BSN206 NURSING ACTUAL EXAM/TEST BANK 350+ QUESTIONS
WITH CORRECT VERIFIED ANSWERS/GRADED A+
LATEST 2024-2025
1. Which of the following patients would require fol- An adult with a
low-up? respiratory rate of
A child with a respiratory rate of 20 breaths per 10 breaths per
minute. minute
An adolescent with a respiratory rate of 16 breaths
per minute.
A newborn with a respiratory rate of 40 breaths per
minute.
An adult with a respiratory rate of 10 breaths per
minute.
2. Which of the following vital signs recorded for an Temp 97.0° F
older adult would be considered acceptable (within (36.1 °C), P-60,
normal limits)? R-16, BP 116/78,
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat O2 sat 95%.
93%.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat
88%
3. The nurse has delegated the task of temperature as- What changes to
sessment to the NAP. Which information should be report immediate-
provided to the NAP? (Select all that apply.) ly to the nurse
The type of temperature required. The frequency for
The patient's age. taking or monitor-
The frequency for taking or monitoring the tempera- ing the tempera-
ture. ture
The patient's diagnosis. The type of tem-
What changes to report immediately to the nurse. perature required
4. Which of the following situations may affect a pa- Moving from lying
tient's vital signs? (Select all that apply.) to standing posi-
Moving from lying to standing position. tion
Time of day. Time of Day
Occupation. Pain rated as a
, BSN206 EXAM
Isolation precautions. 7 on a 0-10 pain
Pain rated as a 7 on 0-10 pain scale. scale
5. The nurse will take the patient's vital signs preop- To provide a set
eratively and record them as part of the patient's of vital signs to
preparation for surgery. Why is it necessary to take use for compari-
vital signs preoperatively? (Select all that apply.) son during and af-
To provide the patient with reassurance that he or she ter surgery
is being cared for by a competent staff. To verify the
To provide a set of vital signs to use for comparison patient is not
during and after surgery. experiencing any
You Answered To ensure the equipment is appropri- complications that
ately calibrated and functional. may contraindi-
To verify the patient is not experiencing any compli- cate surgery or re-
cations that may contraindicate surgery or require quire intervention
intervention.
You Answered To determine whether the patient is
"feeling funny" or "different".
6. The NAP reports to the nurse a 65-year-old patient Assess the pa-
s blood pressure is 160/98. What is the appropriate tient's blood pres-
initial response of the nurse? sure
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure.
7. Which patient would it be appropriate for the nurse to Elderly nursing
delegate vital signs? home resident
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache.
8. Which person would be expected to have the lowest An 80 year old
body temperature? who walked half a
An 80-year-old who walked half a mile. mile
A child playing softball.
A 16-year-old who ran 1 mile.
A toddler who is febrile.
, BSN206 EXAM
9. The NAP is preparing to measure a patient's vital Ask the patient to
signs. The patient reports having eaten a bowl of not eat, drink, or
warm soup. The NAP asks the RN what he should do. smoke for 20 min-
What is the best response? utes then assess
"Change to the red thermometer probe and take the the patient's oral
patient's temperature rectally." temperature
"Take the patient's temperature using the axillary
route and when you record the reading, add 1°F."
"Since the soup was not hot, go ahead and take the
patient's temperature."
"Ask the patient not to eat, drink, or smoke for 20 min-
utes and then assess the patient's oral temperature."
10. For which patient would a tympanic thermometer be A tachypneic pa-
the preferred thermometer to use? tient who is re-
A marathon runner who developed weakness during ceiving oxygen by
the race. nasal cannula
A tachypneic patient who is receiving oxygen by
nasal cannula.
A pediatric patient who had tubes surgically placed in
the ears.
A newborn that requires continuous temperature
monitoring.
11. Which of the following patients would require fre- A young adult
quent assessment of their temperature? (Select all with a white
that apply.) blood count of
A young adult with a white blood count of 15,000/mm3
15,000/mm3. An adult female in
An adult female in the recovery room following a the recovery room
hysterectomy. following a hys-
A patient receiving a blood transfusion for chronic terectomy
anemia. A patient receiv-
A child who is below the normal height and weight for ing a blood trans-
his age. fusion for chronic
An elderly patient who needs assistance with feeding anemia
and dressing.
12.
, BSN206 EXAM
The NAP reports that the patient's temperature is 39° Remove the pa-
C (102.2 °F). Which of the following are appropriate tient's blankets
nursing actions? (Select all that apply.) Administer an an-
Remove the patient's blankets. tipyretic to the pa-
Limit the patient's fluid intake. tient as ordered
Apply a hyperthermia blanket as ordered.
Administer an antipyretic to the patient as ordered.
Place the patient's feet in a tub of cool water with ice.
13. Which of the following actions, if made by the NAP, The NAP wipes
would require intervention and further instruction by the single-use
the nurse? (Select all that apply.) chemical dot ther-
The NAP uses a blue-tipped electronic probe for as- mometer and
sessing a patient's axillary temperature. places it back in
The NAP wipes the single-use chemical dot ther- the patient's draw-
mometer and places it back in the patient's drawer for er for future use
future use. The NAP inserts
The NAP inserts the red-tipped electronic thermome- the red=tipped
ter probe into the patient's mouth after applying a electronic ther-
probe cover. mometer probe
The NAP pulls the pinna up, back, and out in an adult into the patient's
when inserting the tympanic thermometer. mouth after apply-
The NAP waits un ing a probe cover
14. Identify the factors that may have an effect on an Participation in
elderly patient's temperature: (Select all that apply.) physical therapy
Participation in physical therapy exercises. exercises
Room temperature. room temperature
Drinking a cold glass of water. drinking a cold
Patient's height. glass of water
Infection. infection
15. If a 52-year-old patient has a normal temperature, 96.8-100.4F
what range should the patient's temperature fall with- (36-38C)
in?
96.8-98.6 °F (36-37 °C)
Correct! 96.8-100.4 °F (36-38 °C)
37-39 °C (98.6-102.2 °F)
35-36 °C (95-96.8 °F)
WITH CORRECT VERIFIED ANSWERS/GRADED A+
LATEST 2024-2025
1. Which of the following patients would require fol- An adult with a
low-up? respiratory rate of
A child with a respiratory rate of 20 breaths per 10 breaths per
minute. minute
An adolescent with a respiratory rate of 16 breaths
per minute.
A newborn with a respiratory rate of 40 breaths per
minute.
An adult with a respiratory rate of 10 breaths per
minute.
2. Which of the following vital signs recorded for an Temp 97.0° F
older adult would be considered acceptable (within (36.1 °C), P-60,
normal limits)? R-16, BP 116/78,
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat O2 sat 95%.
93%.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat
88%
3. The nurse has delegated the task of temperature as- What changes to
sessment to the NAP. Which information should be report immediate-
provided to the NAP? (Select all that apply.) ly to the nurse
The type of temperature required. The frequency for
The patient's age. taking or monitor-
The frequency for taking or monitoring the tempera- ing the tempera-
ture. ture
The patient's diagnosis. The type of tem-
What changes to report immediately to the nurse. perature required
4. Which of the following situations may affect a pa- Moving from lying
tient's vital signs? (Select all that apply.) to standing posi-
Moving from lying to standing position. tion
Time of day. Time of Day
Occupation. Pain rated as a
, BSN206 EXAM
Isolation precautions. 7 on a 0-10 pain
Pain rated as a 7 on 0-10 pain scale. scale
5. The nurse will take the patient's vital signs preop- To provide a set
eratively and record them as part of the patient's of vital signs to
preparation for surgery. Why is it necessary to take use for compari-
vital signs preoperatively? (Select all that apply.) son during and af-
To provide the patient with reassurance that he or she ter surgery
is being cared for by a competent staff. To verify the
To provide a set of vital signs to use for comparison patient is not
during and after surgery. experiencing any
You Answered To ensure the equipment is appropri- complications that
ately calibrated and functional. may contraindi-
To verify the patient is not experiencing any compli- cate surgery or re-
cations that may contraindicate surgery or require quire intervention
intervention.
You Answered To determine whether the patient is
"feeling funny" or "different".
6. The NAP reports to the nurse a 65-year-old patient Assess the pa-
s blood pressure is 160/98. What is the appropriate tient's blood pres-
initial response of the nurse? sure
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure.
7. Which patient would it be appropriate for the nurse to Elderly nursing
delegate vital signs? home resident
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache.
8. Which person would be expected to have the lowest An 80 year old
body temperature? who walked half a
An 80-year-old who walked half a mile. mile
A child playing softball.
A 16-year-old who ran 1 mile.
A toddler who is febrile.
, BSN206 EXAM
9. The NAP is preparing to measure a patient's vital Ask the patient to
signs. The patient reports having eaten a bowl of not eat, drink, or
warm soup. The NAP asks the RN what he should do. smoke for 20 min-
What is the best response? utes then assess
"Change to the red thermometer probe and take the the patient's oral
patient's temperature rectally." temperature
"Take the patient's temperature using the axillary
route and when you record the reading, add 1°F."
"Since the soup was not hot, go ahead and take the
patient's temperature."
"Ask the patient not to eat, drink, or smoke for 20 min-
utes and then assess the patient's oral temperature."
10. For which patient would a tympanic thermometer be A tachypneic pa-
the preferred thermometer to use? tient who is re-
A marathon runner who developed weakness during ceiving oxygen by
the race. nasal cannula
A tachypneic patient who is receiving oxygen by
nasal cannula.
A pediatric patient who had tubes surgically placed in
the ears.
A newborn that requires continuous temperature
monitoring.
11. Which of the following patients would require fre- A young adult
quent assessment of their temperature? (Select all with a white
that apply.) blood count of
A young adult with a white blood count of 15,000/mm3
15,000/mm3. An adult female in
An adult female in the recovery room following a the recovery room
hysterectomy. following a hys-
A patient receiving a blood transfusion for chronic terectomy
anemia. A patient receiv-
A child who is below the normal height and weight for ing a blood trans-
his age. fusion for chronic
An elderly patient who needs assistance with feeding anemia
and dressing.
12.
, BSN206 EXAM
The NAP reports that the patient's temperature is 39° Remove the pa-
C (102.2 °F). Which of the following are appropriate tient's blankets
nursing actions? (Select all that apply.) Administer an an-
Remove the patient's blankets. tipyretic to the pa-
Limit the patient's fluid intake. tient as ordered
Apply a hyperthermia blanket as ordered.
Administer an antipyretic to the patient as ordered.
Place the patient's feet in a tub of cool water with ice.
13. Which of the following actions, if made by the NAP, The NAP wipes
would require intervention and further instruction by the single-use
the nurse? (Select all that apply.) chemical dot ther-
The NAP uses a blue-tipped electronic probe for as- mometer and
sessing a patient's axillary temperature. places it back in
The NAP wipes the single-use chemical dot ther- the patient's draw-
mometer and places it back in the patient's drawer for er for future use
future use. The NAP inserts
The NAP inserts the red-tipped electronic thermome- the red=tipped
ter probe into the patient's mouth after applying a electronic ther-
probe cover. mometer probe
The NAP pulls the pinna up, back, and out in an adult into the patient's
when inserting the tympanic thermometer. mouth after apply-
The NAP waits un ing a probe cover
14. Identify the factors that may have an effect on an Participation in
elderly patient's temperature: (Select all that apply.) physical therapy
Participation in physical therapy exercises. exercises
Room temperature. room temperature
Drinking a cold glass of water. drinking a cold
Patient's height. glass of water
Infection. infection
15. If a 52-year-old patient has a normal temperature, 96.8-100.4F
what range should the patient's temperature fall with- (36-38C)
in?
96.8-98.6 °F (36-37 °C)
Correct! 96.8-100.4 °F (36-38 °C)
37-39 °C (98.6-102.2 °F)
35-36 °C (95-96.8 °F)
