NSG 3100 EXAM 1
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
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.
---
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.
---
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
c. Respirations
d. Blood pressure
Correct Answer d
Expert Rationale The severely elevated blood pressure of 178/112 mm
Hg indicates a hypertensive crisis, presenting significant risk for end-organ
damage such as stroke or myocardial infarction. The other vital signs are
within normal limits, so immediate clinical attention should prioritize blood
pressure management.
---
, 4. From the nurse's understanding, which statements regarding
temperature and heat production in the body are accurate? (Select all
that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and heat
production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for
measurement.
e. Women tend to have more fluctuations in temperature than do men.
Correct Answer a, e
Expert Rationale Heat is produced as a byproduct of cellular metabolism
and is essential for enzymatic functions. Thyroid hormones actually
increase metabolic rate and heat production, therefore statement b is false.
Exercise elevates heat production by increasing muscular activity.
Temperature readings vary by route, but this is considered a measurement
factor rather than a physiologic truth, making d less applicable here.
Hormonal fluctuations during the menstrual cycle cause more temperature
variability in women, validating statement e.
---
5. The nurse is performing an initial assessment of a patient with a
severe infection at hospital admission. Vital signs for the patient
indicate hypotension and tachycardia. Which data would support this
evaluation?
a. Pulse 78, blood pressure 140/88
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
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.
---
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.
---
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
c. Respirations
d. Blood pressure
Correct Answer d
Expert Rationale The severely elevated blood pressure of 178/112 mm
Hg indicates a hypertensive crisis, presenting significant risk for end-organ
damage such as stroke or myocardial infarction. The other vital signs are
within normal limits, so immediate clinical attention should prioritize blood
pressure management.
---
, 4. From the nurse's understanding, which statements regarding
temperature and heat production in the body are accurate? (Select all
that apply.)
a. Heat generates energy for cellular functions.
b. Hormones, such as thyroid hormones, decrease metabolism and heat
production.
c. Exercise decreases heat production through muscular activity.
d. Expected temperature readings vary by the route selected for
measurement.
e. Women tend to have more fluctuations in temperature than do men.
Correct Answer a, e
Expert Rationale Heat is produced as a byproduct of cellular metabolism
and is essential for enzymatic functions. Thyroid hormones actually
increase metabolic rate and heat production, therefore statement b is false.
Exercise elevates heat production by increasing muscular activity.
Temperature readings vary by route, but this is considered a measurement
factor rather than a physiologic truth, making d less applicable here.
Hormonal fluctuations during the menstrual cycle cause more temperature
variability in women, validating statement e.
---
5. The nurse is performing an initial assessment of a patient with a
severe infection at hospital admission. Vital signs for the patient
indicate hypotension and tachycardia. Which data would support this
evaluation?
a. Pulse 78, blood pressure 140/88
