NUR 101 : EXAM 1,EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
a) A patient tells the nurse, Im having a lot of pain in my hip. Which response by the nurse
is open-ended and would stimulate the patient to provide the most complete data? Choose
all that are correct.
1) Is your pain severe?
2) Tell me about your pain.
3) When did you first notice this pain?
4) How would you describe your pain? - CORRECT-ANSWERSANS:
b) 2) Tell me about your pain.
c) 4) How would you describe your pain?
d) The responses Tell me about your pain and How would you describe your pain? are
open-ended responses that stimulate conversation. Although it is important information,
the question Is your pain severe? prompts a yes or no response. When did you first notice
this pain?also important informationis likely to stimulate a brief, factual answer. Such
questions allow the nurse to control the patients response. Limiting the response might
lead to an incomplete assessment.
e) A clients vital signs at the beginning of the shift are as follows: oral temperature 99.3F
(37C), heart rate 82 beats/min, respiratory rate 14 breaths/min, and blood pressure 118/76
mm Hg. Four hours later the clients oral temperature is 102.2F (39C). Based on the
temperature change, the nurse should anticipate the clients heart rate would be how many
beats/min?
1) 62
2) 82
3) 102
, 4) 122 - CORRECT-ANSWERSANS: 3) 102
f) Heart rate increases about 10 beats per minute for each degree of temperature to meet
increased metabolic needs and compensate for peripheral dilation.
g) The nurse is assessing vital signs for a client after surgical procedure on the left leg. IV
fluids are infusing. It would be most important for the nurse to
1) Compare the left pedal pulse with the right pedal pulse
2) Count the clients respiratory rate for 1 full minute
3) Take the blood pressure in the arm without an IV
4) Take an oral temperature with an electronic thermometer - CORRECT-
ANSWERSANS: 1) Compare the left pedal pulse with the right pedal pulse
h) For a client having surgery on the leg, the most important data would be whether the
circulation has been compromised because of the surgery. This can be done only by
comparing one leg with the other. The nurse would, of course, count the respiratory rate
for 1 full minute and take the BP in the arm without the IV. Oral temperatures are
commonly obtained using electronic thermometers.
i) The nurse hears rhonchi when auscultating a clients lungs. Which nursing intervention
would be appropriate for the nurse to implement before reassessing lung sounds?
1) Have the client take several deep breaths.
2) Request the client take a deep breath and cough.
3) Take the clients blood pressure and apical pulse.
4) Count the clients respiratory rate for 1 minute. - CORRECT-ANSWERSANS: 2)
Request the client take a deep breath and cough.
j) Rhonchi are caused by secretions in the large airways and may clear with coughing. This
is how you differentiate between rhonchi and other adventitious sounds. Deep breathing
will not help to clear rhonchi. Taking the blood pressure and apical pulse and counting
, the respiratory rate are not effective for clearing rhonchi and would not be sufficient for
the nurse to identify whether the sounds were, indeed, rhonchi.
k) Which of the following sets of vital signs are all within normal limits for patients at rest?
1) Infant: T 98.8F (rectal), HR 160, RR 16, BP 120/54
2) Adolescent: T 98.2F (oral), HR 80, RR 18, BP 108/68
3) Adult: T 99.6F (oral), HR 48, RR 22, BP 130/84
4) Older adult: T 98.6F (oral), HR 110, RR 28, BP 170/95 - CORRECT-
ANSWERSANS: 2) Adolescent: T 98.2F (oral), HR 80, RR 18, BP 108/68
l) All of the adolescents vital signs are within normal parameters for the age. The infants
temperature is below normal for a rectal reading because the core temperature is
approximately 1 degree higher than readings from other sites. The heart rate (HR) for an
infant is high, the respiratory rate (RR) is low, and the blood pressure (BP) is high for the
age. For the typical adult, the temperature is high, the HR is low, the RR is high, and the
BP is elevated for the age. For the older adult, the temperature is high-end normal, the
HR is high, the RR is high, and the BP is high for the age.
m) The nurse assesses the following changes in a clients vital signs. Which client situation
should be reported to the primary care provider?
n) 1)Decreased blood pressure (BP) after standing up
o) 2)Decreased temperature after a period of diaphoresis
p) 3)Increased heart rate after walking down the hall
q) 4)Increased respiratory rate when the heart rate increases - CORRECT-ANSWERSANS:
1)Decreased blood pressure (BP) after standing up
r) A drop in the clients blood pressure when standing indicates orthostatic hypotension, and
the cause should be investigated. The changes in vital signs indicated in the other options
are normal changes for the situations.
s) PTS:1DIF:ModerateREF:p. 439 for hypotension information but should read content
about all of the vital signs
, t) The clients temperature is 101.1F. Which is the correct conversion to centigrade?
u) 1)38.0C
v) 2)38.4C
w) 3)38.8C
x) 4)39.2C - CORRECT-ANSWERSANS: 2) 38.4C
y) To convert Fahrenheit to centigrade, subtract 32 from the temperature, and multiply by
5/9.
z) The client has had a fever, ranging from 99.8F orally to 103F orally, over the last 24
hours. The clients fever would be classified as
aa) 1)Constant
bb) 2)Intermittent
cc) 3)Relapsing
dd) 4)Remittent - CORRECT-ANSWERSANS: 4) Remittent
ee) Remittent fevers fluctuate widely over a 24-hour period. Constant fevers stay above
normal with only slight fluctuations. Intermittent fevers alternate between normal or
subnormal temperatures with periods of fever. Relapsing fevers alternate between periods
of fever and periods of normal temperature, each phase lasting 1 to 2 days.
ff) A clients vital signs 4 hours ago were temperature (oral) 101.4F (38.6C), heart rate 110
beats/min, respiratory rate 26 breaths/min, and blood pressure 124/78 mm Hg. The
temperature is now 99.4F (37.4C). Based only on the expected relationship between
temperature and respiratory rate, the nurse might best anticipate the clients respiratory
rate to be
gg) 1)16
hh) 2)18
ii) 3)20
jj) 4)22 - CORRECT-ANSWERSANS: 2) 18
CORRECT QUESTIONS AND ANSWERS
2025
a) A patient tells the nurse, Im having a lot of pain in my hip. Which response by the nurse
is open-ended and would stimulate the patient to provide the most complete data? Choose
all that are correct.
1) Is your pain severe?
2) Tell me about your pain.
3) When did you first notice this pain?
4) How would you describe your pain? - CORRECT-ANSWERSANS:
b) 2) Tell me about your pain.
c) 4) How would you describe your pain?
d) The responses Tell me about your pain and How would you describe your pain? are
open-ended responses that stimulate conversation. Although it is important information,
the question Is your pain severe? prompts a yes or no response. When did you first notice
this pain?also important informationis likely to stimulate a brief, factual answer. Such
questions allow the nurse to control the patients response. Limiting the response might
lead to an incomplete assessment.
e) A clients vital signs at the beginning of the shift are as follows: oral temperature 99.3F
(37C), heart rate 82 beats/min, respiratory rate 14 breaths/min, and blood pressure 118/76
mm Hg. Four hours later the clients oral temperature is 102.2F (39C). Based on the
temperature change, the nurse should anticipate the clients heart rate would be how many
beats/min?
1) 62
2) 82
3) 102
, 4) 122 - CORRECT-ANSWERSANS: 3) 102
f) Heart rate increases about 10 beats per minute for each degree of temperature to meet
increased metabolic needs and compensate for peripheral dilation.
g) The nurse is assessing vital signs for a client after surgical procedure on the left leg. IV
fluids are infusing. It would be most important for the nurse to
1) Compare the left pedal pulse with the right pedal pulse
2) Count the clients respiratory rate for 1 full minute
3) Take the blood pressure in the arm without an IV
4) Take an oral temperature with an electronic thermometer - CORRECT-
ANSWERSANS: 1) Compare the left pedal pulse with the right pedal pulse
h) For a client having surgery on the leg, the most important data would be whether the
circulation has been compromised because of the surgery. This can be done only by
comparing one leg with the other. The nurse would, of course, count the respiratory rate
for 1 full minute and take the BP in the arm without the IV. Oral temperatures are
commonly obtained using electronic thermometers.
i) The nurse hears rhonchi when auscultating a clients lungs. Which nursing intervention
would be appropriate for the nurse to implement before reassessing lung sounds?
1) Have the client take several deep breaths.
2) Request the client take a deep breath and cough.
3) Take the clients blood pressure and apical pulse.
4) Count the clients respiratory rate for 1 minute. - CORRECT-ANSWERSANS: 2)
Request the client take a deep breath and cough.
j) Rhonchi are caused by secretions in the large airways and may clear with coughing. This
is how you differentiate between rhonchi and other adventitious sounds. Deep breathing
will not help to clear rhonchi. Taking the blood pressure and apical pulse and counting
, the respiratory rate are not effective for clearing rhonchi and would not be sufficient for
the nurse to identify whether the sounds were, indeed, rhonchi.
k) Which of the following sets of vital signs are all within normal limits for patients at rest?
1) Infant: T 98.8F (rectal), HR 160, RR 16, BP 120/54
2) Adolescent: T 98.2F (oral), HR 80, RR 18, BP 108/68
3) Adult: T 99.6F (oral), HR 48, RR 22, BP 130/84
4) Older adult: T 98.6F (oral), HR 110, RR 28, BP 170/95 - CORRECT-
ANSWERSANS: 2) Adolescent: T 98.2F (oral), HR 80, RR 18, BP 108/68
l) All of the adolescents vital signs are within normal parameters for the age. The infants
temperature is below normal for a rectal reading because the core temperature is
approximately 1 degree higher than readings from other sites. The heart rate (HR) for an
infant is high, the respiratory rate (RR) is low, and the blood pressure (BP) is high for the
age. For the typical adult, the temperature is high, the HR is low, the RR is high, and the
BP is elevated for the age. For the older adult, the temperature is high-end normal, the
HR is high, the RR is high, and the BP is high for the age.
m) The nurse assesses the following changes in a clients vital signs. Which client situation
should be reported to the primary care provider?
n) 1)Decreased blood pressure (BP) after standing up
o) 2)Decreased temperature after a period of diaphoresis
p) 3)Increased heart rate after walking down the hall
q) 4)Increased respiratory rate when the heart rate increases - CORRECT-ANSWERSANS:
1)Decreased blood pressure (BP) after standing up
r) A drop in the clients blood pressure when standing indicates orthostatic hypotension, and
the cause should be investigated. The changes in vital signs indicated in the other options
are normal changes for the situations.
s) PTS:1DIF:ModerateREF:p. 439 for hypotension information but should read content
about all of the vital signs
, t) The clients temperature is 101.1F. Which is the correct conversion to centigrade?
u) 1)38.0C
v) 2)38.4C
w) 3)38.8C
x) 4)39.2C - CORRECT-ANSWERSANS: 2) 38.4C
y) To convert Fahrenheit to centigrade, subtract 32 from the temperature, and multiply by
5/9.
z) The client has had a fever, ranging from 99.8F orally to 103F orally, over the last 24
hours. The clients fever would be classified as
aa) 1)Constant
bb) 2)Intermittent
cc) 3)Relapsing
dd) 4)Remittent - CORRECT-ANSWERSANS: 4) Remittent
ee) Remittent fevers fluctuate widely over a 24-hour period. Constant fevers stay above
normal with only slight fluctuations. Intermittent fevers alternate between normal or
subnormal temperatures with periods of fever. Relapsing fevers alternate between periods
of fever and periods of normal temperature, each phase lasting 1 to 2 days.
ff) A clients vital signs 4 hours ago were temperature (oral) 101.4F (38.6C), heart rate 110
beats/min, respiratory rate 26 breaths/min, and blood pressure 124/78 mm Hg. The
temperature is now 99.4F (37.4C). Based only on the expected relationship between
temperature and respiratory rate, the nurse might best anticipate the clients respiratory
rate to be
gg) 1)16
hh) 2)18
ii) 3)20
jj) 4)22 - CORRECT-ANSWERSANS: 2) 18
