GALEN NSG 3100 EXAM 2 2025/2026
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
The nurse receives a hand-off report on four patients.
Which patient finding should the nurse assess first?
A- Pulse oximetry 96%
B- Pulse 42 BPM
C- Blood pressure 102/62 mmHg
D- Respiratory rate 18 breaths/min Correct Answer B-
Pulse 42 BPM
Which patient assessment result would require the nurse
to assess that patient further?
A- A 65 y/o man w/ a respiratory rate of 10
B- A 50 y/o man w/ a BP of 112/60 upon awakening in the
morning
C- A 40 y/o woman w/ a radial pulse of 68
D- a 12 y/o w/ a pulse of 92 after ambulating in the hallway
Correct Answer A- A 65 y/o man w/ a respiratory rate of 10
The nurse is caring for a woman who had a right-sided
mastectomy 2 years ago. What action by the nurse is most
appropriate?
A- Place a sign above the bed: "no BP on the right arm"
B- Place a sign above the bed "BP in legs only"
C- No specific action is needed for this situation
,D- Place a sign above the bed: "no continuous BP on the
right arm" Correct Answer A- Place a sign above the bed:
"no BP on the right arm"
A nurse is caring for a patient who has orthopnea.
(Discomfort when breathing while lying down flat; common
in people with some types of heart or lung conditions.)
What action by the nurse is most appropriate?
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 Correct
Answer C- Keep the head of the bed elevated
The nursing faculty member is observing a student taking
a patient's carotid pulse. What action by the student
requires intervention by the faculty?
A- Counts pulse for 30 seconds and multiplies by two.
B- Compares pulses in both carotid arteries at the same
time.
C- Assesses pulse on one side and then assesses the
other side.
D- Performs hand hygiene prior to patient contact. Correct
Answer B- Compares pulses in both carotid arteries at the
same time.
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 heart rate and compare the two
C- Notify the patient's health care provider
,D- Document the findings in the patient's chart Correct
Answer A- Assess the patient for causes of tachycardia
The nurse is caring for a patient on contact precautions.
Which action will be most appropriate to prevent the
spread of disease?
A- Place the patient in a room w/negative airflow
B- Wear a gown, gloves, face mask, and goggles for
interactions w/ the patient
C- Transport the patient safely and quickly when going to
the radiology department
D- Use a dedicated BP cuff that stays in the room and is
used for that patient only Correct Answer D- Use a
dedicated BP cuff that stays in the room and is used for
that patient only
The nurse is caring for a group of medical-surgical
patients. Which patient is most at risk for developing an
infection?
A- A patient who is in observation for chest pain
B- A patient who has been admitted w/ dehydration
C- A patient who is recovering from a right total hip
surgery
D- A patient who has been admitted for stabilization of
heart problems Correct Answer C- A patient who is
recovering from a right total hip surgery
The nurse is caring for a patient w/ an incision. Which
actions will best indicate an understanding of medical and
surgical asepsis for a sterile dressing change?
, A- Donning clean goggles, gown, and gloves to dress the
wound
B- Donning sterile gown and gloves to remove the wound
dressing
C- Utilizing clean gloves to remove the dressing and
sterile supplies for the new dressing
D- Utilizing clean gloves to remove the dressing and clean
supplies for the new dressing Correct Answer C- Utilizing
clean gloves to remove the dressing and sterile supplies
for the new dressing
The nurse is caring for a school-aged child who has
injured the right leg after a bicycle accident. Which signs
and symptoms will the nurse assess for to determine if the
child is experiencing a localized inflammatory response?
A- Malaise, anorexia, enlarged lymph nodes, and
increased white blood cells
B- Chest pain, shortness of breath, and nausea and
vomiting
C- Dizziness and disorientation to time, date, and place
D- Edema, redness, tenderness, and loss of function
Correct Answer D- Edema, redness, tenderness, and loss
of function
The nurse is changing linens for a postoperative patient
and feels a prick in the left hand. A contaminated needle is
noted in the linens. For which condition is the nurse most
at risk?
A- Diphtheria
B- Hepatitis B
C- Clostridium Difficile
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
The nurse receives a hand-off report on four patients.
Which patient finding should the nurse assess first?
A- Pulse oximetry 96%
B- Pulse 42 BPM
C- Blood pressure 102/62 mmHg
D- Respiratory rate 18 breaths/min Correct Answer B-
Pulse 42 BPM
Which patient assessment result would require the nurse
to assess that patient further?
A- A 65 y/o man w/ a respiratory rate of 10
B- A 50 y/o man w/ a BP of 112/60 upon awakening in the
morning
C- A 40 y/o woman w/ a radial pulse of 68
D- a 12 y/o w/ a pulse of 92 after ambulating in the hallway
Correct Answer A- A 65 y/o man w/ a respiratory rate of 10
The nurse is caring for a woman who had a right-sided
mastectomy 2 years ago. What action by the nurse is most
appropriate?
A- Place a sign above the bed: "no BP on the right arm"
B- Place a sign above the bed "BP in legs only"
C- No specific action is needed for this situation
,D- Place a sign above the bed: "no continuous BP on the
right arm" Correct Answer A- Place a sign above the bed:
"no BP on the right arm"
A nurse is caring for a patient who has orthopnea.
(Discomfort when breathing while lying down flat; common
in people with some types of heart or lung conditions.)
What action by the nurse is most appropriate?
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 Correct
Answer C- Keep the head of the bed elevated
The nursing faculty member is observing a student taking
a patient's carotid pulse. What action by the student
requires intervention by the faculty?
A- Counts pulse for 30 seconds and multiplies by two.
B- Compares pulses in both carotid arteries at the same
time.
C- Assesses pulse on one side and then assesses the
other side.
D- Performs hand hygiene prior to patient contact. Correct
Answer B- Compares pulses in both carotid arteries at the
same time.
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 heart rate and compare the two
C- Notify the patient's health care provider
,D- Document the findings in the patient's chart Correct
Answer A- Assess the patient for causes of tachycardia
The nurse is caring for a patient on contact precautions.
Which action will be most appropriate to prevent the
spread of disease?
A- Place the patient in a room w/negative airflow
B- Wear a gown, gloves, face mask, and goggles for
interactions w/ the patient
C- Transport the patient safely and quickly when going to
the radiology department
D- Use a dedicated BP cuff that stays in the room and is
used for that patient only Correct Answer D- Use a
dedicated BP cuff that stays in the room and is used for
that patient only
The nurse is caring for a group of medical-surgical
patients. Which patient is most at risk for developing an
infection?
A- A patient who is in observation for chest pain
B- A patient who has been admitted w/ dehydration
C- A patient who is recovering from a right total hip
surgery
D- A patient who has been admitted for stabilization of
heart problems Correct Answer C- A patient who is
recovering from a right total hip surgery
The nurse is caring for a patient w/ an incision. Which
actions will best indicate an understanding of medical and
surgical asepsis for a sterile dressing change?
, A- Donning clean goggles, gown, and gloves to dress the
wound
B- Donning sterile gown and gloves to remove the wound
dressing
C- Utilizing clean gloves to remove the dressing and
sterile supplies for the new dressing
D- Utilizing clean gloves to remove the dressing and clean
supplies for the new dressing Correct Answer C- Utilizing
clean gloves to remove the dressing and sterile supplies
for the new dressing
The nurse is caring for a school-aged child who has
injured the right leg after a bicycle accident. Which signs
and symptoms will the nurse assess for to determine if the
child is experiencing a localized inflammatory response?
A- Malaise, anorexia, enlarged lymph nodes, and
increased white blood cells
B- Chest pain, shortness of breath, and nausea and
vomiting
C- Dizziness and disorientation to time, date, and place
D- Edema, redness, tenderness, and loss of function
Correct Answer D- Edema, redness, tenderness, and loss
of function
The nurse is changing linens for a postoperative patient
and feels a prick in the left hand. A contaminated needle is
noted in the linens. For which condition is the nurse most
at risk?
A- Diphtheria
B- Hepatitis B
C- Clostridium Difficile
