Hallmark Exam BSN206 Questions and
Correct Answers
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. Ans: 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% Ans:
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
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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. Ans: 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.
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Pain rated as a 7 on 0-10 pain scale. Ans: 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 Answered 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 Answered To determine whether the patient is "feeling funny"
or "different". Ans: To provide a set of vital signs to use
for comparison during and after surgery
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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. Ans: 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. Ans: Elderly nursing
home resident
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