Name
Date
NSG 3100 - Practice Questions Score
Exam 2
1. The nurse has applied a pulse oximeter to the finger of a patient who is hypothe mic. The
pulse oximeter does not provide a good reading. What action by the nurse is best?
A Move the oximeter probe to another finger.
B Remove any finge nail polish present on the finge nail.
C Assess the fingers for good circulation.
D Document that the reading cannot be obtained.
2. A nurse pe fo ms o thostatic blood pressure readings on a patient with the following
results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?
A Reassess the blood pressures in 1 hour.
B Reassure the patient that these findings are no mal.
C Document the findings and continue to monitor.
D Inst uct the patient not to get up without help.
3. A nurse obse ves a student taking an adult patient’s tympanic temperature. What action
by the student requires the nurse to inte vene?
A Student pulls the pinna of the patient’s ear down and back.
B Student washes hands p ior to patient contact.
C Student explains the procedure to the patient.
D Student pulls the pinna of the patient’s ear up and back.
4. The nurse receives a hand-off repo t on four patients. Which patient finding should the
nurse assess first?
A Pulse oximet y 96%
B Pulse 42 beats/min
C Blood pressure 102/62 mm Hg
D Respirato y rate 18 breaths/min
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5. Which patient assessment result would require the nurse to assess that patient fu ther?
A A 65-year-old man with a respirato y rate of 8
B A 50-year-old man with a BP of 112/60 upon awakening in the mo ning
C A 40-year-old woman with a radial pulse of 68
D A 12-year-old with a pulse of 92 after ambulating in the hallway
6. The nurse is ca ing for a woman who had a ight-sided mastectomy 2 years ago. What
action by the nurse is most approp iate?
A Place a sign above the bed: “No blood pressures on the ight a m.”
B Place a sign above the bed: “Blood pressures in legs only.”
C No specific action is needed for this situation.
D Place a sign above the bed: “No continuous blood pressures on the ight a m.”
7. A nurse is ca ing for a patient who has o thopnea. What action by the nurse is most
approp iate?
A Medicate the patient for pain as needed.
B Monitor the length of time the patient doesn’t breathe.
C Keep the head of the bed elevated.
D Encourage deep breathing and coughing.
8. A nurse assesses a patient’s radial pulse rate to be 110 beats/min and regular. What action
by the nurse is best?
A Assess the patient for causes of tachycardia.
B Take an apical hea t rate and compare the two.
C Notify the patient’s health care provider.
D Document the findings in the patient’s cha t.
9. The nurse is ca ing for a patient on contact precautions. Which action will be most
approp iate to prevent the spread of disease?
A Place the patient in a room with negative ai flow.
B Wear a gown, gloves, face mask, and goggles for interactions with the patient.
C Transpo t the patient safely and quickly when going to the radiology depa tment.
D Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.
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