Hallmark Exam BSN 206 QUESTIONS WITH
COMPLETE SOLUTIONS
Which of the following patients would require follow-up?
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A child with a respiratory rate of 20 breaths per minute.
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An adolescent with a respiratory rate of 16 breaths per minute.
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A newborn with a respiratory rate of 40 breaths per minute.
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An adult with a respiratory rate of 10 breaths per minute. - CORRECT
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ANSWER✔✔-An adult with a respiratory rate of 10 breaths per minute | | | | | | | | | |
Which of the following vital signs recorded for an older adult would be
| | | | | | | | | | | | |
considered acceptable (within normal limits)?
| | | |
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
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Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
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Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
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Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% - CORRECT
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ANSWER✔✔-Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%. | | | | | | | | | | |
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 type of temperature required.
| | | |
The patient's age.
| |
The frequency for taking or monitoring the temperature.
| | | | | | |
The patient's diagnosis.
| |
What changes to report immediately to the nurse. - CORRECT
| | | | | | | | | |
ANSWER✔✔-What changes to report immediately to the nurse | | | | | | |
The frequency for taking or monitoring the temperature
| | | | | | |
The type of temperature required
| | | |
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. - CORRECT ANSWER✔✔-Moving
| | | | | | | | | | | |
from lying to standing position
| | | |
Time of Day | |
Pain rated as a 7 on a 0-10 pain scale
| | | | | | | | |
,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 provide the patient with reassurance that he or she is being cared for
| | | | | | | | | | | | | |
by a competent staff.
| | |
To provide a set of vital signs to use for comparison during and after
| | | | | | | | | | | | | |
surgery.
You Answered To ensure the equipment is appropriately calibrated and
| | | | | | | | | |
functional.
To verify the patient is not experiencing any complications that may
| | | | | | | | | | |
contraindicate surgery or require intervention. | | | |
You Answered To determine whether the patient is "feeling funny" or
| | | | | | | | | | |
"different". - CORRECT ANSWER✔✔-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 | | | |
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?
| | | | | | | | |
Document this as a normal finding in an elderly adult.
| | | | | | | | |
Ask the NAP if the patient is nauseous.
| | | | | | |
Instruct the NAP to obtain a full set of vital signs.
| | | | | | | | | |
Assess the patient s blood pressure. - CORRECT ANSWER✔✔-Assess the
| | | | | | | | | |
patient's blood pressure | |
, Which patient would it be appropriate for the nurse to delegate vital
| | | | | | | | | | | |
signs?
Patient transferred from ICU.
| | |
Elderly nursing home resident.
| | |
New admission to the hospital.
| | | |
Patient with recent complaint of headache. - CORRECT ANSWER✔✔-
| | | | | | | |
Elderly nursing home resident
| | |
Which person would be expected to have the lowest body temperature?
| | | | | | | | | |
An 80-year-old who walked half a mile.
| | | | | |
A child playing softball.
| | |
A 16-year-old who ran 1 mile.
| | | | |
A toddler who is febrile. - CORRECT ANSWER✔✔-An 80 year old who
| | | | | | | | | | | |
walked half a mile | | |
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?
| | | | | | |
"Change to the red thermometer probe and take the patient's
| | | | | | | | | |
temperature rectally." |
"Take the patient's temperature using the axillary route and when you
| | | | | | | | | | |
record the reading, add 1°F."
| | | |
COMPLETE SOLUTIONS
Which of the following patients would require follow-up?
| | | | | | |
A child with a respiratory rate of 20 breaths per minute.
| | | | | | | | | |
An adolescent with a respiratory rate of 16 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. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-An adult with a respiratory rate of 10 breaths per minute | | | | | | | | | |
Which of the following vital signs recorded for an older adult would be
| | | | | | | | | | | | |
considered acceptable (within normal limits)?
| | | |
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
| | | | | | | | | | |
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%. | | | | | | | | | | |
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 type of temperature required.
| | | |
The patient's age.
| |
The frequency for taking or monitoring the temperature.
| | | | | | |
The patient's diagnosis.
| |
What changes to report immediately to the nurse. - CORRECT
| | | | | | | | | |
ANSWER✔✔-What changes to report immediately to the nurse | | | | | | |
The frequency for taking or monitoring the temperature
| | | | | | |
The type of temperature required
| | | |
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. - CORRECT ANSWER✔✔-Moving
| | | | | | | | | | | |
from lying to standing position
| | | |
Time of Day | |
Pain rated as a 7 on a 0-10 pain scale
| | | | | | | | |
,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 provide the patient with reassurance that he or she is being cared for
| | | | | | | | | | | | | |
by a competent staff.
| | |
To provide a set of vital signs to use for comparison during and after
| | | | | | | | | | | | | |
surgery.
You Answered To ensure the equipment is appropriately calibrated and
| | | | | | | | | |
functional.
To verify the patient is not experiencing any complications that may
| | | | | | | | | | |
contraindicate surgery or require intervention. | | | |
You Answered To determine whether the patient is "feeling funny" or
| | | | | | | | | | |
"different". - CORRECT ANSWER✔✔-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 | | | |
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?
| | | | | | | | |
Document this as a normal finding in an elderly adult.
| | | | | | | | |
Ask the NAP if the patient is nauseous.
| | | | | | |
Instruct the NAP to obtain a full set of vital signs.
| | | | | | | | | |
Assess the patient s blood pressure. - CORRECT ANSWER✔✔-Assess the
| | | | | | | | | |
patient's blood pressure | |
, Which patient would it be appropriate for the nurse to delegate vital
| | | | | | | | | | | |
signs?
Patient transferred from ICU.
| | |
Elderly nursing home resident.
| | |
New admission to the hospital.
| | | |
Patient with recent complaint of headache. - CORRECT ANSWER✔✔-
| | | | | | | |
Elderly nursing home resident
| | |
Which person would be expected to have the lowest body temperature?
| | | | | | | | | |
An 80-year-old who walked half a mile.
| | | | | |
A child playing softball.
| | |
A 16-year-old who ran 1 mile.
| | | | |
A toddler who is febrile. - CORRECT ANSWER✔✔-An 80 year old who
| | | | | | | | | | | |
walked half a mile | | |
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?
| | | | | | |
"Change to the red thermometer probe and take the patient's
| | | | | | | | | |
temperature rectally." |
"Take the patient's temperature using the axillary route and when you
| | | | | | | | | | |
record the reading, add 1°F."
| | | |
