HESI: BSN 206 - Hallmark Study Stack|
Actual Exam Updated & Reviewed
2026/2027| 131 Real Questions with
Solutions with Rationale| Guaranteed 100%
Pass
1. 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): ANS 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.
2. Which of the following patients would require follow up?: ANS An
adult with a respiratory rate of 10 breaths per minute.
The normal respiratory rate for a newborn is 30 to 60 breaths per minute.
The normal respiratory rate of a child is 20 breaths per minute. The
normal respiratory rate for a teenager is 16-20 breaths per minute .
Respirations for adult is 12-20
Therefore a 10 breaths per minute for a follow up
3. Which of the following vital signs recorded for an older adult
would be considered acceptable (within normal Limits)?: ANS Temp
97.0 F (36.1C), P-60, R-16, BP 116/78, O2 sat 95%
Normal Older Adult Body temp- 36c(96.8F) Normal HR 60-100 BPM
Normal Resp. Rate 16-25
Average BP 120/80 (BP over 140/90 is HTN) Pulse Ox - 95-100%
4. The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? Select all
,the apply: ANS The frequency for taking or monitoring the
temperature
What changes to report immediately to the nurse The type of temperature
required
5. Which of the following situations may affect a patient's vital signs?
(Select all that apply): ANS Time of day Moving from lying to standing
position
Pain rated as a 7 to 0-10 pain scale
6. 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?: ANS
Assess the patient's blood pressure.
7. Which patient would it be appropriate for the nurse to delegate vital
signs?- : ANS Elderly nursing home resident.
8. Which person would be expected to have the lowest body
temperature?: ANS An 80-year old who walked half a mile.
9. 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?: ANS Ask the patient not to
eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature.
10. For which patient would a tympanic thermometer be the
preferred thermometer to use?: ANS A tachypneic patient who is
receiving oxygen by nasal cannula.
11. Adult Normal body temp: ANS 36c - 38c (96.8-100.4)
, 12. Temperature Measurement sites: ANS rectum tympanic membrane
Oral temporal artery
13. Types of thermometers: ANS electronic tympanic/ear thermometer
Temporal artery thermometer chemical dot disposable axillary
14. Electronic thermometer: ANS oral - blue rectal - red
Axillary - blue
15. Tympanic thermometer: ANS does not accurately measure core
temp. Changes during and after exercise Do not use with those who
have had ear surgery
16. Signs of hyperthermia: ANS decreased skin turgor dry mucous
membranes
Tachycardia hypotension (low bp) decreased venous filling concentrated
urine
17. Signs of heatstroke: ANS body temp - 40 c (104 f) or more hot dry skin
Tachycardia hypotension excessive thirst muscle cramps visual disturbances
confusion of delirium
18. Signs of hypothermia: ANS pale skin sk cool or cold to touch
Bradycardia and dysrhythmias uncontrollable shivering reduced level of
consciousness shallow respirations
19. Age consideration with temperature: ANS older adults have lower
temps (on lower range near 36 c )
20. Daily fluctuation factor (body temp): ANS temp low in am max temp 5-7
pm
Temp falls during night
Actual Exam Updated & Reviewed
2026/2027| 131 Real Questions with
Solutions with Rationale| Guaranteed 100%
Pass
1. 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): ANS 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.
2. Which of the following patients would require follow up?: ANS An
adult with a respiratory rate of 10 breaths per minute.
The normal respiratory rate for a newborn is 30 to 60 breaths per minute.
The normal respiratory rate of a child is 20 breaths per minute. The
normal respiratory rate for a teenager is 16-20 breaths per minute .
Respirations for adult is 12-20
Therefore a 10 breaths per minute for a follow up
3. Which of the following vital signs recorded for an older adult
would be considered acceptable (within normal Limits)?: ANS Temp
97.0 F (36.1C), P-60, R-16, BP 116/78, O2 sat 95%
Normal Older Adult Body temp- 36c(96.8F) Normal HR 60-100 BPM
Normal Resp. Rate 16-25
Average BP 120/80 (BP over 140/90 is HTN) Pulse Ox - 95-100%
4. The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? Select all
,the apply: ANS The frequency for taking or monitoring the
temperature
What changes to report immediately to the nurse The type of temperature
required
5. Which of the following situations may affect a patient's vital signs?
(Select all that apply): ANS Time of day Moving from lying to standing
position
Pain rated as a 7 to 0-10 pain scale
6. 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?: ANS
Assess the patient's blood pressure.
7. Which patient would it be appropriate for the nurse to delegate vital
signs?- : ANS Elderly nursing home resident.
8. Which person would be expected to have the lowest body
temperature?: ANS An 80-year old who walked half a mile.
9. 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?: ANS Ask the patient not to
eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature.
10. For which patient would a tympanic thermometer be the
preferred thermometer to use?: ANS A tachypneic patient who is
receiving oxygen by nasal cannula.
11. Adult Normal body temp: ANS 36c - 38c (96.8-100.4)
, 12. Temperature Measurement sites: ANS rectum tympanic membrane
Oral temporal artery
13. Types of thermometers: ANS electronic tympanic/ear thermometer
Temporal artery thermometer chemical dot disposable axillary
14. Electronic thermometer: ANS oral - blue rectal - red
Axillary - blue
15. Tympanic thermometer: ANS does not accurately measure core
temp. Changes during and after exercise Do not use with those who
have had ear surgery
16. Signs of hyperthermia: ANS decreased skin turgor dry mucous
membranes
Tachycardia hypotension (low bp) decreased venous filling concentrated
urine
17. Signs of heatstroke: ANS body temp - 40 c (104 f) or more hot dry skin
Tachycardia hypotension excessive thirst muscle cramps visual disturbances
confusion of delirium
18. Signs of hypothermia: ANS pale skin sk cool or cold to touch
Bradycardia and dysrhythmias uncontrollable shivering reduced level of
consciousness shallow respirations
19. Age consideration with temperature: ANS older adults have lower
temps (on lower range near 36 c )
20. Daily fluctuation factor (body temp): ANS temp low in am max temp 5-7
pm
Temp falls during night
