2026 BSN 205 EXAM|ACTUAL 220 QUESTIONS AND
ANSWERS|NEW UPDATE|GRADED A+
The NAP reports to the nurse the pts RR is 32 and the pt is complaining of
SOB. What is the best action by the nurse at this time?
Assess the pt, including the pulse oximetry reading.
Which pt is at high risk for the pulse oximetry alarm to sound?
A pt with a continuous pulse oximetry reading of 84%
The nurse is ambulating the patient for the first time following the patient's
lengthy time of being on bed rest. Which of the following would be an
appropriate action by the nurse to determine the patient's activity tolerance?
Assess vital signs before and after ambulating the patient.
You take a patient's vital signs on admission to the hospital. Why is it
important to take vital signs at this time?
To obtain a baseline measurement for comparison with subsequent vital sign
measurements
,You are preparing to take a patient's temperature. Which of the following
factors may affect the patient's oral temperature reading?
If the patient has recently consumed a hot or cold beverage,
If the patient has recently exercised,
Warmth of the room, If the patient has recently smoked
The NAP reports to you that a patient is "feeling different" and appears less
alert. Your first action should be to:
Obtain the vital signs yourself.
Which of the following patients is exhibiting abnormal vital sign values for
their age?
1. Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41,
pulse oximetry 99%
2. Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse
oximetry 100%
3. Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse
oximetry 84%
4. Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse
oximetry 95%
Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse
oximetry 84%
,You check the patient's baseline temperature reading and note that it was
recorded as 98.6° F (37 °C). What would you expect the temperature reading to
be if it was obtained using the rectal route?
99.5° F (37.5 °C)
You check the patient's temperature using the axillary route, and the
thermometer reads 97.9° F (36.6 °C). Which of the following would be the most
accurate documentation of the reading?
97.9° F (36.6 °C) Ax
Easy to read thermometer and provides results in 4 to 15 seconds
Electric thermometer
Good thermometer for patients in isolation
Chemical thermometer
Disposable thermometer
Chemical thermometer
, Provides core temperature measurement in a patient with tachypnea
Tympanic thermometer
Sensor thermometer cover not required
Temporal artery thermometer
Often underestimates temperature
Chemical thermometer
Risk of transferring nosocomial Clostridium infections rectally; also expensive
thermometer
Electronic thermometer
Otitis media and cerumen can lead to false readings with this thermometer
Tympanic thermometer
Affected by skin moisture such as diaphoresis or sweating
ANSWERS|NEW UPDATE|GRADED A+
The NAP reports to the nurse the pts RR is 32 and the pt is complaining of
SOB. What is the best action by the nurse at this time?
Assess the pt, including the pulse oximetry reading.
Which pt is at high risk for the pulse oximetry alarm to sound?
A pt with a continuous pulse oximetry reading of 84%
The nurse is ambulating the patient for the first time following the patient's
lengthy time of being on bed rest. Which of the following would be an
appropriate action by the nurse to determine the patient's activity tolerance?
Assess vital signs before and after ambulating the patient.
You take a patient's vital signs on admission to the hospital. Why is it
important to take vital signs at this time?
To obtain a baseline measurement for comparison with subsequent vital sign
measurements
,You are preparing to take a patient's temperature. Which of the following
factors may affect the patient's oral temperature reading?
If the patient has recently consumed a hot or cold beverage,
If the patient has recently exercised,
Warmth of the room, If the patient has recently smoked
The NAP reports to you that a patient is "feeling different" and appears less
alert. Your first action should be to:
Obtain the vital signs yourself.
Which of the following patients is exhibiting abnormal vital sign values for
their age?
1. Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41,
pulse oximetry 99%
2. Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse
oximetry 100%
3. Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse
oximetry 84%
4. Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse
oximetry 95%
Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse
oximetry 84%
,You check the patient's baseline temperature reading and note that it was
recorded as 98.6° F (37 °C). What would you expect the temperature reading to
be if it was obtained using the rectal route?
99.5° F (37.5 °C)
You check the patient's temperature using the axillary route, and the
thermometer reads 97.9° F (36.6 °C). Which of the following would be the most
accurate documentation of the reading?
97.9° F (36.6 °C) Ax
Easy to read thermometer and provides results in 4 to 15 seconds
Electric thermometer
Good thermometer for patients in isolation
Chemical thermometer
Disposable thermometer
Chemical thermometer
, Provides core temperature measurement in a patient with tachypnea
Tympanic thermometer
Sensor thermometer cover not required
Temporal artery thermometer
Often underestimates temperature
Chemical thermometer
Risk of transferring nosocomial Clostridium infections rectally; also expensive
thermometer
Electronic thermometer
Otitis media and cerumen can lead to false readings with this thermometer
Tympanic thermometer
Affected by skin moisture such as diaphoresis or sweating
