BSN-205| Hallmark final exam
Terms in this set (179)
Which of the follow would An adult with respirtations of 10 breaths per minute
require a follow up?
Which of the following vital Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
signs recorded for an older
adult would be considered
acceptable (within normal
limits)?
Time of day
Which of the following
situations may affect a Moving from lying to a
patients vital signs? standing postion Pain rated as
a 7 on a scale of 1-10
Why is it necessay to take a To verify the patients not experiencing any complications
patients vital signs To provide a set of vital signs for comparison during and after surgery.
preoperatively?
The NAP reports to the nurse a Assess the patient's BP
65 year old
patient's BP is 160/98. What
is the appropriate initial
response of the nurse?
Which patient would it be Elderly nursing home resident
appropriate for the nurse to
delegate vital signs?
The nurse has delegated the -The type of temperature required
task of temperature -The frequency for taking or monitoring the temperature
assessment to the NAP. Which
-What changes to report immediately to the nurse
,information should be
provided to the NAP?
Who would you expect to have B. An 80 year old who walked half a mile
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
, The NAP is preparing to A) "Ask the patient not to eat, drink, or smoke for 15 minutes and
measure a patient's vital signs. then assess the patient's oral temperature
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."
For which patient would a D) A tachypneic patient who is receiving oxygen by nasal cannula.
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.
Terms in this set (179)
Which of the follow would An adult with respirtations of 10 breaths per minute
require a follow up?
Which of the following vital Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
signs recorded for an older
adult would be considered
acceptable (within normal
limits)?
Time of day
Which of the following
situations may affect a Moving from lying to a
patients vital signs? standing postion Pain rated as
a 7 on a scale of 1-10
Why is it necessay to take a To verify the patients not experiencing any complications
patients vital signs To provide a set of vital signs for comparison during and after surgery.
preoperatively?
The NAP reports to the nurse a Assess the patient's BP
65 year old
patient's BP is 160/98. What
is the appropriate initial
response of the nurse?
Which patient would it be Elderly nursing home resident
appropriate for the nurse to
delegate vital signs?
The nurse has delegated the -The type of temperature required
task of temperature -The frequency for taking or monitoring the temperature
assessment to the NAP. Which
-What changes to report immediately to the nurse
,information should be
provided to the NAP?
Who would you expect to have B. An 80 year old who walked half a mile
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
, The NAP is preparing to A) "Ask the patient not to eat, drink, or smoke for 15 minutes and
measure a patient's vital signs. then assess the patient's oral temperature
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."
For which patient would a D) A tachypneic patient who is receiving oxygen by nasal cannula.
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.
