BSN 206 Hallmark Exam Preparation Exam
final update Questions and Answers |With
100% Verified Solutions | Updated & Verified
2026/2027 Graded A+
The clients BP reading is 150/80 mmHg. For this client, 80 is
representative of:
1. The ventricles during contraction.
2. The systolic pressure.
3. The ventricles during relaxation.
4. The pulse pressure.
5. The diastolic pressure.
6. The pulse deficit. - ✔✔ANSWER ✔✔-The ventricles during
relaxation
The diastolic pressure
,The UAP reports to the nurse that the client's pulse oximetry is
88%. What action(s) should the nurse take? (Select all that
apply.)
1. Perform a cardiopulmonary assessment.
2. Notify the health care provider.
3. Verify the reading by taking the client's pulse oximetry.
4. Assist the client to a high-Fowler's position.
5. None should be taken because this is a normal value.
6. Assist the client to a fully supine position.
7. Be prepared to administer oxygen. - ✔✔ANSWER ✔✔-Notify
the health care provider
Verify the reading by taking the client's pulse oximetry
Assist the client to a high-fowler's position
Be prepared to administer oxygen
Perform a cardiopulmonary assessment
The student nurse is assessing a client's pulses. What action by
the student requires the nurse to intervene?
1. Assessing the radial pulse on the client's wrist
2. Assessing the brachial pulse on the client's inner elbow
,3. Assessing apical pulse between the fifth and sixth intercostal
spaces
4. Assessing the dorsalis pedis pulse by palpating behind the
client's knee - ✔✔ANSWER ✔✔-Assessing the dorsalis pedis
pulse by palpating behind the client's knee
When taking an adult blood pressure, the onset of the sound
the nurse hears is at 138, the muffled sound the nurse hears is
at 70, and the disappearance of the sound the nurse hears is at
62. How should the nurse record this finding?
1. 138/70
2. 68
3. 76
4. 138/62 - ✔✔ANSWER ✔✔-138/62
The nurse was assigned to care for five clients. Which of the
following vital sign measurements would be cause for concern?
(Select all that apply.)
1. 22-year-old with heart rate of 90 beats/minute
2. 75-year-old with pulse oximetry of 88% on room air
3. 88-year-old with temperature of 96.8° F (36° F)
, 4. 8-year-old with respiratory rate of 24 breaths/minute -
✔✔ANSWER ✔✔-75 year old with pulse oximetry of 88% on
room air
65 year old with blood pressure of 140/90
A nursing student is assigned to take the vital signs on a client
and finds the radial pulse to be irregular. What action should
the nursing student take?
1. Auscultate the client's apical pulse.
2. Check the client's previous pulse reading.
3. Wait 15 minutes and reassess the pulse.
4. Ask a fellow student to assess the pulse. - ✔✔ANSWER ✔✔-
Auscultate the clients apical pulse
The nurse has applied a pulse oximeter to the finger of a client
who is hypothermic. The pulse oximeter does not provide a
good reading. What action by the nurse is best?
1. Document that the reading cannot be obtained.
2. Assess the fingers for good circulation.
3. Remove any fingernail polish present on the fingernail.
final update Questions and Answers |With
100% Verified Solutions | Updated & Verified
2026/2027 Graded A+
The clients BP reading is 150/80 mmHg. For this client, 80 is
representative of:
1. The ventricles during contraction.
2. The systolic pressure.
3. The ventricles during relaxation.
4. The pulse pressure.
5. The diastolic pressure.
6. The pulse deficit. - ✔✔ANSWER ✔✔-The ventricles during
relaxation
The diastolic pressure
,The UAP reports to the nurse that the client's pulse oximetry is
88%. What action(s) should the nurse take? (Select all that
apply.)
1. Perform a cardiopulmonary assessment.
2. Notify the health care provider.
3. Verify the reading by taking the client's pulse oximetry.
4. Assist the client to a high-Fowler's position.
5. None should be taken because this is a normal value.
6. Assist the client to a fully supine position.
7. Be prepared to administer oxygen. - ✔✔ANSWER ✔✔-Notify
the health care provider
Verify the reading by taking the client's pulse oximetry
Assist the client to a high-fowler's position
Be prepared to administer oxygen
Perform a cardiopulmonary assessment
The student nurse is assessing a client's pulses. What action by
the student requires the nurse to intervene?
1. Assessing the radial pulse on the client's wrist
2. Assessing the brachial pulse on the client's inner elbow
,3. Assessing apical pulse between the fifth and sixth intercostal
spaces
4. Assessing the dorsalis pedis pulse by palpating behind the
client's knee - ✔✔ANSWER ✔✔-Assessing the dorsalis pedis
pulse by palpating behind the client's knee
When taking an adult blood pressure, the onset of the sound
the nurse hears is at 138, the muffled sound the nurse hears is
at 70, and the disappearance of the sound the nurse hears is at
62. How should the nurse record this finding?
1. 138/70
2. 68
3. 76
4. 138/62 - ✔✔ANSWER ✔✔-138/62
The nurse was assigned to care for five clients. Which of the
following vital sign measurements would be cause for concern?
(Select all that apply.)
1. 22-year-old with heart rate of 90 beats/minute
2. 75-year-old with pulse oximetry of 88% on room air
3. 88-year-old with temperature of 96.8° F (36° F)
, 4. 8-year-old with respiratory rate of 24 breaths/minute -
✔✔ANSWER ✔✔-75 year old with pulse oximetry of 88% on
room air
65 year old with blood pressure of 140/90
A nursing student is assigned to take the vital signs on a client
and finds the radial pulse to be irregular. What action should
the nursing student take?
1. Auscultate the client's apical pulse.
2. Check the client's previous pulse reading.
3. Wait 15 minutes and reassess the pulse.
4. Ask a fellow student to assess the pulse. - ✔✔ANSWER ✔✔-
Auscultate the clients apical pulse
The nurse has applied a pulse oximeter to the finger of a client
who is hypothermic. The pulse oximeter does not provide a
good reading. What action by the nurse is best?
1. Document that the reading cannot be obtained.
2. Assess the fingers for good circulation.
3. Remove any fingernail polish present on the fingernail.
