Hallmark final Exam BSN-205 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Which of the follow would require a follow up? - CORRECT ANSWER✅✅An adult with
respirtations of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered acceptable
(within normal limits)? - CORRECT ANSWER✅✅Temp 97.0° F, P-60, R-16, BP 116/78,
O2 sat 95%.
Which of the following situations may affect a patients vital signs? - CORRECT
ANSWER✅✅Time of day
Moving from lying to a standing postion
Pain rated as a 7 on a scale of 1-10
Why is it necessay to take a patients vital signs preoperatively? - CORRECT
ANSWER✅✅To verify the patients not experiencing any complications
To provide a set of vital signs for comparison during and after surgery.
The NAP reports to the nurse a 65 year old patient's BP is 160/98. What is the appropriate
initial response of the nurse? - CORRECT ANSWER✅✅Assess the patient's BP
Which patient would it be appropriate for the nurse to delegate vital signs? - CORRECT
ANSWER✅✅Elderly nursing home resident
The nurse has delegated the task of temperature assessment to the NAP. Which information
should be provided to the NAP? - CORRECT ANSWER✅✅-The type of temperature
required
-The frequency for taking or monitoring the temperature
-What changes to report immediately to the nurse
Who would you expect to have the lowest body temperature?
A) A 16 year old who ran 1 mile
B) An 80 year old who walked 1/2 mile
C) A toddler who is febrile
D) A child playing softball - CORRECT ANSWER✅✅B. 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?
A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's
oral temperature"
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." - CORRECT ANSWER✅✅A) "Ask the patient not to eat, drink, or smoke for
15 minutes and then assess the patient's oral temperature
For which patient would a tympanic thermometer be the preferred thermometer to use?
A) A marathon runner who developed weakness during the race.
B) A newborn in the intensive care unit that requires continuous temperature monitoring.
C) A child who had tubes surgically placed in the ears.
D) A tachypneic patient who is receiving oxygen by nasal cannula. - CORRECT
ANSWER✅✅D) A tachypneic patient who is receiving oxygen by nasal cannula.
Which of the following patients would need frequent assessment of their temperature? (Select
all that apply.)
A) A patient receiving a blood transfusion for chronic anemia
B) An elderly patient who needs assistance with feeding and dressing
C) A 43 year old female who has undergone a hysterectomy
D) A child who is small for his age
E) A 19 year old with a while blood cell count of 15,000/mm - CORRECT
ANSWER✅✅A) A patient receiving a blood transfusion for chronic anemia
A 43-year-old female who has undergone a hysterectomy. Correct
E) A 19 year old with a while blood cell count of 15,000/mm
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following
are appropriate nursing actions? (Select all that apply.)
A) Place the patient's feet in a tub of cool water with ice.
B) Apply a hyperthermia blanket as ordered.
C) Remove the patient's blankets.
D) Limit the patient's fluid intakeE) Administer an antipyretic to the patient as ordered -
CORRECT ANSWER✅✅C) Remove the patient's blankets.
E) Administer an antipyretic to the patient as ordered
Which of the following actions, if made by the NAP, would require intervention and further
instruction by the nurse? (Select all that apply.)
A) The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after
applying a probe cover.
B) The NAP wipes the single-use chemical dot thermometer and places it back in the patient's
drawer for future use.
C) The NAP waits until a tone sounds to read the tympanic thermometer.
D) The NAP uses a blue-tipped electronic probe for assessing a patient's axillary
temperature.E) The NAP pulls the pinna up, back, and out in an adult when inserting the
tympanic thermometer. - CORRECT ANSWER✅✅A) The NAP inserts the red-tipped
electronic thermometer probe into the patient's mouth after applying a probe cover. Correct
B) The NAP wipes the single-use chemical dot thermometer and places it back in the patient's
drawer for future use. Correct
, Identify the factors that may have an effect on an 82-year-old patient's temperature: (Select
all that apply.)
A) Drinking a cold glass of water
B) Participation in strenuous physical therapy exercises
C) Infection
D) Room Temperature
E) Patient's height - CORRECT ANSWER✅✅A) Drinking a cold glass of water
B) Participation in strenuous physical therapy exercises
C) Infection
D) Room Temperature
If a 52-year-old patient has a normal temperature, what range should the patient's temperature
fall within?
A) 37-39 °C (98.6-102.2 °F)
B) 96.8-100.4 °F (36-38 °C)
C) 35-36 °C (95-96.8 °F)
D) 96.8-98.6 °F (36-37 °C) - CORRECT ANSWER✅✅B) 96.8-100.4 °F (36-38 °C)
Your newborn patient's temperature has been rising rapidly and the baby has been crying.
Which of the following thermometers would be the best to use in measuring this patient's
temperature?
A) Temporal Artery
B) Tympanic
C) Chemical dot
D) Rectal Electronic - CORRECT ANSWER✅✅A) Temporal Artery
The task of pulse assessment could be delegated to the NAP for which of the following
patients? - CORRECT ANSWER✅✅-A radial pulse on a patient with a 1200 ml fluid
restriction
-The temporal pulse of a child
Which of the following patients would be at risk for having an alteration in peripheral pulse?
- CORRECT ANSWER✅✅-The patient who was just informed of a diagnosis of cancer
-a patient with peripheral vascular disease
-and a patient who's receiving bolus IV fluids
Whenever there's an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should
initially do which of the following? - CORRECT ANSWER✅✅Auscultate the apical pulse
for quality and rate
What's the normal pulse range for an adult? - CORRECT ANSWER✅✅60-100 beats per
minute
The nurse should routinely auscultate the apical pulse with the bell side of the stethoscope,
and use the diaphragm side to identify heart murmurs - CORRECT ANSWER✅✅False
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Which of the follow would require a follow up? - CORRECT ANSWER✅✅An adult with
respirtations of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered acceptable
(within normal limits)? - CORRECT ANSWER✅✅Temp 97.0° F, P-60, R-16, BP 116/78,
O2 sat 95%.
Which of the following situations may affect a patients vital signs? - CORRECT
ANSWER✅✅Time of day
Moving from lying to a standing postion
Pain rated as a 7 on a scale of 1-10
Why is it necessay to take a patients vital signs preoperatively? - CORRECT
ANSWER✅✅To verify the patients not experiencing any complications
To provide a set of vital signs for comparison during and after surgery.
The NAP reports to the nurse a 65 year old patient's BP is 160/98. What is the appropriate
initial response of the nurse? - CORRECT ANSWER✅✅Assess the patient's BP
Which patient would it be appropriate for the nurse to delegate vital signs? - CORRECT
ANSWER✅✅Elderly nursing home resident
The nurse has delegated the task of temperature assessment to the NAP. Which information
should be provided to the NAP? - CORRECT ANSWER✅✅-The type of temperature
required
-The frequency for taking or monitoring the temperature
-What changes to report immediately to the nurse
Who would you expect to have the lowest body temperature?
A) A 16 year old who ran 1 mile
B) An 80 year old who walked 1/2 mile
C) A toddler who is febrile
D) A child playing softball - CORRECT ANSWER✅✅B. 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?
A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's
oral temperature"
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." - CORRECT ANSWER✅✅A) "Ask the patient not to eat, drink, or smoke for
15 minutes and then assess the patient's oral temperature
For which patient would a tympanic thermometer be the preferred thermometer to use?
A) A marathon runner who developed weakness during the race.
B) A newborn in the intensive care unit that requires continuous temperature monitoring.
C) A child who had tubes surgically placed in the ears.
D) A tachypneic patient who is receiving oxygen by nasal cannula. - CORRECT
ANSWER✅✅D) A tachypneic patient who is receiving oxygen by nasal cannula.
Which of the following patients would need frequent assessment of their temperature? (Select
all that apply.)
A) A patient receiving a blood transfusion for chronic anemia
B) An elderly patient who needs assistance with feeding and dressing
C) A 43 year old female who has undergone a hysterectomy
D) A child who is small for his age
E) A 19 year old with a while blood cell count of 15,000/mm - CORRECT
ANSWER✅✅A) A patient receiving a blood transfusion for chronic anemia
A 43-year-old female who has undergone a hysterectomy. Correct
E) A 19 year old with a while blood cell count of 15,000/mm
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following
are appropriate nursing actions? (Select all that apply.)
A) Place the patient's feet in a tub of cool water with ice.
B) Apply a hyperthermia blanket as ordered.
C) Remove the patient's blankets.
D) Limit the patient's fluid intakeE) Administer an antipyretic to the patient as ordered -
CORRECT ANSWER✅✅C) Remove the patient's blankets.
E) Administer an antipyretic to the patient as ordered
Which of the following actions, if made by the NAP, would require intervention and further
instruction by the nurse? (Select all that apply.)
A) The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after
applying a probe cover.
B) The NAP wipes the single-use chemical dot thermometer and places it back in the patient's
drawer for future use.
C) The NAP waits until a tone sounds to read the tympanic thermometer.
D) The NAP uses a blue-tipped electronic probe for assessing a patient's axillary
temperature.E) The NAP pulls the pinna up, back, and out in an adult when inserting the
tympanic thermometer. - CORRECT ANSWER✅✅A) The NAP inserts the red-tipped
electronic thermometer probe into the patient's mouth after applying a probe cover. Correct
B) The NAP wipes the single-use chemical dot thermometer and places it back in the patient's
drawer for future use. Correct
, Identify the factors that may have an effect on an 82-year-old patient's temperature: (Select
all that apply.)
A) Drinking a cold glass of water
B) Participation in strenuous physical therapy exercises
C) Infection
D) Room Temperature
E) Patient's height - CORRECT ANSWER✅✅A) Drinking a cold glass of water
B) Participation in strenuous physical therapy exercises
C) Infection
D) Room Temperature
If a 52-year-old patient has a normal temperature, what range should the patient's temperature
fall within?
A) 37-39 °C (98.6-102.2 °F)
B) 96.8-100.4 °F (36-38 °C)
C) 35-36 °C (95-96.8 °F)
D) 96.8-98.6 °F (36-37 °C) - CORRECT ANSWER✅✅B) 96.8-100.4 °F (36-38 °C)
Your newborn patient's temperature has been rising rapidly and the baby has been crying.
Which of the following thermometers would be the best to use in measuring this patient's
temperature?
A) Temporal Artery
B) Tympanic
C) Chemical dot
D) Rectal Electronic - CORRECT ANSWER✅✅A) Temporal Artery
The task of pulse assessment could be delegated to the NAP for which of the following
patients? - CORRECT ANSWER✅✅-A radial pulse on a patient with a 1200 ml fluid
restriction
-The temporal pulse of a child
Which of the following patients would be at risk for having an alteration in peripheral pulse?
- CORRECT ANSWER✅✅-The patient who was just informed of a diagnosis of cancer
-a patient with peripheral vascular disease
-and a patient who's receiving bolus IV fluids
Whenever there's an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should
initially do which of the following? - CORRECT ANSWER✅✅Auscultate the apical pulse
for quality and rate
What's the normal pulse range for an adult? - CORRECT ANSWER✅✅60-100 beats per
minute
The nurse should routinely auscultate the apical pulse with the bell side of the stethoscope,
and use the diaphragm side to identify heart murmurs - CORRECT ANSWER✅✅False
