BSN ISB Modules (Hallmark Exam Prep) Exam
Preparation Exam final update Questions and
Answers |With 100% Verified Solutions | Updated &
Verified 2026/2027 Graded A+
Which of the following patients would require follow-up?
An adolescent with a respiratory rate of 16 breaths per minute.
A child with a respiratory rate of 20 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. -
✔✔ANSWER ✔✔-An adult with a respiratory rate of 10 breaths per
minute.
Rationale: 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 to 20
breaths per minute. The normal respiratory rate for an adult is 12 to 20
breaths per minute. A rate of 10 would require follow-up.
,Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. - ✔✔ANSWER
✔✔-Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Rationale; Normal values for an older adult are: average body
temperature approximately 36° C (96.8° F), heart rate 60 to 100 beats
per minute, respiratory rate 16 to 25 breaths per minute, average BP
less than 120 over 80, and pulse oximetry 95% to 100%. A BP greater
than 140 over 90 may be an indication of hypertension.
The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? (Select all that
apply.)
The patient's diagnosis.
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
,The patient's age. - ✔✔ANSWER ✔✔-What changes to report
immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
Rationale: It is more important that the temperature be done on time
by the correct route, with the correct equipment, and that identified
changes be reported as requested.
Which of the following situations may affect a patient's vital signs?
(Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. - ✔✔ANSWER ✔✔-Moving from
lying to standing position.
Time of day.
Pain rated as a 7 on 0-10 pain scale.
Rationale; Factors that may alter vital signs include time of day, stress
(emotional and physical), temperature alterations/weather conditions,
exercise/activity, emotions, medication, postural changes, acute pain,
, smoking, disease/injury status, noise, food/liquid consumption, and
odors. The person's occupation and isolation precautions do not alter
vital signs. If a person's job requires an activity that increases exertion
or stress, the activity affects vital signs, not the occupation.
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.)
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide the patient with reassurance that he or she is being cared
for by a competent staff.
To determine whether the patient is "feeling funny"
To provide a set of vital signs to use for comparison during and after
surgery.
To ensure the equipment is appropriately calibrated and functional. -
✔✔ANSWER ✔✔-To verify the patient is not experiencing any
complications that may contraindicate surgery or require intervention.
Rationale: To provide a set of vital signs to use for comparison during
and after surgery.
Preparation Exam final update Questions and
Answers |With 100% Verified Solutions | Updated &
Verified 2026/2027 Graded A+
Which of the following patients would require follow-up?
An adolescent with a respiratory rate of 16 breaths per minute.
A child with a respiratory rate of 20 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. -
✔✔ANSWER ✔✔-An adult with a respiratory rate of 10 breaths per
minute.
Rationale: 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 to 20
breaths per minute. The normal respiratory rate for an adult is 12 to 20
breaths per minute. A rate of 10 would require follow-up.
,Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. - ✔✔ANSWER
✔✔-Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Rationale; Normal values for an older adult are: average body
temperature approximately 36° C (96.8° F), heart rate 60 to 100 beats
per minute, respiratory rate 16 to 25 breaths per minute, average BP
less than 120 over 80, and pulse oximetry 95% to 100%. A BP greater
than 140 over 90 may be an indication of hypertension.
The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? (Select all that
apply.)
The patient's diagnosis.
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
,The patient's age. - ✔✔ANSWER ✔✔-What changes to report
immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
Rationale: It is more important that the temperature be done on time
by the correct route, with the correct equipment, and that identified
changes be reported as requested.
Which of the following situations may affect a patient's vital signs?
(Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. - ✔✔ANSWER ✔✔-Moving from
lying to standing position.
Time of day.
Pain rated as a 7 on 0-10 pain scale.
Rationale; Factors that may alter vital signs include time of day, stress
(emotional and physical), temperature alterations/weather conditions,
exercise/activity, emotions, medication, postural changes, acute pain,
, smoking, disease/injury status, noise, food/liquid consumption, and
odors. The person's occupation and isolation precautions do not alter
vital signs. If a person's job requires an activity that increases exertion
or stress, the activity affects vital signs, not the occupation.
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.)
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide the patient with reassurance that he or she is being cared
for by a competent staff.
To determine whether the patient is "feeling funny"
To provide a set of vital signs to use for comparison during and after
surgery.
To ensure the equipment is appropriately calibrated and functional. -
✔✔ANSWER ✔✔-To verify the patient is not experiencing any
complications that may contraindicate surgery or require intervention.
Rationale: To provide a set of vital signs to use for comparison during
and after surgery.
