NRSG 100 CH 24 PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
A client admitted with dehydration reports feeling dizzy with
ambulation. What teaching would the nurse provide to the
client?
a. "Dizziness when you change position can occur when fluid
volume in the body is decreased."
b. "Dizziness can occur due to changes in the hospital
environment."
c. "Dizziness can occur when baroreceptors overreact to the
changes in BP."
d. "Dizziness is caused by very low blood pressure when you lay
down." Correct Answer "Dizziness when you change position
can occur when fluid volume in the body is decreased."
A client has had a left-side mastectomy. How does this affect the
blood pressure assessment?
a. Assess the blood pressure in the wrist.
b. There is no effect on the blood pressure.
c. Assessment of blood pressure is impeded.
d. The blood pressure stays within normal range. Correct
Answer Assessment of blood pressure is impeded
A client has smoked most of his life and has labored
respirations. He is experiencing:
a. Dyspnea
b. Fremitus
,c. Stridor
d. Wheeze Correct Answer Dyspnea
A client is taking medications to treat a heart dysrhythmia.
Which site should be used to assess the pulse in this client?
a. Brachial
b. Radial
c. Dorsalis pedis
d. Apical Correct Answer Apical
A client monitoring his BP at home notices that his BP is higher
in one arm than the other so he calls his health care provider for
guidance. What is the most appropriate information for the nurse
to give this client?
a. It has been found that most people have differences in BP
between arms and that he should use the arm that gives him the
highest reading for accurate results.
b. It has been found that most people have differences in BP
between arms and that he should use the arm that gives him the
lowest reading for accurate results.
c. This has no impact on BP readings and he should continue
doing what he has been doing.
d. This is unusual and should be seen about as soon as possible.
Correct Answer It has been found that most people have
differences in BP between arms and that he should use the arm
that gives him the highest reading for accurate results.
, A client presents to the Emergency Department with a
temperature of 100.6F (38.1°C) and BP of 108/60 mm Hg. What
intervention does the nurse anticipate providing?
a. acetaminophen
b. oral fluids
c. ibuprofen
d. cooling blanket Correct Answer oral fluids
A client reports feeling "different" than earlier in the day. When
would the nurse anticipate assessing vital signs?
a. once per day
b. according to medical orders
c. immediately
d. every 4 hours Correct Answer immediately
A nurse can most accurately assess a client's heart rate and
rhythm by which of the following methods?
a. Listen with the stethoscope at the fifth intercostal space left
mid-clavicular line.
b. Listen with the stethoscope at the fifth intercostal space at the
sternum.
c. Listen with a stethoscope at the neck to the right of the
coracoid process.
d. Listen with a stethoscope at the second intercostal space left
sternum. Correct Answer Listen with the stethoscope at the
fifth intercostal space left mid-clavicular line.
COMPLETE SOLUTIONS
A client admitted with dehydration reports feeling dizzy with
ambulation. What teaching would the nurse provide to the
client?
a. "Dizziness when you change position can occur when fluid
volume in the body is decreased."
b. "Dizziness can occur due to changes in the hospital
environment."
c. "Dizziness can occur when baroreceptors overreact to the
changes in BP."
d. "Dizziness is caused by very low blood pressure when you lay
down." Correct Answer "Dizziness when you change position
can occur when fluid volume in the body is decreased."
A client has had a left-side mastectomy. How does this affect the
blood pressure assessment?
a. Assess the blood pressure in the wrist.
b. There is no effect on the blood pressure.
c. Assessment of blood pressure is impeded.
d. The blood pressure stays within normal range. Correct
Answer Assessment of blood pressure is impeded
A client has smoked most of his life and has labored
respirations. He is experiencing:
a. Dyspnea
b. Fremitus
,c. Stridor
d. Wheeze Correct Answer Dyspnea
A client is taking medications to treat a heart dysrhythmia.
Which site should be used to assess the pulse in this client?
a. Brachial
b. Radial
c. Dorsalis pedis
d. Apical Correct Answer Apical
A client monitoring his BP at home notices that his BP is higher
in one arm than the other so he calls his health care provider for
guidance. What is the most appropriate information for the nurse
to give this client?
a. It has been found that most people have differences in BP
between arms and that he should use the arm that gives him the
highest reading for accurate results.
b. It has been found that most people have differences in BP
between arms and that he should use the arm that gives him the
lowest reading for accurate results.
c. This has no impact on BP readings and he should continue
doing what he has been doing.
d. This is unusual and should be seen about as soon as possible.
Correct Answer It has been found that most people have
differences in BP between arms and that he should use the arm
that gives him the highest reading for accurate results.
, A client presents to the Emergency Department with a
temperature of 100.6F (38.1°C) and BP of 108/60 mm Hg. What
intervention does the nurse anticipate providing?
a. acetaminophen
b. oral fluids
c. ibuprofen
d. cooling blanket Correct Answer oral fluids
A client reports feeling "different" than earlier in the day. When
would the nurse anticipate assessing vital signs?
a. once per day
b. according to medical orders
c. immediately
d. every 4 hours Correct Answer immediately
A nurse can most accurately assess a client's heart rate and
rhythm by which of the following methods?
a. Listen with the stethoscope at the fifth intercostal space left
mid-clavicular line.
b. Listen with the stethoscope at the fifth intercostal space at the
sternum.
c. Listen with a stethoscope at the neck to the right of the
coracoid process.
d. Listen with a stethoscope at the second intercostal space left
sternum. Correct Answer Listen with the stethoscope at the
fifth intercostal space left mid-clavicular line.
