NUR 211 :FUNDAMENTALS OF NURSING EXAM (COMPLETE &
VERIFED) GUARANTEED PASS –RASMUSSEN
1. When assessing a temperature rectally, the nurse would use extreme care when inserting the thermometer
to prevent which of the following?
a. An increase in heart rate
b. A decrease in heart rate
c. A decrease in blood pressure
d. An increase in respirations
2. The client has an oral temperature of 39.2° C (102.6° F). What is the most appropriate nursing intervention?
a. Provide an alcohol sponge bath and monitor laboratory results.
b. Remove excess clothing, provide a tepid sponge bath, and administer an analgesic.
c. Provide fluids and nutrition, keep the client's room warm, and administer an analgesic.
d. Reduce external coverings and keep clothing and bed linens dry; administer antipyretics as ordered.
3. While taking an adult patient’s pulse, a nurse finds the rate to be 140 bpm. What should the nurse do first?
a. Check the pulse again in 2 hours
b. Check the blood pressure
c. Record the information
d. Report the rate
4. A patient complains of severe abdominal pain. When assessing the vital signs, the nurse would not be
surprised to find what assessment?
a. An increase in the pulse rate
b. A decrease in body temperature
c. A decrease in blood pressure
d. An increase in respiratory depth
5. The nurse is taking an apical pulse. What equipment will he take into the patient’s room?
a. Sphygmomanometer
b. Electronic thermometer
c. Stethoscope
d. Doppler apparatus
6. Two nurses are taking an apical-radial pulse and note differences in the pulse rate of 8 bpm. The nurse
would document this difference as which of the following?
a. Pulse deficit
, b. Pulse amplitude
c. Ventricular rhythm
d. Heart arrhythmia
7. The nurse decides to take an apical pulse instead of a radial pulse. Which of the following client conditions
influenced the nurse's decision? SATA.
a. The client is in shock.
b. The client has an arrhythmia.
c. The client underwent surgery 18 hours earlier.
d. The client showed a response to orthostatic changes.
8. Before assessing respirations, the nurse reviews normal rates for adults. Which rate would the nurse
identify as “normal”?
VERIFED) GUARANTEED PASS –RASMUSSEN
1. When assessing a temperature rectally, the nurse would use extreme care when inserting the thermometer
to prevent which of the following?
a. An increase in heart rate
b. A decrease in heart rate
c. A decrease in blood pressure
d. An increase in respirations
2. The client has an oral temperature of 39.2° C (102.6° F). What is the most appropriate nursing intervention?
a. Provide an alcohol sponge bath and monitor laboratory results.
b. Remove excess clothing, provide a tepid sponge bath, and administer an analgesic.
c. Provide fluids and nutrition, keep the client's room warm, and administer an analgesic.
d. Reduce external coverings and keep clothing and bed linens dry; administer antipyretics as ordered.
3. While taking an adult patient’s pulse, a nurse finds the rate to be 140 bpm. What should the nurse do first?
a. Check the pulse again in 2 hours
b. Check the blood pressure
c. Record the information
d. Report the rate
4. A patient complains of severe abdominal pain. When assessing the vital signs, the nurse would not be
surprised to find what assessment?
a. An increase in the pulse rate
b. A decrease in body temperature
c. A decrease in blood pressure
d. An increase in respiratory depth
5. The nurse is taking an apical pulse. What equipment will he take into the patient’s room?
a. Sphygmomanometer
b. Electronic thermometer
c. Stethoscope
d. Doppler apparatus
6. Two nurses are taking an apical-radial pulse and note differences in the pulse rate of 8 bpm. The nurse
would document this difference as which of the following?
a. Pulse deficit
, b. Pulse amplitude
c. Ventricular rhythm
d. Heart arrhythmia
7. The nurse decides to take an apical pulse instead of a radial pulse. Which of the following client conditions
influenced the nurse's decision? SATA.
a. The client is in shock.
b. The client has an arrhythmia.
c. The client underwent surgery 18 hours earlier.
d. The client showed a response to orthostatic changes.
8. Before assessing respirations, the nurse reviews normal rates for adults. Which rate would the nurse
identify as “normal”?
