BSN 205 Exam with All Correct & 100% Verified
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The NAP reports to the nurse the pts RR is 32 and the pt is complaining of SOB. What is the best
action by the nurse at this time? ✔Correct Answer-Assess the pt, including the pulse oximetry
reading.
Which pt is at high risk for the pulse oximetry alarm to sound? ✔Correct Answer-A pt with a
continuous pulse oximetry reading of 84%
The nurse is ambulating the patient for the first time following the patient's lengthy time of being on
bed rest. Which of the following would be an appropriate action by the nurse to determine the
patient's activity tolerance? ✔Correct Answer-Assess vital signs before and after ambulating the
patient.
You take a patient's vital signs on admission to the hospital. Why is it important to take vital signs at
this time? ✔Correct Answer-To obtain a baseline measurement for comparison with subsequent
vital sign measurements
You are preparing to take a patient's temperature. Which of the following factors may affect the
patient's oral temperature reading? ✔Correct Answer-If the patient has recently consumed a hot
or cold beverage,
If the patient has recently exercised,
Warmth of the room, If the patient has recently smoked
The NAP reports to you that a patient is "feeling different" and appears less alert. Your first action
should be to: ✔Correct Answer-Obtain the vital signs yourself.
Which of the following patients is exhibiting abnormal vital sign values for their age?
1. Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41, pulse oximetry 99%
2. Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse oximetry 100%
3. Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry 84%
4. Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse oximetry 95%
✔Correct Answer-Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry
84%
You check the patient's baseline temperature reading and note that it was recorded as 98.6° F (37
°C). What would you expect the temperature reading to be if it was obtained using the rectal route?
✔Correct Answer-99.5° F (37.5 °C)
You check the patient's temperature using the axillary route, and the thermometer reads 97.9° F
(36.6 °C). Which of the following would be the most accurate documentation of the reading?
✔Correct Answer-97.9° F (36.6 °C) Ax
, Easy to read thermometer and provides results in 4 to 15 seconds ✔Correct Answer-Electric
thermometer
Good thermometer for patients in isolation ✔Correct Answer-Chemical thermometer
Disposable thermometer ✔Correct Answer-chemical thermometer
Provides core temperature measurement in a patient with tachypnea ✔Correct Answer-tympanic
thermometer
Sensor thermometer cover not required ✔Correct Answer-temporal artery thermometer
Often underestimates temperature ✔Correct Answer-chemical thermometer
Risk of transferring nosocomial Clostridium infections rectally; also expensive thermometer
✔Correct Answer-Electronic thermometer
Otitis media and cerumen can lead to false readings with this thermometer ✔Correct Answer-
tympanic thermometer
Affected by skin moisture such as diaphoresis or sweating ✔Correct Answer-Temporal artery
thermometer
what is likely to result in a higher temperature reading? ✔Correct Answer-The temperature of a
teenager who just ran a mile.
The temperature of a college student taking an exam
A temperature taken in the evening
Which of the following patients may require more frequent temperature measurement and nursing
assessment because they are at risk for an alteration in temperature? (Select all that apply.)
1. A patient who is in the recovery room after having his gallbladder removed
2. A patient with pneumonia
3. A patient receiving a blood transfusion
4. A patient who is receiving physical therapy
5. A patient with cancer whose white blood cell (WBC) count is 2500 per mm³ ✔Correct Answer-A
patient who is in the recovery room after having his gallbladder removed
A patient with pneumonia
A patient receiving a blood transfusion
A patient with cancer whose white blood cell (WBC) count is 2500 per mm³
thermometers (and corresponding route) would be most accurate for monitoring rapid changes in
core body temperature? ✔Correct Answer-Oral electronic thermometer
Temporal artery thermometer
How far should a rectal thermometer be inserted in an adult? ✔Correct Answer-1.5 in (3.8 cm)
How far should a rectal thermometer be inserted in a child? ✔Correct Answer-0.5 in (1.3 cm)
In what direction should the nurse pull the pinna of the adult when taking a tympanic temperature?
✔Correct Answer-Backward, up, and out
Answers| Actual Complete Exam| Guaranteed to Pass|
Already Graded A+
The NAP reports to the nurse the pts RR is 32 and the pt is complaining of SOB. What is the best
action by the nurse at this time? ✔Correct Answer-Assess the pt, including the pulse oximetry
reading.
Which pt is at high risk for the pulse oximetry alarm to sound? ✔Correct Answer-A pt with a
continuous pulse oximetry reading of 84%
The nurse is ambulating the patient for the first time following the patient's lengthy time of being on
bed rest. Which of the following would be an appropriate action by the nurse to determine the
patient's activity tolerance? ✔Correct Answer-Assess vital signs before and after ambulating the
patient.
You take a patient's vital signs on admission to the hospital. Why is it important to take vital signs at
this time? ✔Correct Answer-To obtain a baseline measurement for comparison with subsequent
vital sign measurements
You are preparing to take a patient's temperature. Which of the following factors may affect the
patient's oral temperature reading? ✔Correct Answer-If the patient has recently consumed a hot
or cold beverage,
If the patient has recently exercised,
Warmth of the room, If the patient has recently smoked
The NAP reports to you that a patient is "feeling different" and appears less alert. Your first action
should be to: ✔Correct Answer-Obtain the vital signs yourself.
Which of the following patients is exhibiting abnormal vital sign values for their age?
1. Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41, pulse oximetry 99%
2. Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse oximetry 100%
3. Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry 84%
4. Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse oximetry 95%
✔Correct Answer-Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry
84%
You check the patient's baseline temperature reading and note that it was recorded as 98.6° F (37
°C). What would you expect the temperature reading to be if it was obtained using the rectal route?
✔Correct Answer-99.5° F (37.5 °C)
You check the patient's temperature using the axillary route, and the thermometer reads 97.9° F
(36.6 °C). Which of the following would be the most accurate documentation of the reading?
✔Correct Answer-97.9° F (36.6 °C) Ax
, Easy to read thermometer and provides results in 4 to 15 seconds ✔Correct Answer-Electric
thermometer
Good thermometer for patients in isolation ✔Correct Answer-Chemical thermometer
Disposable thermometer ✔Correct Answer-chemical thermometer
Provides core temperature measurement in a patient with tachypnea ✔Correct Answer-tympanic
thermometer
Sensor thermometer cover not required ✔Correct Answer-temporal artery thermometer
Often underestimates temperature ✔Correct Answer-chemical thermometer
Risk of transferring nosocomial Clostridium infections rectally; also expensive thermometer
✔Correct Answer-Electronic thermometer
Otitis media and cerumen can lead to false readings with this thermometer ✔Correct Answer-
tympanic thermometer
Affected by skin moisture such as diaphoresis or sweating ✔Correct Answer-Temporal artery
thermometer
what is likely to result in a higher temperature reading? ✔Correct Answer-The temperature of a
teenager who just ran a mile.
The temperature of a college student taking an exam
A temperature taken in the evening
Which of the following patients may require more frequent temperature measurement and nursing
assessment because they are at risk for an alteration in temperature? (Select all that apply.)
1. A patient who is in the recovery room after having his gallbladder removed
2. A patient with pneumonia
3. A patient receiving a blood transfusion
4. A patient who is receiving physical therapy
5. A patient with cancer whose white blood cell (WBC) count is 2500 per mm³ ✔Correct Answer-A
patient who is in the recovery room after having his gallbladder removed
A patient with pneumonia
A patient receiving a blood transfusion
A patient with cancer whose white blood cell (WBC) count is 2500 per mm³
thermometers (and corresponding route) would be most accurate for monitoring rapid changes in
core body temperature? ✔Correct Answer-Oral electronic thermometer
Temporal artery thermometer
How far should a rectal thermometer be inserted in an adult? ✔Correct Answer-1.5 in (3.8 cm)
How far should a rectal thermometer be inserted in a child? ✔Correct Answer-0.5 in (1.3 cm)
In what direction should the nurse pull the pinna of the adult when taking a tympanic temperature?
✔Correct Answer-Backward, up, and out
