Page 1 of 105
BSN 206 HALLMARK EXAM NEWEST 300
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: The nurse documents vital signs on a newly admitted patient as: "blood pressure is
148/94 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse
would record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - ANSWER-b. 54 mm Hg.
QUESTION: The nurse caring for a 30-year-old post-surgical client would assess that they are in
pain as indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm Hg. - ANSWER-B) a pulse rate of 120 beats/min.
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QUESTION: The nurse is performing a morning assessment and notes the client to be
experiencing dyspnea. Which client assessment findings would most indicate this respiratory
condition? (Select all that apply.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position - ANSWER-Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
QUESTION: A nurse notes a client has abnormal vital signs. What action by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15 minutes. - ANSWER-B) Compare with prior readings.
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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.
d. Assess the wound to determine the extent of evisceration. - ANSWER-b. Apply sterile saline-
soaked towels to the area.
QUESTION: A healthy 30-year-old male arrives at the clinic for a physical. The nurse is
responsible for collecting his vital signs. Which of these can be delegated to UAP? (Select all
that apply.)
Temperature.
BP.
Pulse.
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Pulse oximetry.
Respiration. - ANSWER-Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
QUESTION: A nurse assesses a client's radial pulse rate to be 110 beats/min and regular. What
action by the nurse is best?
A) Assess the client for causes of tachycardia.
B) Document the findings in the client's chart.
C) Take an apical heart rate and compare the two.
D) Notify the client's health care provider. - ANSWER-A) Assess the client for causes of
tachycardia.
QUESTION: Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a client with orthostatic hypotension is to:
A) instruct the client to use the wheelchair for all mobility activity.
4
BSN 206 HALLMARK EXAM NEWEST 300
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: The nurse documents vital signs on a newly admitted patient as: "blood pressure is
148/94 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse
would record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - ANSWER-b. 54 mm Hg.
QUESTION: The nurse caring for a 30-year-old post-surgical client would assess that they are in
pain as indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm Hg. - ANSWER-B) a pulse rate of 120 beats/min.
1
, Page 2 of 105
QUESTION: The nurse is performing a morning assessment and notes the client to be
experiencing dyspnea. Which client assessment findings would most indicate this respiratory
condition? (Select all that apply.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position - ANSWER-Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
QUESTION: A nurse notes a client has abnormal vital signs. What action by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15 minutes. - ANSWER-B) Compare with prior readings.
2
, Page 3 of 105
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.
d. Assess the wound to determine the extent of evisceration. - ANSWER-b. Apply sterile saline-
soaked towels to the area.
QUESTION: A healthy 30-year-old male arrives at the clinic for a physical. The nurse is
responsible for collecting his vital signs. Which of these can be delegated to UAP? (Select all
that apply.)
Temperature.
BP.
Pulse.
3
, Page 4 of 105
Pulse oximetry.
Respiration. - ANSWER-Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
QUESTION: A nurse assesses a client's radial pulse rate to be 110 beats/min and regular. What
action by the nurse is best?
A) Assess the client for causes of tachycardia.
B) Document the findings in the client's chart.
C) Take an apical heart rate and compare the two.
D) Notify the client's health care provider. - ANSWER-A) Assess the client for causes of
tachycardia.
QUESTION: Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a client with orthostatic hypotension is to:
A) instruct the client to use the wheelchair for all mobility activity.
4
