BSN206 Hallmark Exam with all Correct & 100% Verified
Answers| Actual Complete Exam| Already Graded A+
(Just Released)
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per minute.
An adolescent with a respiratory rate of 16 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. ✔Correct Answer-An adult with a
respiratory rate of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered acceptable (within
normal limits)?
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% ✔Correct Answer-Temp 97.0° F (36.1 °C),
P-60, R-16, BP 116/78, O2 sat 95%.
The nurse has delegated the task of temperature assessment to the NAP. Which information should
be provided to the NAP? (Select all that apply.)
The type of temperature required.
The patient's age.
The frequency for taking or monitoring the temperature.
The patient's diagnosis.
What changes to report immediately to the nurse. ✔Correct Answer-What changes to report
immediately to the nurse
The frequency for taking or monitoring the temperature
The type of temperature required
Which of the following situations may affect a patient's vital signs? (Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. ✔Correct Answer-Moving from lying to standing position
Time of Day
Pain rated as a 7 on a 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 the patient with reassurance that he or she is being cared for by a competent staff.
To provide a set of vital signs to use for comparison during and after surgery.
You Answered To ensure the equipment is appropriately calibrated and functional.
To verify the patient is not experiencing any complications that may contraindicate surgery or require
intervention.
You Answered To determine whether the patient is "feeling funny" or "different".
✔Correct Answer-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?
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure. ✔Correct Answer-Assess the patient's blood pressure
Which patient would it be appropriate for the nurse to delegate vital signs?
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache. ✔Correct Answer-Elderly nursing home resident
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
A child playing softball.
A 16-year-old who ran 1 mile.
A toddler who is febrile. ✔Correct Answer-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?
"Change to the red thermometer probe and take the patient's temperature rectally."
"Take the patient's temperature using the axillary route and when you record the reading, add 1°F."
"Since the soup was not hot, go ahead and take the patient's temperature."
"Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature." ✔Correct Answer-Ask the patient to not eat, drink, or smoke for 20 minutes then
assess the patient's oral temperature
For which patient would a tympanic thermometer be the preferred thermometer to use?
A marathon runner who developed weakness during the race.
A tachypneic patient who is receiving oxygen by nasal cannula.
A pediatric patient who had tubes surgically placed in the ears.
A newborn that requires continuous temperature monitoring. ✔Correct Answer-A tachypneic
patient who is receiving oxygen by nasal cannula
Which of the following patients would require frequent assessment of their temperature? (Select all
that apply.)
A young adult with a white blood count of 15,000/mm3.
An adult female in the recovery room following a hysterectomy.
A patient receiving a blood transfusion for chronic anemia.
A child who is below the normal height and weight for his age.
An elderly patient who needs assistance with feeding and dressing. ✔Correct Answer-A young
adult with a white blood count of 15,000/mm3
An adult female in the recovery room following a hysterectomy
A patient receiving a blood transfusion for chronic anemia
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.)
,Remove the patient's blankets.
Limit the patient's fluid intake.
Apply a hyperthermia blanket as ordered.
Administer an antipyretic to the patient as ordered.
Place the patient's feet in a tub of cool water with ice. ✔Correct Answer-Remove the patient's
blankets
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.)
The NAP uses a blue-tipped electronic probe for assessing a patient's axillary temperature.
The NAP wipes the single-use chemical dot thermometer and places it back in the patient's drawer
for future use.
The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after applying
a probe cover.
The NAP pulls the pinna up, back, and out in an adult when inserting the tympanic thermometer.
The NAP waits un ✔Correct Answer-The NAP wipes the single-use chemical dot thermometer and
places it back in the patient's drawer for future use
The NAP inserts the red=tipped electronic thermometer probe into the patient's mouth after
applying a probe cover
Identify the factors that may have an effect on an elderly patient's temperature: (Select all that
apply.)
Participation in physical therapy exercises.
Room temperature.
Drinking a cold glass of water.
Patient's height.
Infection. ✔Correct Answer-Participation in physical therapy exercises
room temperature
drinking a cold glass of water
infection
If a 52-year-old patient has a normal temperature, what range should the patient's temperature fall
within?
96.8-98.6 °F (36-37 °C)
Correct! 96.8-100.4 °F (36-38 °C)
37-39 °C (98.6-102.2 °F)
35-36 °C (95-96.8 °F) ✔Correct Answer-96.8-100.4F (36-38C)
A 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?
Chemical dot
Tympanic
Temporal artery
Rectal electronic ✔Correct Answer-Temporal Artery
The task of pulse assessment could be delegated to the NAP for which of the following patients?
(Select all that apply.)
An apical pulse of a patient who is to receive a cardiac drug.
A femoral pulse following a lower leg amputation.
A radial pulse of a patient in the emergency room with chest pain.
, The temporal pulse of a child.
A radial pulse on a patient with a 1200 mL fluid restriction. ✔Correct Answer-The temporal pulse of
a child
A radial pulse on a patient with a 1200mL fluid restriction
Which of the following patients would be at risk for having an alteration in peripheral pulse? (Select
all that apply.)
The patient who was just informed of a diagnosis of cancer.
An elderly patient with Type 1 diabetes who is otherwise healthy.
A patient who is receiving bolus IV fluids.
A patient with Alzheimer's disease.
A patient with peripheral vascular disease. ✔Correct Answer-The patient who was just informed of
a diagnosis of cancer
A patient who is receiving bolus IV fluids
A patient with peripheral vascular disease
Whenever there is an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should
initially do which of the following?
Reassess the radial pulse for 30 seconds.
Auscultate the apical pulse for quality and rate.
Check the carotid pulses one side at a time.
Check the radial pulse on the opposite side. ✔Correct Answer-Auscultate the apical pulse for
quality and rate
What is the normal pulse range for an adult?
90 to 140 beats per minute.
50 to 80 beats per minute.
120 to 160 beats per minute.
60 to 100 beats per minute. ✔Correct Answer-60 to 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.
False.
True. ✔Correct Answer-False
In which of the following patients would the nurse expect to find a decrease in pulse rate? (Select all
that apply.)
A patient who received morphine for pain.
A student who is getting ready to take an exam.
A patient returning from the operating room.
A patient who experienced a bleeding episode.
A newborn following a heelstick. ✔Correct Answer-A patient who received morphine for pain
A patient returning from the operating room
The new NAP is unable to palpate a patient's radial pulse. What could be a possible explanation for
this difficulty? (Select all that apply.)
The NAP assessed the patient's BP before taking the patient's pulse.
The NAP is assessing for a pulse on the thumb side of the wrist.
The NAP is assessing for a pulse on the ulnar side of the wrist.
The patient was previously reported to have a full, bounding pulse.
The NAP is pressing down too hard on the patient's radial site.
Answers| Actual Complete Exam| Already Graded A+
(Just Released)
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per minute.
An adolescent with a respiratory rate of 16 breaths per minute.
A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. ✔Correct Answer-An adult with a
respiratory rate of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered acceptable (within
normal limits)?
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% ✔Correct Answer-Temp 97.0° F (36.1 °C),
P-60, R-16, BP 116/78, O2 sat 95%.
The nurse has delegated the task of temperature assessment to the NAP. Which information should
be provided to the NAP? (Select all that apply.)
The type of temperature required.
The patient's age.
The frequency for taking or monitoring the temperature.
The patient's diagnosis.
What changes to report immediately to the nurse. ✔Correct Answer-What changes to report
immediately to the nurse
The frequency for taking or monitoring the temperature
The type of temperature required
Which of the following situations may affect a patient's vital signs? (Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. ✔Correct Answer-Moving from lying to standing position
Time of Day
Pain rated as a 7 on a 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 the patient with reassurance that he or she is being cared for by a competent staff.
To provide a set of vital signs to use for comparison during and after surgery.
You Answered To ensure the equipment is appropriately calibrated and functional.
To verify the patient is not experiencing any complications that may contraindicate surgery or require
intervention.
You Answered To determine whether the patient is "feeling funny" or "different".
✔Correct Answer-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?
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure. ✔Correct Answer-Assess the patient's blood pressure
Which patient would it be appropriate for the nurse to delegate vital signs?
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache. ✔Correct Answer-Elderly nursing home resident
Which person would be expected to have the lowest body temperature?
An 80-year-old who walked half a mile.
A child playing softball.
A 16-year-old who ran 1 mile.
A toddler who is febrile. ✔Correct Answer-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?
"Change to the red thermometer probe and take the patient's temperature rectally."
"Take the patient's temperature using the axillary route and when you record the reading, add 1°F."
"Since the soup was not hot, go ahead and take the patient's temperature."
"Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral
temperature." ✔Correct Answer-Ask the patient to not eat, drink, or smoke for 20 minutes then
assess the patient's oral temperature
For which patient would a tympanic thermometer be the preferred thermometer to use?
A marathon runner who developed weakness during the race.
A tachypneic patient who is receiving oxygen by nasal cannula.
A pediatric patient who had tubes surgically placed in the ears.
A newborn that requires continuous temperature monitoring. ✔Correct Answer-A tachypneic
patient who is receiving oxygen by nasal cannula
Which of the following patients would require frequent assessment of their temperature? (Select all
that apply.)
A young adult with a white blood count of 15,000/mm3.
An adult female in the recovery room following a hysterectomy.
A patient receiving a blood transfusion for chronic anemia.
A child who is below the normal height and weight for his age.
An elderly patient who needs assistance with feeding and dressing. ✔Correct Answer-A young
adult with a white blood count of 15,000/mm3
An adult female in the recovery room following a hysterectomy
A patient receiving a blood transfusion for chronic anemia
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.)
,Remove the patient's blankets.
Limit the patient's fluid intake.
Apply a hyperthermia blanket as ordered.
Administer an antipyretic to the patient as ordered.
Place the patient's feet in a tub of cool water with ice. ✔Correct Answer-Remove the patient's
blankets
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.)
The NAP uses a blue-tipped electronic probe for assessing a patient's axillary temperature.
The NAP wipes the single-use chemical dot thermometer and places it back in the patient's drawer
for future use.
The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after applying
a probe cover.
The NAP pulls the pinna up, back, and out in an adult when inserting the tympanic thermometer.
The NAP waits un ✔Correct Answer-The NAP wipes the single-use chemical dot thermometer and
places it back in the patient's drawer for future use
The NAP inserts the red=tipped electronic thermometer probe into the patient's mouth after
applying a probe cover
Identify the factors that may have an effect on an elderly patient's temperature: (Select all that
apply.)
Participation in physical therapy exercises.
Room temperature.
Drinking a cold glass of water.
Patient's height.
Infection. ✔Correct Answer-Participation in physical therapy exercises
room temperature
drinking a cold glass of water
infection
If a 52-year-old patient has a normal temperature, what range should the patient's temperature fall
within?
96.8-98.6 °F (36-37 °C)
Correct! 96.8-100.4 °F (36-38 °C)
37-39 °C (98.6-102.2 °F)
35-36 °C (95-96.8 °F) ✔Correct Answer-96.8-100.4F (36-38C)
A 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?
Chemical dot
Tympanic
Temporal artery
Rectal electronic ✔Correct Answer-Temporal Artery
The task of pulse assessment could be delegated to the NAP for which of the following patients?
(Select all that apply.)
An apical pulse of a patient who is to receive a cardiac drug.
A femoral pulse following a lower leg amputation.
A radial pulse of a patient in the emergency room with chest pain.
, The temporal pulse of a child.
A radial pulse on a patient with a 1200 mL fluid restriction. ✔Correct Answer-The temporal pulse of
a child
A radial pulse on a patient with a 1200mL fluid restriction
Which of the following patients would be at risk for having an alteration in peripheral pulse? (Select
all that apply.)
The patient who was just informed of a diagnosis of cancer.
An elderly patient with Type 1 diabetes who is otherwise healthy.
A patient who is receiving bolus IV fluids.
A patient with Alzheimer's disease.
A patient with peripheral vascular disease. ✔Correct Answer-The patient who was just informed of
a diagnosis of cancer
A patient who is receiving bolus IV fluids
A patient with peripheral vascular disease
Whenever there is an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should
initially do which of the following?
Reassess the radial pulse for 30 seconds.
Auscultate the apical pulse for quality and rate.
Check the carotid pulses one side at a time.
Check the radial pulse on the opposite side. ✔Correct Answer-Auscultate the apical pulse for
quality and rate
What is the normal pulse range for an adult?
90 to 140 beats per minute.
50 to 80 beats per minute.
120 to 160 beats per minute.
60 to 100 beats per minute. ✔Correct Answer-60 to 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.
False.
True. ✔Correct Answer-False
In which of the following patients would the nurse expect to find a decrease in pulse rate? (Select all
that apply.)
A patient who received morphine for pain.
A student who is getting ready to take an exam.
A patient returning from the operating room.
A patient who experienced a bleeding episode.
A newborn following a heelstick. ✔Correct Answer-A patient who received morphine for pain
A patient returning from the operating room
The new NAP is unable to palpate a patient's radial pulse. What could be a possible explanation for
this difficulty? (Select all that apply.)
The NAP assessed the patient's BP before taking the patient's pulse.
The NAP is assessing for a pulse on the thumb side of the wrist.
The NAP is assessing for a pulse on the ulnar side of the wrist.
The patient was previously reported to have a full, bounding pulse.
The NAP is pressing down too hard on the patient's radial site.
