answers already passed
1. Which of the follow would require a follow up? An adult with
respirtations
of 10 breaths per minute
2. Which of the following vital signs recorded for an older Temp 97.0° F,
P-60, R-16,
adult would be considered acceptable (within 116/78, O2 sat 95%.
normal limits)?
3. Which of the following situations may affect a patients Time of day
vital signs? Moving from lying to a
standing postion
Pain rated as a 7 on a scale
of 1-10
4. Why is it necessay to take a patients vital signs preop- To verify the
patients not
eratively? experiencing any compli-
cations
To provide a set of vital signs
for comparison dur- ing
and after surgery.
5. The NAP reports to the nurse a 65 year old Assess the patient's BP
patient's BP is 160/98. What is the appropriate
initial response of the nurse?
6. Which patient would it be appropriate for the nurse to Elderly
nursing home res-
delegate vital signs? ident
7. The nurse has delegated the task of -The type of temperature
temperature as- sessment to the NAP. Which required
information should be provided to the NAP?
-The frequency for taking or
,Hallmark final exam BSN-205 with verified
answers already passed
monitoring the temper- ature
,Hallmark final exam BSN-205 with verified
answers already passed
monitorin
g.
C)A child
8. Who would you expect to have the lowest body who had
tem- perature? tubes
A) A 16 year old who ran 1 mile surgically
B) An 80 year old who walked 1/2 mile placed in
the ears.
C)A toddler who is febrile
D) A child playing softball
9. 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?
A) "Ask the patient not to eat, drink, or smoke
for 15 minutes and then assess the patient's
oral tempera- ture"
B)"Since the soup was not hot, go ahead and
take the patient's temperature."
C)"Change to the red thermometer probe and
take the patient's temperature rectally."
D) "Take the patient's temperature using the
axillary route and when you record the
reading, add 1°F."
10. For which patient would a tympanic
thermometer be the preferred thermometer
to use?
A) A marathon runner who developed weakness
dur- ing the race.
B) A newborn in the intensive care unit that
requires continuous temperature
, Hallmark final exam BSN-205 with verified
answers already passed
-What changes to report immediately to the nurse
B. An 80 year old who walked half a mile
A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then
assess the patient's oral temper- ature
D) A tachypneic patient who is receiving oxygen by nasal cannula.