BSN 206 FINAL EXAM GUIDE
WITH QUESTIONS AND CORRECT
ANSWERS
Which of the following patients would require follow up?
An adult with a respiratory rate of 10 breaths per minute.
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 16-20 breaths per minute.
Respirations for adult is 12-20
Therefore a 10 breaths per minute for a follow up
Which of the following vital signs recorded for an older adult would be considered acceptable (within
normal Limits)?
Temp 97.0 F (36.1C), P-60, R-16, BP 116/78, and O2 sat 95%
Normal Older Adult Body temp- 36c (96.8F)
Normal HR 60-100 BPM
Normal Resp. rate 16-25
Average BP 120/80 (BP over 140/90 is HTN)
,Pulse Ox - 95-100%
The nurse has delegated the task of temperature assessment to the NAP. Which information should be
provided to the NAP? Select all the apply
The frequency for taking or monitoring the temperature
What changes to report immediately to the nurse?
The type of temperature required
Which of the following situations may affect a patient's vital signs?
(Select all that apply)
Time of day
Moving from lying to standing position
Pain rated as a 7 to 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 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?
Assess the patient's blood pressure.
We have an expert-written solution to this problem!
Which patient would it be appropriate for the nurse to delegate vital signs?
Elderly nursing home resident.
Which person would be expected to have the lowest body temperature?
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?
Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature.
For which patient would a tympanic thermometer be the preferred thermometer to use?
A tachypneic patient who is receiving oxygen by nasal cannula.
, We have an expert-written solution to this problem!
Adult Normal body temp
36c - 38c (96.8-100.4)
Temperature Measurement sites
Rectum
Tympanic membrane
Oral
Temporal artery
Types of thermometers
Electronic
Tympanic/ear thermometer
Temporal artery thermometer
Chemical dot disposable
Axillary
Electronic thermometer
Oral - blue
Rectal - red
Axillary - blue
Tympanic thermometer
WITH QUESTIONS AND CORRECT
ANSWERS
Which of the following patients would require follow up?
An adult with a respiratory rate of 10 breaths per minute.
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 16-20 breaths per minute.
Respirations for adult is 12-20
Therefore a 10 breaths per minute for a follow up
Which of the following vital signs recorded for an older adult would be considered acceptable (within
normal Limits)?
Temp 97.0 F (36.1C), P-60, R-16, BP 116/78, and O2 sat 95%
Normal Older Adult Body temp- 36c (96.8F)
Normal HR 60-100 BPM
Normal Resp. rate 16-25
Average BP 120/80 (BP over 140/90 is HTN)
,Pulse Ox - 95-100%
The nurse has delegated the task of temperature assessment to the NAP. Which information should be
provided to the NAP? Select all the apply
The frequency for taking or monitoring the temperature
What changes to report immediately to the nurse?
The type of temperature required
Which of the following situations may affect a patient's vital signs?
(Select all that apply)
Time of day
Moving from lying to standing position
Pain rated as a 7 to 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 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?
Assess the patient's blood pressure.
We have an expert-written solution to this problem!
Which patient would it be appropriate for the nurse to delegate vital signs?
Elderly nursing home resident.
Which person would be expected to have the lowest body temperature?
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?
Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature.
For which patient would a tympanic thermometer be the preferred thermometer to use?
A tachypneic patient who is receiving oxygen by nasal cannula.
, We have an expert-written solution to this problem!
Adult Normal body temp
36c - 38c (96.8-100.4)
Temperature Measurement sites
Rectum
Tympanic membrane
Oral
Temporal artery
Types of thermometers
Electronic
Tympanic/ear thermometer
Temporal artery thermometer
Chemical dot disposable
Axillary
Electronic thermometer
Oral - blue
Rectal - red
Axillary - blue
Tympanic thermometer
