BSN 206 Foundations of Nursing
Fundamentals Hallmark Exam (Latest
Update ) Questions with Verified
Answers | 100% Correct | Grade A -
Nightingale
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per 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. -
ANSWER 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 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%.
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% -
ANSWER 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.)
The type of temperature required.
The patient's age.
The frequency for taking or monitoring the temperature.
The patient's diagnosis.
What changes to report immediately to the nurse. - ANSWER
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.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. - ANSWER Moving
from lying to standing position
Time of Day
Pain rated as a 7 on a 0-10 pain scale
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 provide the patient with reassurance that he or she is being cared for
by a competent staff.
To provide a set of vital signs to use for comparison during and after
surgery.
,You ANSWER ed To ensure the equipment is appropriately
calibrated and functional.
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
You ANSWER ed To determine whether the patient is "feeling
funny" or "different". - ANSWER To provide
a set of vital signs to use for comparison during and after surgery
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention
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.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure. - ANSWER Assess
the patient's blood pressure
Which patient would it be appropriate for the nurse to delegate vital
signs?
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache. - ANSWER
Elderly nursing home resident
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
A child playing softball.
, A 16-year-old who ran 1 mile.
A toddler who is febrile. - ANSWER An 80 year old who
walked half a mile
The NAP is preparing to measure a patient's vital signs. The patient
reports having eaten a bowl of warm soup. The NAP asks the RN what
he should do. What is the best response?
"Change to the red thermometer probe and take the patient's temperature
rectally."
"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 minutes and then
assess the patient's oral temperature." - ANSWER Ask
the patient to not eat, drink, or smoke for 20 minutes then assess the
patient's oral temperature
For which patient would a tympanic thermometer be the preferred
thermometer to use?
A marathon runner who developed weakness during the race.
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. -
ANSWER A tachypneic patient who is receiving oxygen by
nasal cannula
Which of the following patients would require frequent assessment of
their temperature? (Select all that apply.)
Fundamentals Hallmark Exam (Latest
Update ) Questions with Verified
Answers | 100% Correct | Grade A -
Nightingale
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per 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. -
ANSWER 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 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%.
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% -
ANSWER 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.)
The type of temperature required.
The patient's age.
The frequency for taking or monitoring the temperature.
The patient's diagnosis.
What changes to report immediately to the nurse. - ANSWER
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.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. - ANSWER Moving
from lying to standing position
Time of Day
Pain rated as a 7 on a 0-10 pain scale
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 provide the patient with reassurance that he or she is being cared for
by a competent staff.
To provide a set of vital signs to use for comparison during and after
surgery.
,You ANSWER ed To ensure the equipment is appropriately
calibrated and functional.
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
You ANSWER ed To determine whether the patient is "feeling
funny" or "different". - ANSWER To provide
a set of vital signs to use for comparison during and after surgery
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention
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.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure. - ANSWER Assess
the patient's blood pressure
Which patient would it be appropriate for the nurse to delegate vital
signs?
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache. - ANSWER
Elderly nursing home resident
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
A child playing softball.
, A 16-year-old who ran 1 mile.
A toddler who is febrile. - ANSWER An 80 year old who
walked half a mile
The NAP is preparing to measure a patient's vital signs. The patient
reports having eaten a bowl of warm soup. The NAP asks the RN what
he should do. What is the best response?
"Change to the red thermometer probe and take the patient's temperature
rectally."
"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 minutes and then
assess the patient's oral temperature." - ANSWER Ask
the patient to not eat, drink, or smoke for 20 minutes then assess the
patient's oral temperature
For which patient would a tympanic thermometer be the preferred
thermometer to use?
A marathon runner who developed weakness during the race.
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. -
ANSWER A tachypneic patient who is receiving oxygen by
nasal cannula
Which of the following patients would require frequent assessment of
their temperature? (Select all that apply.)
