BSN ISB Modules (Hallmark Exam Prep)
Exam Questions and Answers with Verified
Solutions | Latest Updated 2026
Which of the following patients An adult with a respiratory rate of 10
would require follow-up? breaths per
An adolescent with a respiratory minute.
rate The normal respiratory rate for a newborn
of 16 breaths per minute. is 30 to
A child with a respiratory rate of 20 60 breaths per minute. The normal
breaths per minute. respiratory rate
A newborn with a respiratory rate of a child is 20 breaths per minute. The
of normal
40 breaths per minute. respiratory rate for a teenager is 16 to 20
An adult with a respiratory rate of breaths
10 per minute. The normal respiratory rate for
breaths per minute. an adult
is 12 to 20 breaths per minute. A rate of 10
would
require follow-up.
,Which of the following vital signs Temp 97.0° F (36.1 °C), P-60, R-16, BP
recorded for an older adult would 116/78, O2 sat
be considered acceptable (within 95%.
normal limits)? Normal values for an older adult are:
Temp 98.0 °F (36.7 °C), P-76, average body
R-22, BP temperature approximately 36° C (96.8°
110/70, O2 sat 88%. F), heart
Temp 97.0° F (36.1 °C), P-60, rate 60 to 100 beats per minute,
R-16, BP respiratory rate 16
116/78, O2 sat 95%. to 25 breaths per minute, average BP less
Temp 98.6 °F (37 °C), P-56, R-20, than 120
BP over 80, and pulse oximetry 95% to 100%.
120/80, O2 sat 91%. A BP
Temp 96.8° F (36 °C), P-60, R-18, greater than 140 over 90 may be an
BP indication of
160/90, O2 sat 93%. hypertension.
The nurse has delegated the task What changes to report immediately to the
of nurse.
temperature assessment to the The frequency for taking or monitoring the
NAP. temperature.
Which information should be The type of temperature required.
provided to the NAP? (Select all It is more important that the temperature
that be done
apply.) on time by the correct route, with the
The patient's diagnosis. correct
What changes to report equipment, and that identified changes be
immediately reported as requested.
to the nurse.
The frequency for taking or
monitoring the temperature.
The type of temperature required.
The patient's age.
,Which of the following situations Moving from lying to standing position.
may Time of day.
affect a patient's vital signs? Pain rated as a 7 on 0-10 pain scale.
(Select Factors that may alter vital signs include
all that apply.) time of
Moving from lying to standing day, stress (emotional and physical),
position. temperature
Time of day. alterations/weather conditions,
Occupation. exercise/activity,
Isolation precautions. emotions, medication, postural changes,
Pain rated as a 7 on 0-10 pain acute
scale. 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 To verify the patient is not experiencing
vital any
signs preoperatively and record complications that may contraindicate
them as part of the patient's surgery or
preparation for surgery. Why is it require intervention.
necessary to take vital signs To provide a set of vital signs to use for
preoperatively? (Select all that comparison during and after surgery.
apply.) The patient who is going to surgery is
To verify the patient is not going to
experiencing any complications experience a change in condition and an
that invasive
may contraindicate surgery or procedure. Vital signs are necessary so
require intervention. that the
To provide the patient with operative team has a baseline for
reassurance that he or she is comparison as
being well as to rule out any complications
cared for by a competent staff. before the
To determine whether the patient beginning of the surgical event. Providing
is reassurance to the patient can be done
"feeling funny" verbally. If
To provide a set of vital signs to a patient reports feeling different,
use assessing vital
for comparison during and after signs is appropriate. There is no indication
surgery. the
To ensure the equipment is patient is feeling different. Equipment
appropriately calibrated and should be
functional. maintained in a functional state at all
times.
Exam Questions and Answers with Verified
Solutions | Latest Updated 2026
Which of the following patients An adult with a respiratory rate of 10
would require follow-up? breaths per
An adolescent with a respiratory minute.
rate The normal respiratory rate for a newborn
of 16 breaths per minute. is 30 to
A child with a respiratory rate of 20 60 breaths per minute. The normal
breaths per minute. respiratory rate
A newborn with a respiratory rate of a child is 20 breaths per minute. The
of normal
40 breaths per minute. respiratory rate for a teenager is 16 to 20
An adult with a respiratory rate of breaths
10 per minute. The normal respiratory rate for
breaths per minute. an adult
is 12 to 20 breaths per minute. A rate of 10
would
require follow-up.
,Which of the following vital signs Temp 97.0° F (36.1 °C), P-60, R-16, BP
recorded for an older adult would 116/78, O2 sat
be considered acceptable (within 95%.
normal limits)? Normal values for an older adult are:
Temp 98.0 °F (36.7 °C), P-76, average body
R-22, BP temperature approximately 36° C (96.8°
110/70, O2 sat 88%. F), heart
Temp 97.0° F (36.1 °C), P-60, rate 60 to 100 beats per minute,
R-16, BP respiratory rate 16
116/78, O2 sat 95%. to 25 breaths per minute, average BP less
Temp 98.6 °F (37 °C), P-56, R-20, than 120
BP over 80, and pulse oximetry 95% to 100%.
120/80, O2 sat 91%. A BP
Temp 96.8° F (36 °C), P-60, R-18, greater than 140 over 90 may be an
BP indication of
160/90, O2 sat 93%. hypertension.
The nurse has delegated the task What changes to report immediately to the
of nurse.
temperature assessment to the The frequency for taking or monitoring the
NAP. temperature.
Which information should be The type of temperature required.
provided to the NAP? (Select all It is more important that the temperature
that be done
apply.) on time by the correct route, with the
The patient's diagnosis. correct
What changes to report equipment, and that identified changes be
immediately reported as requested.
to the nurse.
The frequency for taking or
monitoring the temperature.
The type of temperature required.
The patient's age.
,Which of the following situations Moving from lying to standing position.
may Time of day.
affect a patient's vital signs? Pain rated as a 7 on 0-10 pain scale.
(Select Factors that may alter vital signs include
all that apply.) time of
Moving from lying to standing day, stress (emotional and physical),
position. temperature
Time of day. alterations/weather conditions,
Occupation. exercise/activity,
Isolation precautions. emotions, medication, postural changes,
Pain rated as a 7 on 0-10 pain acute
scale. 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 To verify the patient is not experiencing
vital any
signs preoperatively and record complications that may contraindicate
them as part of the patient's surgery or
preparation for surgery. Why is it require intervention.
necessary to take vital signs To provide a set of vital signs to use for
preoperatively? (Select all that comparison during and after surgery.
apply.) The patient who is going to surgery is
To verify the patient is not going to
experiencing any complications experience a change in condition and an
that invasive
may contraindicate surgery or procedure. Vital signs are necessary so
require intervention. that the
To provide the patient with operative team has a baseline for
reassurance that he or she is comparison as
being well as to rule out any complications
cared for by a competent staff. before the
To determine whether the patient beginning of the surgical event. Providing
is reassurance to the patient can be done
"feeling funny" verbally. If
To provide a set of vital signs to a patient reports feeling different,
use assessing vital
for comparison during and after signs is appropriate. There is no indication
surgery. the
To ensure the equipment is patient is feeling different. Equipment
appropriately calibrated and should be
functional. maintained in a functional state at all
times.
