Page 1 of 67
BSN 206 HALLMARK EXAM ALL NEWEST
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
Which of the following patients would be considered hypertensive after having two or more
consistent readings of these values?
A football player with a diastolic BP of 94.
For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess BP?
A patient with a deep vein thrombosis (blood clot, usually in the lower extremities).
The student nurse is unsure of the BP measurement. What should the student nurse do first?
Assess the BP in the other arm.
Using the image below, please choose the correct BP combination:
Image A = 120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds his blood
pressure is elevated. Which of the following could explain the cause for this alteration in BP?
The patient complains of pain at a 9 on a 0-10 pain scale.
The patient has a history of a left mastectomy. Where should the nurse take the patient's
blood pressure?
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in the right arm
The nurse is unable to obtain a BP reading using an electronic BP machine on a post-operative
patient. The machine reads "Error." What priority action should the nurse take?
Take the patient's BP manually using a sphygmomanometer.
The NAP reports to the nurse the patient's respirations are 32 and the patient is complaining
of shortness of breath. What is the best action by the nurse at this time?
Assess the patient, including the pulse oximetry reading.
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
Which of the Following patients would require follow up?
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 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%
The nurse has delegated the task of temperature assessment to the NAP. Which information
should be provided to the NAP? (Select all that apply.)
A, B, D
Which of the following situations may affect a patient's vital signs? (Select all that apply.)
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B, C, D
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.)
C, D
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?
Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate vital signs?
Elderly nursing home resident.
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
The NAP is preparing to measure a patient's vital signs. The patient reports having eaten a
bowl of warm soup. The NAP asks the RN what he should do. What is the best response?
"Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature."
For which patient would a tympanic thermometer be the preferred thermometer to use?
A tachypneic patient who is receiving oxygen by nasal cannula.
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Which of the following patients would require frequent assessment of their
temperature? (Select all that apply.)
A, B, D
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following are
appropriate nursing actions? (Select all that apply.)
D, E
Which of the following actions, if made by the NAP, would require intervention and further
instruction by the nurse? (Select all that apply.)
B, C
Identify the factors that may have an effect on an elderly patient's temperature: (Select all
that apply.)
A, B, D, E
If a 52-year-old patient has a normal temperature, what range should the patient's
temperature fall within?
96.8-100.4 °F (36-38 °C)
A newborn patient's temperature has been rising rapidly and the baby has been crying.
Which of the following thermometers would be the best to use in measuring this patient's
temperature?
Temporal artery
4
BSN 206 HALLMARK EXAM ALL NEWEST
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
Which of the following patients would be considered hypertensive after having two or more
consistent readings of these values?
A football player with a diastolic BP of 94.
For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess BP?
A patient with a deep vein thrombosis (blood clot, usually in the lower extremities).
The student nurse is unsure of the BP measurement. What should the student nurse do first?
Assess the BP in the other arm.
Using the image below, please choose the correct BP combination:
Image A = 120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds his blood
pressure is elevated. Which of the following could explain the cause for this alteration in BP?
The patient complains of pain at a 9 on a 0-10 pain scale.
The patient has a history of a left mastectomy. Where should the nurse take the patient's
blood pressure?
1
, Page 2 of 67
in the right arm
The nurse is unable to obtain a BP reading using an electronic BP machine on a post-operative
patient. The machine reads "Error." What priority action should the nurse take?
Take the patient's BP manually using a sphygmomanometer.
The NAP reports to the nurse the patient's respirations are 32 and the patient is complaining
of shortness of breath. What is the best action by the nurse at this time?
Assess the patient, including the pulse oximetry reading.
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
Which of the Following patients would require follow up?
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 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%
The nurse has delegated the task of temperature assessment to the NAP. Which information
should be provided to the NAP? (Select all that apply.)
A, B, D
Which of the following situations may affect a patient's vital signs? (Select all that apply.)
2
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B, C, D
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.)
C, D
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?
Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate vital signs?
Elderly nursing home resident.
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
The NAP is preparing to measure a patient's vital signs. The patient reports having eaten a
bowl of warm soup. The NAP asks the RN what he should do. What is the best response?
"Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature."
For which patient would a tympanic thermometer be the preferred thermometer to use?
A tachypneic patient who is receiving oxygen by nasal cannula.
3
, Page 4 of 67
Which of the following patients would require frequent assessment of their
temperature? (Select all that apply.)
A, B, D
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following are
appropriate nursing actions? (Select all that apply.)
D, E
Which of the following actions, if made by the NAP, would require intervention and further
instruction by the nurse? (Select all that apply.)
B, C
Identify the factors that may have an effect on an elderly patient's temperature: (Select all
that apply.)
A, B, D, E
If a 52-year-old patient has a normal temperature, what range should the patient's
temperature fall within?
96.8-100.4 °F (36-38 °C)
A newborn patient's temperature has been rising rapidly and the baby has been crying.
Which of the following thermometers would be the best to use in measuring this patient's
temperature?
Temporal artery
4
