BSN 206 Hallmark Final Exam
Questions and answers
Which of the following patients would require follow-up?
An adolescent with a respiratory rate of 16 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
A child with a respiratory rate of 20 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. - -An adult with a
respiratory rate of 10 breaths per minute.
- Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93% - -Temp 97.0° F
(36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
- The nurse has delegated the task of temperature assessment to the NAP.
Which information should be provided to the NAP? (Select all that apply.)
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The patient's age.
The type of temperature required.
The patient's diagnosis. - -What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
- Which of the following situations may affect a patient's vital signs? (Select
all that apply.)
, Time of day.
Pain rated as a 7 on 0-10 pain scale.
Occupation.
Isolation precautions.
Moving from lying to standing position. - -Time of day.
Pain rated as a 7 on 0-10 pain scale.
Moving from lying to standing position.
- The nurse will take the patient's vital signs preoperatively and record them
as part of the patient's preparation for surgery. Why is it necessary to take
vital signs preoperatively? (Select all that apply.)
To determine whether the patient is "feeling funny"
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and after surgery.
To provide the patient with reassurance that he or she is being cared for by a
competent staff.
To ensure the equipment is appropriately calibrated and functional. - -o
verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and after surgery.
- The NAP reports to the nurse a 65-year-old patient s blood pressure is
160/98. What is the appropriate initial response of the nurse?
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Assess the patient s blood pressure.
Instruct the NAP to obtain a full set of vital signs. - -Assess the patient s
blood pressure.
Questions and answers
Which of the following patients would require follow-up?
An adolescent with a respiratory rate of 16 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
A child with a respiratory rate of 20 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. - -An adult with a
respiratory rate of 10 breaths per minute.
- Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93% - -Temp 97.0° F
(36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
- The nurse has delegated the task of temperature assessment to the NAP.
Which information should be provided to the NAP? (Select all that apply.)
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The patient's age.
The type of temperature required.
The patient's diagnosis. - -What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
- Which of the following situations may affect a patient's vital signs? (Select
all that apply.)
, Time of day.
Pain rated as a 7 on 0-10 pain scale.
Occupation.
Isolation precautions.
Moving from lying to standing position. - -Time of day.
Pain rated as a 7 on 0-10 pain scale.
Moving from lying to standing position.
- The nurse will take the patient's vital signs preoperatively and record them
as part of the patient's preparation for surgery. Why is it necessary to take
vital signs preoperatively? (Select all that apply.)
To determine whether the patient is "feeling funny"
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and after surgery.
To provide the patient with reassurance that he or she is being cared for by a
competent staff.
To ensure the equipment is appropriately calibrated and functional. - -o
verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and after surgery.
- The NAP reports to the nurse a 65-year-old patient s blood pressure is
160/98. What is the appropriate initial response of the nurse?
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Assess the patient s blood pressure.
Instruct the NAP to obtain a full set of vital signs. - -Assess the patient s
blood pressure.
