Page 1 of 112
HALLMARK BSN 206 EXAM NEWEST ACTUAL EXAM
COMPLETE 300 Questions and Detailed Answers
LATEST UPDATE THIS YEAR
QUESTION: The nurse receives a hand-off report on four clients. Which client finding should the
nurse assess first?
A) Pulse oximetry 96%
B) Respiratory rate 18 breaths/min
C) Blood pressure 102/62 mm Hg
D) Pulse 42 beats/min - ANSWER-D) Pulse 42 beats/min
QUESTION: For the nurse to assess the most accurate respiration count, the nurse should:
A) inform the patient about his respirations and ask him to breathe normally.
B) continue to hold the patient's radial pulse, and count the respirations for 30 seconds and
multiply them by 2.
C) count each inhalation and expiration for 1 full minute.
D) watch the patient's chest rise and fall from a distance. - ANSWER-B) continue to hold the
patient's radial pulse, and count the respirations for 30 seconds and multiply them by 2.
1 ALL THE BEST CHAMP!!
, Page 2 of 112
QUESTION: Which of the following should the nurse report to the health care provider?
A) An adult client with a heart rate of 55.
B) An elderly male with a temperature of 96.8°F (36°C).
C) A young adult with a blood pressure of 110/70.
D) A newborn with a respiratory rate of 40. - ANSWER-A) An adult client with a heart rate of 55.
QUESTION: The nurse is having great difficulty hearing any sound when taking a client's blood
pressure. What can the nurse do to increase the ability to auscultate the reading? (Select all
that apply.)
Reduce environmental noise by turning off the TV or closing the door.
Use the bell side of the stethoscope to auscultate the blood pressure.
Use a different stethoscope with longer tubing for improved conduction of sound.
1 ALL THE BEST CHAMP!!
, Page 3 of 112
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side. - ANSWER-Reduce environmental noise
by turning off the TV or closing the door.
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side.
1 ALL THE BEST CHAMP!!
, Page 4 of 112
QUESTION: A nurse performs orthostatic blood pressure readings on a client with the following
results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?
A) Reassess the blood pressures in 1 hour.
B) Reassure the client that these findings are normal.
C) Instruct the client not to get up without help.
D) Document the findings and continue to monitor. - ANSWER-C) Instruct the client not to get
up without help.
Q; The nurse is performing a dressing change on a client who is postoperative from a
laparotomy. The client coughs and the nurse sees a few loops of intestine uncoiling from the
wound. What is the nurse's best action at this time?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into the wound.
1 ALL THE BEST CHAMP!!
HALLMARK BSN 206 EXAM NEWEST ACTUAL EXAM
COMPLETE 300 Questions and Detailed Answers
LATEST UPDATE THIS YEAR
QUESTION: The nurse receives a hand-off report on four clients. Which client finding should the
nurse assess first?
A) Pulse oximetry 96%
B) Respiratory rate 18 breaths/min
C) Blood pressure 102/62 mm Hg
D) Pulse 42 beats/min - ANSWER-D) Pulse 42 beats/min
QUESTION: For the nurse to assess the most accurate respiration count, the nurse should:
A) inform the patient about his respirations and ask him to breathe normally.
B) continue to hold the patient's radial pulse, and count the respirations for 30 seconds and
multiply them by 2.
C) count each inhalation and expiration for 1 full minute.
D) watch the patient's chest rise and fall from a distance. - ANSWER-B) continue to hold the
patient's radial pulse, and count the respirations for 30 seconds and multiply them by 2.
1 ALL THE BEST CHAMP!!
, Page 2 of 112
QUESTION: Which of the following should the nurse report to the health care provider?
A) An adult client with a heart rate of 55.
B) An elderly male with a temperature of 96.8°F (36°C).
C) A young adult with a blood pressure of 110/70.
D) A newborn with a respiratory rate of 40. - ANSWER-A) An adult client with a heart rate of 55.
QUESTION: The nurse is having great difficulty hearing any sound when taking a client's blood
pressure. What can the nurse do to increase the ability to auscultate the reading? (Select all
that apply.)
Reduce environmental noise by turning off the TV or closing the door.
Use the bell side of the stethoscope to auscultate the blood pressure.
Use a different stethoscope with longer tubing for improved conduction of sound.
1 ALL THE BEST CHAMP!!
, Page 3 of 112
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side. - ANSWER-Reduce environmental noise
by turning off the TV or closing the door.
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side.
1 ALL THE BEST CHAMP!!
, Page 4 of 112
QUESTION: A nurse performs orthostatic blood pressure readings on a client with the following
results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?
A) Reassess the blood pressures in 1 hour.
B) Reassure the client that these findings are normal.
C) Instruct the client not to get up without help.
D) Document the findings and continue to monitor. - ANSWER-C) Instruct the client not to get
up without help.
Q; The nurse is performing a dressing change on a client who is postoperative from a
laparotomy. The client coughs and the nurse sees a few loops of intestine uncoiling from the
wound. What is the nurse's best action at this time?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into the wound.
1 ALL THE BEST CHAMP!!
