HALLMARK BSN 206 EXAM 1-3 ACTUAL EXAM ALL
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HALLMARK BSN 206 EXAM 1
QUESTION: 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
QUESTION: Which of the following situations may affect a patient's vital signs? (Select all that
apply.)
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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
QUESTION: 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.
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You Answered 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
Q; 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
QUESTION: 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%.
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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%.
QUESTION: 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
QUESTION: 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
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