BSN 225 Sherpath NGN Case Study Vital Signs 2026/2027 | Hypothermia, Hypertension & Nursing Clinical Judgment | Questions & Answers

This BSN 225 Sherpath NGN Case Study Vital Signs 2026/2027 study resource provides Next Generation NCLEX-style clinical case studies with questions and correct answers focused on vital-sign assessment, clinical judgment, prioritization, and nursing interventions. The document presents two detailed patient scenarios requiring students to recognize relevant cues, analyze abnormal findings, identify likely conditions, establish priority nursing problems, select appropriate interventions, evaluate outcomes, and recognize evidence of clinical improvement. The first case examines an older adult experiencing hypothermia following prolonged environmental cold exposure. Students work with clinical cues including a body temperature of 34.4°C (94.4°F), dry pale cold skin, shivering, slurred speech, and drowsiness, and identify nursing actions such as initiating a warming blanket and monitoring vital signs every 15 minutes. This scenario strengthens understanding of temperature regulation, environmental emergencies, focused assessment, recognition of hypothermia, and priority nursing care. The second NGN case focuses on a 65-year-old patient presenting with persistent severe headaches and elevated blood pressure. It requires interpretation of temperature, pulse, respiratory rate, blood pressure, and oxygen saturation; identification of abnormal findings such as BP 168/94, tachypnea, increased pulse, and decreased oxygen saturation; and prioritization of problems involving pain, oxygenation, cardiac output, and medication knowledge. The case also incorporates antihypertensive therapy with chlorthalidone and lisinopril, lifestyle modification, reduced sodium and fat intake, stress management, and evaluation of treatment outcomes. Importantly, the material connects medication administration with patient-safety monitoring by addressing dizziness and orthostatic hypotension as potential effects following antihypertensive therapy. Students are required to evaluate improvement using parameters including pulse, respirations, blood pressure, and medication knowledge. These exercises reflect the NGN emphasis on moving from recognizing cues and analyzing information to prioritizing hypotheses, taking action, and evaluating outcomes. Relevant Students: This document is relevant for BSN 225 students, Bachelor of Science in Nursing students, Sherpath nursing students, HESI and NCLEX-RN candidates, Next Generation NCLEX students, nursing fundamentals students, pre-licensure RN students, and learners practicing vital-sign interpretation, clinical judgment, hypertension management, hypothermia care, medication safety, and nursing prioritization. Keywords: BSN 225 Sherpath, BSN 225 NGN case study, Sherpath NGN case study, vital signs case study, NGN vital signs, BSN 225 exam 2026, BSN 225 exam 2027, Sherpath questions and answers, NGN questions and answers, nursing clinical judgment, Next Generation NCLEX, NCLEX NGN case study, hypothermia nursing care, hypothermia case study, hypertension nursing care, hypertension case study, vital signs nursing assessment, abnormal vital signs, nursing priority interventions, nursing assessment questions, antihypertensive medications, chlorthalidone nursing, lisinopril nursing, orthostatic hypotension, oxygen saturation nursing, cardiac output nursing, nursing care plan, nursing patient outcomes, nursing prioritization, clinical judgment case study