F to 100.8F to obtain an oral equivalent.
2) Add 2F to 100.8F to obtain a rectal equivalent.
3) Obtain a rectal temperature reading.
4) Obtain a tympanic membrane reading. - CORRECT ANSWER-ANS: 3) Obtain a rectal
temperature reading.
, Body temperatures, from lowest to highest, are axillary, oral, rectal, and tympanic. For oral,
axillary, and rectal temperatures, there is a 1F degree difference between each site and the next
higher one. However, mathematical conversions between sites are not reliable and should be
used only when a rough estimate is neededfor instance, to decide whether a reading needs to
be validated by another site or another thermometer. Rectal temperatures are most reliable
and most accurately reflect the core temperature. Tympanic membrane readings are considered
by most to be the least accurate and least reliable.
In caring for a client who has a fever, it would be important for the nurse to monitor for
increased
1) Urine output
2) Sensitivity to pain
3) Blood pressure
4) Respiratory rate - CORRECT ANSWER-ANS: 4) Respiratory rate
The metabolic rate increases with a fever, increasing a persons respiratory rate. Urine output
would more likely decrease, rather than increase, because of increased insensible loss and
possible loss of intake because of loss of appetite. Change in pain sensation is not a symptom of
a fever. Blood pressure is more likely to decrease with a fever because of peripheral
vasodilation.
The nurse is teaching a client how to use a portable blood pressure device to monitor his blood
pressure at home. It would be most important for the nurse to
1) Ask the client to demonstrate the use of the blood pressure device
2) Explain the importance of frequent calibration of the device
3) Give the client a chart to record his blood pressure readings
4) Provide written instructions of the information taught - CORRECT ANSWER-ANS: 1) Ask the
client to demonstrate the use of the blood pressure device
