6/29/25, 2:41 PM BSN 206 ISB - Hallmark
BSN 206 ISB –HALLMARK TEST BANK EXAM 2025
\\NEWEST VERSION WITH UPDATED QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED ANSWERS
ALREADY GRADED A+
Assess the patient's BP
The NAP reports to the nurse
a 65 year old patient's blood
If there is a question regarding a patient's vital signs
pressure is 160/98. What is or a suspected change in the patient's condition that
the appropriate intiial may require further assessment, teh nurse should take
the patient's vital signs rather than delegating the
response of the
task
nurse?
Which patient would it be Elderly nursing home resident
appropriate for the nurse to
delegate vital signs? * Thenurse may delegate routine vital signs of stable patients
* Obtaining a baseline upon admission or transfer
a. Patient with a recent patient should be completed by the nurse. If a patient
complaint of headache has a change in condition, such as a aheadache which
b. New admission to the could be reflective of hypertension, the nurse should
hospital
assess the patient's vital signs
c. Patient transferred from ICU
d. Elderly nursing home
resident
An 80 year old who walked half a mile.
Which person would be
The 80 year old would have a lower standing temp. and
expected to have the therefore, would most
lowest body likely have the lowest body temp. although it may take
temperature? longer to return to baseline after exercise. To be
febrile means to have a fever.
a. A toddler who is febrile * The toddler would fail to have the lowest body temp.
b. An 80-year-old who walked * a 16 year old will have. ahigher starting body temp.
half a mile and exercise will increase the body temp. further.
c. A child playing softball * A child will have a higher starting temp. and exercise will
increase the bodytemp.
d. A 16-year-old who ran 1 mile
further
/ 1/89
,6/29/25, 2:41 PM BSN 206 ISB - Hallmark
Ask the patient not to eat, drink, or smoke for 20
minutes and then assess the patient's orla
temperature
The NAP is preparing to
measure a patient's vital * Thetemp. of food or liquid could impair the accuracy of the
reading. The NAP
signs. The patient reports
having eating a bowl of warm should ask teh patient not to eat, drink or smoke for 20
soup. The minutes and then assess teh oral temp.
NAP asks the RN what he
* Option of taking a rectal temp. at this time can be
should do. What is the
needlessly embarrassing and uncomfortabe for the
best response?
patient.
* Although axillary route could be used, it is less accurate than the
oral route.
Furthermore, when recording an axillary temp. reading,
teh site is documeted but the reading itself is
unchanged.
For which patient would A tachypneic patient who is receiving oxygen by nasal cannula
a tympanic
thermometer be the * An advantageto the tympanic thermometer is that it
preferred can be used for tachypneic patients. The tympanic
thermometer to use? thermometer is contraindicated in patients who have
had surgery of the ear or tympanic membrane and
a. A newborn that does not accurately measure core temp. after
requires continuous exercise.
temperature * A continuous measurement cannot be obtained with the
tympanic thermometer
monitoring
b. A tachypneic patient
who is receiving oxygen
by nasal cannula
c. A pediatric patient
who had tubes
surgically placed in
the ears
d. A marathon runner
who developed
weakness during the
race
/ 2/89
,6/29/25, 2:41 PM BSN 206 ISB - Hallmark
-A patient receiving a blood transfusion for chronic anemia
- A young adult with a white blood count of 15,000/mm^3
- An adult female in the recovery room following a hysterectomy
Which of the following
patients would require * Certain conditions place patinets at risk for temperature
frequent assessment of alterations and may require more frequent assessment.
their temperature? Patients at risk may include those receiving a blood
product infusion, those who are at ostoperative status,
and those with a white blood cell count below 5,000 or
above 12,000/mm^3
- Administeran atipyretic to the patient as ordered
The NAP reports that the
patient's - Remove the patient's blankets
temperature is 39C (102.2 F)
* Although the task of temp. assessment may be delegated, it is the
Which of the following are
nurse's
appropriate nursing actions?
responsibility to determine the accuracy of the
(select all that apply)
measurement and to assess for further indication of
infection.
- Apply a hyperthermia blanket * Fluids should be increased to 3 L daily (unless contraindicated).
as ordered
* The nurse should administer an antipyretic as ordered
- Administer an antipyretic to
and reassess the temp. in 30 minutes and every 4
the patient as ordered
- Remove the patient's blankets
hours until the temp. has stabilized within normal
- Limit the patient's fluid intake limits.
- Place the patient's feet in *A cool wet wash cloth may be provided, but the
a tub of cool water with patient should not be excessively chilled, such as with
ice ice. Cooling the temp. in the room will aid in reducing
the temp. and reducing the amount of external
covering will promote heat loss.
* A hyperthermia blanket is used to raise body temp.
/ 3/89
, 6/29/25, 2:41 PM BSN 206 ISB - Hallmark
Which of the following - The NAP wipes the single-use chemical dot
actions, if made by the NAP thermometer and places it back in the patient's
would require intervention drawer for future use.
and - The NAP inserts the red-tipped electronic
further instruction by the thermometer probe into the patient's mouth after
nurse? (select all that apply) applying a probe cover.
- The NAP wipes the * The electronic thermometers are differentiated by
single-use chemical dot the probe cover tips: blue for oral or axillary, red for
thermometer and places it rectal. Even though a probe cover is applied, a red-
back in the patient's tipped probe should not be placed into a patient's
drawer for future use. mouth.
* The single-use chemical dot thermometer is plastic and can only
- The NAP uses a blue- be used once.
tipped electronic probe * All electronic thermometers (oral, axillary, rectal) and
for assessing a patient's the tympanic thermometer have a tone that sounds
axillary temp. when the measurement is complete.
- The NAP inserts the red- * Pull the pinna up, back, and out in an adult
tipped electronic when inserting the tympanic thermometer
thermometer probe into
the patient's mouth after
applying a probe cover.
- The NAP waits until a tone
sounds to read the
tympanic thermometer.
- The NAP pulls the pinna up,
back, and out in an adult
when inserting the
tympanic
thermometer.
- Infection
- Participationin physical therapy exercises
- Room temperature
- Drinking a cold glass of water
Identify the factors that may
have an effect on an elderly
*The average body temp. of older adults is lower (96.8
patient's temperature.
F). Cold water and a cool room temp would lower temp.
A warm room would raise temp. Exercise and an
infection would raise temp.
/ 4/89
BSN 206 ISB –HALLMARK TEST BANK EXAM 2025
\\NEWEST VERSION WITH UPDATED QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED ANSWERS
ALREADY GRADED A+
Assess the patient's BP
The NAP reports to the nurse
a 65 year old patient's blood
If there is a question regarding a patient's vital signs
pressure is 160/98. What is or a suspected change in the patient's condition that
the appropriate intiial may require further assessment, teh nurse should take
the patient's vital signs rather than delegating the
response of the
task
nurse?
Which patient would it be Elderly nursing home resident
appropriate for the nurse to
delegate vital signs? * Thenurse may delegate routine vital signs of stable patients
* Obtaining a baseline upon admission or transfer
a. Patient with a recent patient should be completed by the nurse. If a patient
complaint of headache has a change in condition, such as a aheadache which
b. New admission to the could be reflective of hypertension, the nurse should
hospital
assess the patient's vital signs
c. Patient transferred from ICU
d. Elderly nursing home
resident
An 80 year old who walked half a mile.
Which person would be
The 80 year old would have a lower standing temp. and
expected to have the therefore, would most
lowest body likely have the lowest body temp. although it may take
temperature? longer to return to baseline after exercise. To be
febrile means to have a fever.
a. A toddler who is febrile * The toddler would fail to have the lowest body temp.
b. An 80-year-old who walked * a 16 year old will have. ahigher starting body temp.
half a mile and exercise will increase the body temp. further.
c. A child playing softball * A child will have a higher starting temp. and exercise will
increase the bodytemp.
d. A 16-year-old who ran 1 mile
further
/ 1/89
,6/29/25, 2:41 PM BSN 206 ISB - Hallmark
Ask the patient not to eat, drink, or smoke for 20
minutes and then assess the patient's orla
temperature
The NAP is preparing to
measure a patient's vital * Thetemp. of food or liquid could impair the accuracy of the
reading. The NAP
signs. The patient reports
having eating a bowl of warm should ask teh patient not to eat, drink or smoke for 20
soup. The minutes and then assess teh oral temp.
NAP asks the RN what he
* Option of taking a rectal temp. at this time can be
should do. What is the
needlessly embarrassing and uncomfortabe for the
best response?
patient.
* Although axillary route could be used, it is less accurate than the
oral route.
Furthermore, when recording an axillary temp. reading,
teh site is documeted but the reading itself is
unchanged.
For which patient would A tachypneic patient who is receiving oxygen by nasal cannula
a tympanic
thermometer be the * An advantageto the tympanic thermometer is that it
preferred can be used for tachypneic patients. The tympanic
thermometer to use? thermometer is contraindicated in patients who have
had surgery of the ear or tympanic membrane and
a. A newborn that does not accurately measure core temp. after
requires continuous exercise.
temperature * A continuous measurement cannot be obtained with the
tympanic thermometer
monitoring
b. A tachypneic patient
who is receiving oxygen
by nasal cannula
c. A pediatric patient
who had tubes
surgically placed in
the ears
d. A marathon runner
who developed
weakness during the
race
/ 2/89
,6/29/25, 2:41 PM BSN 206 ISB - Hallmark
-A patient receiving a blood transfusion for chronic anemia
- A young adult with a white blood count of 15,000/mm^3
- An adult female in the recovery room following a hysterectomy
Which of the following
patients would require * Certain conditions place patinets at risk for temperature
frequent assessment of alterations and may require more frequent assessment.
their temperature? Patients at risk may include those receiving a blood
product infusion, those who are at ostoperative status,
and those with a white blood cell count below 5,000 or
above 12,000/mm^3
- Administeran atipyretic to the patient as ordered
The NAP reports that the
patient's - Remove the patient's blankets
temperature is 39C (102.2 F)
* Although the task of temp. assessment may be delegated, it is the
Which of the following are
nurse's
appropriate nursing actions?
responsibility to determine the accuracy of the
(select all that apply)
measurement and to assess for further indication of
infection.
- Apply a hyperthermia blanket * Fluids should be increased to 3 L daily (unless contraindicated).
as ordered
* The nurse should administer an antipyretic as ordered
- Administer an antipyretic to
and reassess the temp. in 30 minutes and every 4
the patient as ordered
- Remove the patient's blankets
hours until the temp. has stabilized within normal
- Limit the patient's fluid intake limits.
- Place the patient's feet in *A cool wet wash cloth may be provided, but the
a tub of cool water with patient should not be excessively chilled, such as with
ice ice. Cooling the temp. in the room will aid in reducing
the temp. and reducing the amount of external
covering will promote heat loss.
* A hyperthermia blanket is used to raise body temp.
/ 3/89
, 6/29/25, 2:41 PM BSN 206 ISB - Hallmark
Which of the following - The NAP wipes the single-use chemical dot
actions, if made by the NAP thermometer and places it back in the patient's
would require intervention drawer for future use.
and - The NAP inserts the red-tipped electronic
further instruction by the thermometer probe into the patient's mouth after
nurse? (select all that apply) applying a probe cover.
- The NAP wipes the * The electronic thermometers are differentiated by
single-use chemical dot the probe cover tips: blue for oral or axillary, red for
thermometer and places it rectal. Even though a probe cover is applied, a red-
back in the patient's tipped probe should not be placed into a patient's
drawer for future use. mouth.
* The single-use chemical dot thermometer is plastic and can only
- The NAP uses a blue- be used once.
tipped electronic probe * All electronic thermometers (oral, axillary, rectal) and
for assessing a patient's the tympanic thermometer have a tone that sounds
axillary temp. when the measurement is complete.
- The NAP inserts the red- * Pull the pinna up, back, and out in an adult
tipped electronic when inserting the tympanic thermometer
thermometer probe into
the patient's mouth after
applying a probe cover.
- The NAP waits until a tone
sounds to read the
tympanic thermometer.
- The NAP pulls the pinna up,
back, and out in an adult
when inserting the
tympanic
thermometer.
- Infection
- Participationin physical therapy exercises
- Room temperature
- Drinking a cold glass of water
Identify the factors that may
have an effect on an elderly
*The average body temp. of older adults is lower (96.8
patient's temperature.
F). Cold water and a cool room temp would lower temp.
A warm room would raise temp. Exercise and an
infection would raise temp.
/ 4/89
