BSN 205 Exam Questions and answers
2025
The ||NAP ||reports ||to ||the ||nurse ||the ||pts ||RR ||is ||32 ||and ||the ||pt ||is ||complaining ||of ||SOB.
||What ||is ||the ||best ||action ||by ||the ||nurse ||at ||this ||time? ||- ||ANS✓✓-Assess ||the ||pt,
||including ||the ||pulse ||oximetry ||reading.
Which ||pt ||is ||at ||high ||risk ||for ||the ||pulse ||oximetry ||alarm ||to ||sound? ||- ||ANS✓✓-A ||pt
||with ||a ||continuous ||pulse ||oximetry ||reading ||of ||84%
The ||nurse ||is ||ambulating ||the ||patient ||for ||the ||first ||time ||following ||the ||patient's
||lengthy ||time ||of ||being ||on ||bed ||rest. ||Which ||of ||the ||following ||would ||be ||an
||appropriate ||action ||by ||the ||nurse ||to ||determine ||the ||patient's ||activity ||tolerance? ||-
||ANS✓✓-
Assess ||vital ||signs ||before ||and ||after ||ambulating ||the ||patient.
You ||take ||a ||patient's ||vital ||signs ||on ||admission ||to ||the ||hospital. ||Why ||is ||it
||important ||to ||take ||vital ||signs ||at ||this ||time? ||- ||ANS✓✓-To ||obtain ||a ||baseline
||measurement ||for ||comparison ||with ||subsequent ||vital ||sign ||measurements
You ||are ||preparing ||to ||take ||a ||patient's ||temperature. ||Which ||of ||the ||following ||factors
||may ||affect ||the ||patient's ||oral ||temperature ||reading? ||- ||ANS✓✓-If ||the ||patient ||has
||recently ||consumed ||a ||hot ||or ||cold ||beverage,
If ||the ||patient ||has ||recently ||exercised,
Warmth ||of ||the ||room, ||If ||the ||patient ||has ||recently ||smoked
The ||NAP ||reports ||to ||you ||that ||a ||patient ||is ||"feeling ||different" ||and ||appears ||less
||alert. ||Your ||first ||action ||should ||be ||to: ||- ||ANS✓✓-Obtain ||the ||vital ||signs ||yourself.
Which ||of ||the ||following ||patients ||is ||exhibiting ||abnormal ||vital ||sign ||values ||for ||their
||age?
1. Newborn: ||Temperature ||98.6º ||F, ||pulse ||130, ||respiration ||35, ||mean ||BP ||65/41,
||pulse ||oximetry ||99%
2. Adolescent: ||Temperature ||37º ||C, ||pulse ||84, ||respiration ||16, ||BP ||110/65,
||pulse ||oximetry ||100%
3. Adult: ||Temperature ||96.7º ||F, ||pulse ||55, ||respiration ||24, ||BP ||160/90, ||pulse
||oximetry ||84%
,4. Older ||adult: ||Temperature ||96.8º ||F, ||pulse ||98, ||respiration ||12, ||BP ||116/76, ||pulse
||oximetry ||95% ||- ||ANS✓✓-Adult: ||Temperature ||96.7º ||F, ||pulse ||55, ||respiration ||24,
||BP ||160/90, ||pulse ||oximetry ||84%
You ||check ||the ||patient's ||baseline ||temperature ||reading ||and ||note ||that ||it ||was
||recorded ||as ||98.6° ||F ||(37 ||°C). ||What ||would ||you ||expect ||the ||temperature ||reading ||to
||be ||if ||it ||was ||obtained ||using ||the ||rectal ||route? ||- ||ANS✓✓-99.5° ||F ||(37.5 ||°C)
You ||check ||the ||patient's ||temperature ||using ||the ||axillary ||route, ||and ||the
||thermometer ||reads ||97.9° ||F ||(36.6 ||°C). ||Which ||of ||the ||following ||would ||be ||the ||most
||accurate ||documentation ||of ||the ||reading? ||- ||ANS✓✓-97.9° ||F ||(36.6 ||°C) ||Ax
Easy ||to ||read ||thermometer ||and ||provides ||results ||in ||4 ||to ||15 ||seconds ||- ||ANS✓✓-
||Electric ||thermometer
Good ||thermometer ||for ||patients ||in ||isolation ||- ||ANS✓✓-Chemical ||thermometer
|| Disposable ||thermometer ||- ||ANS✓✓-chemical ||thermometer
Provides ||core ||temperature ||measurement ||in ||a ||patient ||with ||tachypnea ||- ||ANS✓✓-
||tympanic ||thermometer
Sensor ||thermometer ||cover ||not ||required ||- ||ANS✓✓-temporal ||artery ||thermometer
|| Often ||underestimates ||temperature ||- ||ANS✓✓-chemical ||thermometer
Risk ||of ||transferring ||nosocomial ||Clostridium ||infections ||rectally; ||also ||expensive
||thermometer ||- ||ANS✓✓-Electronic ||thermometer
Otitis ||media ||and ||cerumen ||can ||lead ||to ||false ||readings ||with ||this ||thermometer || -
||ANS
✓✓-tympanic ||thermometer
Affected ||by ||skin ||moisture ||such ||as ||diaphoresis ||or ||sweating ||- ||ANS✓✓-Temporal
||artery ||thermometer
what ||is ||likely ||to ||result ||in ||a ||higher ||temperature ||reading? ||- ||ANS✓✓-The
||temperature ||of ||a ||teenager ||who ||just ||ran ||a ||mile.
The ||temperature ||of ||a ||college ||student ||taking ||an ||exam
||A ||temperature ||taken ||in ||the ||evening
Which ||of ||the ||following ||patients ||may ||require ||more ||frequent ||temperature
||measurement ||and ||nursing ||assessment ||because ||they ||are ||at ||risk ||for ||an
||alteration ||in ||temperature? ||(Select ||all ||that ||apply.)
1. A ||patient ||who ||is ||in ||the ||recovery ||room ||after ||having ||his ||gallbladder ||removed
2. A ||patient ||with ||pneumonia
3. A ||patient ||receiving ||a ||blood ||transfusion
4. A ||patient ||who ||is ||receiving ||physical ||therapy
, 5. A ||patient ||with ||cancer ||whose ||white ||blood ||cell ||(WBC) ||count ||is ||2500 ||per ||mm³
||- ||ANS✓✓-A ||patient ||who ||is ||in ||the ||recovery ||room ||after ||having ||his
||gallbladder ||removed
A ||patient ||with ||pneumonia
A ||patient ||receiving ||a ||blood ||transfusion
A ||patient ||with ||cancer ||whose ||white ||blood ||cell ||(WBC) ||count ||is ||2500 ||per ||mm³
thermometers ||(and ||corresponding ||route) ||would ||be ||most ||accurate ||for
||monitoring ||rapid ||changes ||in ||core ||body ||temperature? ||- ||ANS✓✓-Oral ||electronic
||thermometer ||Temporal ||artery ||thermometer
How ||far ||should ||a ||rectal ||thermometer ||be ||inserted ||in ||an ||adult? ||- ||ANS✓✓-1.5 ||in
||(3.8 ||cm)
How ||far ||should ||a ||rectal ||thermometer ||be ||inserted ||in ||a ||child? ||- ||ANS✓✓-0.5 ||in ||(1.3
||cm)
In ||what ||direction ||should ||the ||nurse ||pull ||the ||pinna ||of ||the ||adult ||when ||taking ||a
||tympanic ||temperature? ||- ||ANS✓✓-Backward, ||up, ||and ||out
At ||the ||end ||of ||the ||clinical ||day, ||the ||nursing ||instructor ||notices ||that ||a ||student
||nurse ||has ||documented ||a ||resident ||having ||a ||temperature ||of ||99.8° ||F ||(37.7° ||C) ||and
||that ||the ||student ||administered ||a ||flu ||shot. ||What ||should ||the ||student ||nurse ||have
||done? ||- ||ANS
✓✓-Held ||the ||flu ||vaccine; ||notify ||supervisor ||or ||instructor ||of ||increase ||in
||temperature.
A ||temperature ||reading ||obtained ||at ||noon ||will ||likely ||be the ||6 ||PM ||reading.
- ||ANS✓✓-lower ||than
Because ||older ||adults ||often ||maintain ||a body ||temperature, ||a ||temperature
||within ||an ||acceptable ||range ||in ||an ||adult ||may ||reflect ||a ||fever ||in ||an ||older ||adult. ||-
||ANS
✓✓-lower
A ||young ||adult ||has ||been ||admitted ||to ||the ||hospital ||with ||a ||fever ||of ||unknown
||origin. ||Intravenous ||(IV) ||fluids ||have ||been ||started, ||and ||the ||patient ||is ||feeling
||much ||better. ||You ||are ||going ||to ||take ||the ||patient's ||temperature. ||Which ||of ||the
||following ||would ||be
the ||best ||thermometer ||selection? ||- ||ANS✓✓-An ||electronic ||thermometer ||with ||a
||blue ||probe ||end
The ||patient's ||temperature ||is ||102.2 ||ºF ||(39 ||ºC). ||What ||action ||should ||you ||take? ||-
||ANS
✓✓-Administer ||an ||antipyretic ||as ||ordered.
Before ||taking ||the ||patient's ||temperature, ||the ||patient ||tells ||you ||they ||just ||drank
||some ||ice ||water. ||What ||is ||your ||best ||action? ||- ||ANS✓✓-Request ||that ||the ||patient
||refrain ||from ||eating ||or ||drinking ||until ||you ||return ||in ||20 ||minutes ||to ||assess ||their
2025
The ||NAP ||reports ||to ||the ||nurse ||the ||pts ||RR ||is ||32 ||and ||the ||pt ||is ||complaining ||of ||SOB.
||What ||is ||the ||best ||action ||by ||the ||nurse ||at ||this ||time? ||- ||ANS✓✓-Assess ||the ||pt,
||including ||the ||pulse ||oximetry ||reading.
Which ||pt ||is ||at ||high ||risk ||for ||the ||pulse ||oximetry ||alarm ||to ||sound? ||- ||ANS✓✓-A ||pt
||with ||a ||continuous ||pulse ||oximetry ||reading ||of ||84%
The ||nurse ||is ||ambulating ||the ||patient ||for ||the ||first ||time ||following ||the ||patient's
||lengthy ||time ||of ||being ||on ||bed ||rest. ||Which ||of ||the ||following ||would ||be ||an
||appropriate ||action ||by ||the ||nurse ||to ||determine ||the ||patient's ||activity ||tolerance? ||-
||ANS✓✓-
Assess ||vital ||signs ||before ||and ||after ||ambulating ||the ||patient.
You ||take ||a ||patient's ||vital ||signs ||on ||admission ||to ||the ||hospital. ||Why ||is ||it
||important ||to ||take ||vital ||signs ||at ||this ||time? ||- ||ANS✓✓-To ||obtain ||a ||baseline
||measurement ||for ||comparison ||with ||subsequent ||vital ||sign ||measurements
You ||are ||preparing ||to ||take ||a ||patient's ||temperature. ||Which ||of ||the ||following ||factors
||may ||affect ||the ||patient's ||oral ||temperature ||reading? ||- ||ANS✓✓-If ||the ||patient ||has
||recently ||consumed ||a ||hot ||or ||cold ||beverage,
If ||the ||patient ||has ||recently ||exercised,
Warmth ||of ||the ||room, ||If ||the ||patient ||has ||recently ||smoked
The ||NAP ||reports ||to ||you ||that ||a ||patient ||is ||"feeling ||different" ||and ||appears ||less
||alert. ||Your ||first ||action ||should ||be ||to: ||- ||ANS✓✓-Obtain ||the ||vital ||signs ||yourself.
Which ||of ||the ||following ||patients ||is ||exhibiting ||abnormal ||vital ||sign ||values ||for ||their
||age?
1. Newborn: ||Temperature ||98.6º ||F, ||pulse ||130, ||respiration ||35, ||mean ||BP ||65/41,
||pulse ||oximetry ||99%
2. Adolescent: ||Temperature ||37º ||C, ||pulse ||84, ||respiration ||16, ||BP ||110/65,
||pulse ||oximetry ||100%
3. Adult: ||Temperature ||96.7º ||F, ||pulse ||55, ||respiration ||24, ||BP ||160/90, ||pulse
||oximetry ||84%
,4. Older ||adult: ||Temperature ||96.8º ||F, ||pulse ||98, ||respiration ||12, ||BP ||116/76, ||pulse
||oximetry ||95% ||- ||ANS✓✓-Adult: ||Temperature ||96.7º ||F, ||pulse ||55, ||respiration ||24,
||BP ||160/90, ||pulse ||oximetry ||84%
You ||check ||the ||patient's ||baseline ||temperature ||reading ||and ||note ||that ||it ||was
||recorded ||as ||98.6° ||F ||(37 ||°C). ||What ||would ||you ||expect ||the ||temperature ||reading ||to
||be ||if ||it ||was ||obtained ||using ||the ||rectal ||route? ||- ||ANS✓✓-99.5° ||F ||(37.5 ||°C)
You ||check ||the ||patient's ||temperature ||using ||the ||axillary ||route, ||and ||the
||thermometer ||reads ||97.9° ||F ||(36.6 ||°C). ||Which ||of ||the ||following ||would ||be ||the ||most
||accurate ||documentation ||of ||the ||reading? ||- ||ANS✓✓-97.9° ||F ||(36.6 ||°C) ||Ax
Easy ||to ||read ||thermometer ||and ||provides ||results ||in ||4 ||to ||15 ||seconds ||- ||ANS✓✓-
||Electric ||thermometer
Good ||thermometer ||for ||patients ||in ||isolation ||- ||ANS✓✓-Chemical ||thermometer
|| Disposable ||thermometer ||- ||ANS✓✓-chemical ||thermometer
Provides ||core ||temperature ||measurement ||in ||a ||patient ||with ||tachypnea ||- ||ANS✓✓-
||tympanic ||thermometer
Sensor ||thermometer ||cover ||not ||required ||- ||ANS✓✓-temporal ||artery ||thermometer
|| Often ||underestimates ||temperature ||- ||ANS✓✓-chemical ||thermometer
Risk ||of ||transferring ||nosocomial ||Clostridium ||infections ||rectally; ||also ||expensive
||thermometer ||- ||ANS✓✓-Electronic ||thermometer
Otitis ||media ||and ||cerumen ||can ||lead ||to ||false ||readings ||with ||this ||thermometer || -
||ANS
✓✓-tympanic ||thermometer
Affected ||by ||skin ||moisture ||such ||as ||diaphoresis ||or ||sweating ||- ||ANS✓✓-Temporal
||artery ||thermometer
what ||is ||likely ||to ||result ||in ||a ||higher ||temperature ||reading? ||- ||ANS✓✓-The
||temperature ||of ||a ||teenager ||who ||just ||ran ||a ||mile.
The ||temperature ||of ||a ||college ||student ||taking ||an ||exam
||A ||temperature ||taken ||in ||the ||evening
Which ||of ||the ||following ||patients ||may ||require ||more ||frequent ||temperature
||measurement ||and ||nursing ||assessment ||because ||they ||are ||at ||risk ||for ||an
||alteration ||in ||temperature? ||(Select ||all ||that ||apply.)
1. A ||patient ||who ||is ||in ||the ||recovery ||room ||after ||having ||his ||gallbladder ||removed
2. A ||patient ||with ||pneumonia
3. A ||patient ||receiving ||a ||blood ||transfusion
4. A ||patient ||who ||is ||receiving ||physical ||therapy
, 5. A ||patient ||with ||cancer ||whose ||white ||blood ||cell ||(WBC) ||count ||is ||2500 ||per ||mm³
||- ||ANS✓✓-A ||patient ||who ||is ||in ||the ||recovery ||room ||after ||having ||his
||gallbladder ||removed
A ||patient ||with ||pneumonia
A ||patient ||receiving ||a ||blood ||transfusion
A ||patient ||with ||cancer ||whose ||white ||blood ||cell ||(WBC) ||count ||is ||2500 ||per ||mm³
thermometers ||(and ||corresponding ||route) ||would ||be ||most ||accurate ||for
||monitoring ||rapid ||changes ||in ||core ||body ||temperature? ||- ||ANS✓✓-Oral ||electronic
||thermometer ||Temporal ||artery ||thermometer
How ||far ||should ||a ||rectal ||thermometer ||be ||inserted ||in ||an ||adult? ||- ||ANS✓✓-1.5 ||in
||(3.8 ||cm)
How ||far ||should ||a ||rectal ||thermometer ||be ||inserted ||in ||a ||child? ||- ||ANS✓✓-0.5 ||in ||(1.3
||cm)
In ||what ||direction ||should ||the ||nurse ||pull ||the ||pinna ||of ||the ||adult ||when ||taking ||a
||tympanic ||temperature? ||- ||ANS✓✓-Backward, ||up, ||and ||out
At ||the ||end ||of ||the ||clinical ||day, ||the ||nursing ||instructor ||notices ||that ||a ||student
||nurse ||has ||documented ||a ||resident ||having ||a ||temperature ||of ||99.8° ||F ||(37.7° ||C) ||and
||that ||the ||student ||administered ||a ||flu ||shot. ||What ||should ||the ||student ||nurse ||have
||done? ||- ||ANS
✓✓-Held ||the ||flu ||vaccine; ||notify ||supervisor ||or ||instructor ||of ||increase ||in
||temperature.
A ||temperature ||reading ||obtained ||at ||noon ||will ||likely ||be the ||6 ||PM ||reading.
- ||ANS✓✓-lower ||than
Because ||older ||adults ||often ||maintain ||a body ||temperature, ||a ||temperature
||within ||an ||acceptable ||range ||in ||an ||adult ||may ||reflect ||a ||fever ||in ||an ||older ||adult. ||-
||ANS
✓✓-lower
A ||young ||adult ||has ||been ||admitted ||to ||the ||hospital ||with ||a ||fever ||of ||unknown
||origin. ||Intravenous ||(IV) ||fluids ||have ||been ||started, ||and ||the ||patient ||is ||feeling
||much ||better. ||You ||are ||going ||to ||take ||the ||patient's ||temperature. ||Which ||of ||the
||following ||would ||be
the ||best ||thermometer ||selection? ||- ||ANS✓✓-An ||electronic ||thermometer ||with ||a
||blue ||probe ||end
The ||patient's ||temperature ||is ||102.2 ||ºF ||(39 ||ºC). ||What ||action ||should ||you ||take? ||-
||ANS
✓✓-Administer ||an ||antipyretic ||as ||ordered.
Before ||taking ||the ||patient's ||temperature, ||the ||patient ||tells ||you ||they ||just ||drank
||some ||ice ||water. ||What ||is ||your ||best ||action? ||- ||ANS✓✓-Request ||that ||the ||patient
||refrain ||from ||eating ||or ||drinking ||until ||you ||return ||in ||20 ||minutes ||to ||assess ||their
