NSG 3100 EXAM 2 GALEN COLLEGE
NSG 3100 EXAM 2 GALEN COLLEGE NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
A client has a pressure ulcer with a shallow, partial skin
thickness, eroded area but no necrotic areas. The nurse would treat the area with
which dressing?
1. Alginate
2. Dry gauze
3. Hydrocolloid
4. No dressing is indicated - ANSWER-Answer: 3.
Rationale: Hydrocolloid dressings protect shallow ulcers and maintain an
appropriate healing environment. Alginates (option 1) are used for wounds with
significant drainage; dry gauze (option 2) will stick to new granulation tissue,
causing more damage. A dressing is needed to protect the wound and enhance
healing. Cognitive Level: Applying. Client Need: Physiological Integrity. Nursing
Process: Implementation. Learning Outcome: 36-11
Thirty (30) minutes after application is initiated, the client requests that the nurse
leave the heating pad in place. The nurse explains the following to the client:
1. Heat application for longer than 30 minutes can actually cause the opposite
effect (constriction) of the desired one (dilation).
2. It will be acceptable to leave the pad in place if the
temperature is reduced.
3. It will be acceptable to leave the pad in place for another
30 minutes if the site appears satisfactory when assessed.
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, NSG 3100 EXAM 2 GALEN COLLEGE
4. It will be acceptable to leave the pad in place as long as it is moist heat -
ANSWER-Answer: 1.
Rationale: The heating pad needs to be removed. After 30 minutes of heat
application, the blood vessels in the area will begin to exhibit the rebound effect,
resulting in vasoconstriction. Lowering the temperature, but still delivering heat—
dry or moist—will not prevent the rebound effect. The visual appearance of the
site on inspection (option 3) does not indicate if rebound is occurring. Cognitive
Level: Analyzing. Client Need: Physiological Integrity. Nursing Process: Planning.
Learning Outcome: 36-14
Which statement, if made by the client or family member, would indicate the
need for further teaching?
1. "If a skin area gets red but then the red goes away after turning, I should report
it to the nurse."
2. "Putting foam pads under my heels or other bony areas can help decrease
pressure."
3. "If my father cannot turn himself in bed, I should help him change position
every 4 hours."
4. "The skin should be washed with only warm water (not hot) and lotion put on
while it is still a little wet." - ANSWER-Answer: 3.
Rationale: Immobile and dependent persons should be repositioned at least every
2 hours, not every 4, so this client or family member requires further teaching.
Warm water and moisturizing damp skin are correct techniques for skin care. Red
areas that do not return to normal skin color should be reported. It would also be
correct to use a foam pad to help relieve pressure. Cognitive Level: Analyzing.
Client Need: Physiological Integrity. Nursing Process: Evaluation. Learning
Outcome: 36-10.
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, NSG 3100 EXAM 2 GALEN COLLEGE
The client's temperature at 8:00 am using an oral electronic thermometer is
36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal
range, what would the nurse do next?
1. Wait 15 minutes and retake it.
2. Check what the client's temperature was the last time it was taken.
3. Retake it using a different thermometer.
4. Chart the temperature; it is normal - ANSWER-Answer: 2.
Rationale: Although the temperature is slightly lower than expected for the
morning, it would be best to determine the client's previous temperature range
next. This may be a normal range for this client. Depending on that finding, the
nurse might want to retake it in a few minutes—no need to wait 15 minutes
(option 3) or with another
thermometer to see if the initial thermometer was functioning properly. Chart
after determining that the temperature has been measured properly (option 4).
Cognitive Level: Applying. Client Need: Health Maintenance and Promotion.
Nursing Process: Assessment. Learning Outcome: 29-4.
Which client meets the criteria for selection of the apical site for assessment of
the pulse rather than a radial pulse?
1. A client who is in shock
2. A client whose pulse changes with body position changes
3. A client with an arrhythmia
4. A client who had surgery less than 24 hours ago - ANSWER-Answer: 3.
Rationale: The apical rate would confirm the rate and determine the actual cardiac
rhythm for a client with an abnormal rhythm; a radial pulse would only reveal the
heart rate and suggest an arrhythmia. For clients in shock, use the carotid or
femoral pulse (option 1). The radial pulse is adequate for determining a change in
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, NSG 3100 EXAM 2 GALEN COLLEGE
the orthostatic heart rate (option 2). The radial pulse is appropriate for routine
postoperative vital sign checks for clients with regular pulses (option 4). Cognitive
Level: Understanding. Client Need: Health Promotion and Maintenance. Nursing
Process: Planning. Learning Outcome: 29-5
When the nurse enters a client's room to measure routine vital signs, the client is
on the phone. What technique should the nurse use to determine the respiratory
rate?
1. Count the respirations during conversational pauses.
2. Ask the client to end the phone call now and resume it at a later time.
3. Wait at the client's bedside until the phone call is completed and then count
respirations.
4. Since there is no evidence of distress or urgency, postpone the measurement
until later. - ANSWER-Answer: 4.
Rationale: Since the client's needs are always considered first, the measurement
should be delayed unless the client is in distress or there are other urgent reasons.
Option 1: Respirations should be measured for 30 seconds to 1 minute and are
affected by talking. Option 2: There needs to be an important reason for
interrupting the
client. Option 3: It is inappropriate to wait and listen to the client's conversation.
Cognitive Level: Understanding. Client Need: Health Promotion and Maintenance.
Nursing Process: Planning. Learning Outcome: 29-3d.
For a client with a previous blood pressure of 138/74 mmHg and pulse of 64
beats/min, approximately how long should the nurse take to release the blood
pressure cuff in order to obtain an accurate reading?
1. 10-20 seconds
4|Page
NSG 3100 EXAM 2 GALEN COLLEGE NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
A client has a pressure ulcer with a shallow, partial skin
thickness, eroded area but no necrotic areas. The nurse would treat the area with
which dressing?
1. Alginate
2. Dry gauze
3. Hydrocolloid
4. No dressing is indicated - ANSWER-Answer: 3.
Rationale: Hydrocolloid dressings protect shallow ulcers and maintain an
appropriate healing environment. Alginates (option 1) are used for wounds with
significant drainage; dry gauze (option 2) will stick to new granulation tissue,
causing more damage. A dressing is needed to protect the wound and enhance
healing. Cognitive Level: Applying. Client Need: Physiological Integrity. Nursing
Process: Implementation. Learning Outcome: 36-11
Thirty (30) minutes after application is initiated, the client requests that the nurse
leave the heating pad in place. The nurse explains the following to the client:
1. Heat application for longer than 30 minutes can actually cause the opposite
effect (constriction) of the desired one (dilation).
2. It will be acceptable to leave the pad in place if the
temperature is reduced.
3. It will be acceptable to leave the pad in place for another
30 minutes if the site appears satisfactory when assessed.
1|Page
, NSG 3100 EXAM 2 GALEN COLLEGE
4. It will be acceptable to leave the pad in place as long as it is moist heat -
ANSWER-Answer: 1.
Rationale: The heating pad needs to be removed. After 30 minutes of heat
application, the blood vessels in the area will begin to exhibit the rebound effect,
resulting in vasoconstriction. Lowering the temperature, but still delivering heat—
dry or moist—will not prevent the rebound effect. The visual appearance of the
site on inspection (option 3) does not indicate if rebound is occurring. Cognitive
Level: Analyzing. Client Need: Physiological Integrity. Nursing Process: Planning.
Learning Outcome: 36-14
Which statement, if made by the client or family member, would indicate the
need for further teaching?
1. "If a skin area gets red but then the red goes away after turning, I should report
it to the nurse."
2. "Putting foam pads under my heels or other bony areas can help decrease
pressure."
3. "If my father cannot turn himself in bed, I should help him change position
every 4 hours."
4. "The skin should be washed with only warm water (not hot) and lotion put on
while it is still a little wet." - ANSWER-Answer: 3.
Rationale: Immobile and dependent persons should be repositioned at least every
2 hours, not every 4, so this client or family member requires further teaching.
Warm water and moisturizing damp skin are correct techniques for skin care. Red
areas that do not return to normal skin color should be reported. It would also be
correct to use a foam pad to help relieve pressure. Cognitive Level: Analyzing.
Client Need: Physiological Integrity. Nursing Process: Evaluation. Learning
Outcome: 36-10.
2|Page
, NSG 3100 EXAM 2 GALEN COLLEGE
The client's temperature at 8:00 am using an oral electronic thermometer is
36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal
range, what would the nurse do next?
1. Wait 15 minutes and retake it.
2. Check what the client's temperature was the last time it was taken.
3. Retake it using a different thermometer.
4. Chart the temperature; it is normal - ANSWER-Answer: 2.
Rationale: Although the temperature is slightly lower than expected for the
morning, it would be best to determine the client's previous temperature range
next. This may be a normal range for this client. Depending on that finding, the
nurse might want to retake it in a few minutes—no need to wait 15 minutes
(option 3) or with another
thermometer to see if the initial thermometer was functioning properly. Chart
after determining that the temperature has been measured properly (option 4).
Cognitive Level: Applying. Client Need: Health Maintenance and Promotion.
Nursing Process: Assessment. Learning Outcome: 29-4.
Which client meets the criteria for selection of the apical site for assessment of
the pulse rather than a radial pulse?
1. A client who is in shock
2. A client whose pulse changes with body position changes
3. A client with an arrhythmia
4. A client who had surgery less than 24 hours ago - ANSWER-Answer: 3.
Rationale: The apical rate would confirm the rate and determine the actual cardiac
rhythm for a client with an abnormal rhythm; a radial pulse would only reveal the
heart rate and suggest an arrhythmia. For clients in shock, use the carotid or
femoral pulse (option 1). The radial pulse is adequate for determining a change in
3|Page
, NSG 3100 EXAM 2 GALEN COLLEGE
the orthostatic heart rate (option 2). The radial pulse is appropriate for routine
postoperative vital sign checks for clients with regular pulses (option 4). Cognitive
Level: Understanding. Client Need: Health Promotion and Maintenance. Nursing
Process: Planning. Learning Outcome: 29-5
When the nurse enters a client's room to measure routine vital signs, the client is
on the phone. What technique should the nurse use to determine the respiratory
rate?
1. Count the respirations during conversational pauses.
2. Ask the client to end the phone call now and resume it at a later time.
3. Wait at the client's bedside until the phone call is completed and then count
respirations.
4. Since there is no evidence of distress or urgency, postpone the measurement
until later. - ANSWER-Answer: 4.
Rationale: Since the client's needs are always considered first, the measurement
should be delayed unless the client is in distress or there are other urgent reasons.
Option 1: Respirations should be measured for 30 seconds to 1 minute and are
affected by talking. Option 2: There needs to be an important reason for
interrupting the
client. Option 3: It is inappropriate to wait and listen to the client's conversation.
Cognitive Level: Understanding. Client Need: Health Promotion and Maintenance.
Nursing Process: Planning. Learning Outcome: 29-3d.
For a client with a previous blood pressure of 138/74 mmHg and pulse of 64
beats/min, approximately how long should the nurse take to release the blood
pressure cuff in order to obtain an accurate reading?
1. 10-20 seconds
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