BSN 206 Hallmark
Nightingale College
2025/2026
Exam Prep Guide
(Expert Verified Questions and
Answers)
Plus A+ Grade Guarantee
, b. Apply sterile saline-soaked towels to the area.
The nurse is performing a
dressing change on a client who
is postoperative from a
laparotomy. The client coughs
and the nurse sees a few loops of
intestine uncoiling from the
wound. What is the nurse's best
action at this time?
a. Instruct the client to avoid
looking at the wound.
b. Apply sterile saline-soaked
towels to the area.
c. Apply sterile gloves and push
the intestines back into the
wound.
d. Assess the wound to
determine the extent of
evisceration.
Temperature.
BP.
Pulse.
A healthy 30-year-old male Pulse oximetry.
arrives at the clinic for a physical. Respiration.
The nurse is responsible for
collecting his vital signs. Which of
these can be delegated to UAP?
(Select all that apply.)
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
b. 54 mm Hg.
The nurse documents vital signs
on a newly admitted patient as:
"blood pressure is 148/94 mm
Hg, the pulse is 80 beats/min,
and the respirations are 16
breaths/min." The nurse would
record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg.
, B) a pulse rate of 120 beats/min.
The nurse caring for a 30-year-
old post-surgical client would
assess that they are in pain as
indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm
Hg.
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
The nurse is performing a
morning assessment and notes
the client to be experiencing
dyspnea. Which client
assessment findings would most
indicate this respiratory
condition? (Select all that apply.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
B) Compare with prior readings.
A nurse notes a client has
abnormal vital signs. What action
by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15
minutes.
A) Assess the client for causes of tachycardia.
A nurse assesses a client's radial
pulse rate to be 110 beats/min
and regular. What action by the
nurse is best?
A) Assess the client for causes of
tachycardia.
B) Document the findings in the
client's chart.
C) Take an apical heart rate and
compare the two.
D) Notify the client's health care
provider.
Nightingale College
2025/2026
Exam Prep Guide
(Expert Verified Questions and
Answers)
Plus A+ Grade Guarantee
, b. Apply sterile saline-soaked towels to the area.
The nurse is performing a
dressing change on a client who
is postoperative from a
laparotomy. The client coughs
and the nurse sees a few loops of
intestine uncoiling from the
wound. What is the nurse's best
action at this time?
a. Instruct the client to avoid
looking at the wound.
b. Apply sterile saline-soaked
towels to the area.
c. Apply sterile gloves and push
the intestines back into the
wound.
d. Assess the wound to
determine the extent of
evisceration.
Temperature.
BP.
Pulse.
A healthy 30-year-old male Pulse oximetry.
arrives at the clinic for a physical. Respiration.
The nurse is responsible for
collecting his vital signs. Which of
these can be delegated to UAP?
(Select all that apply.)
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
b. 54 mm Hg.
The nurse documents vital signs
on a newly admitted patient as:
"blood pressure is 148/94 mm
Hg, the pulse is 80 beats/min,
and the respirations are 16
breaths/min." The nurse would
record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg.
, B) a pulse rate of 120 beats/min.
The nurse caring for a 30-year-
old post-surgical client would
assess that they are in pain as
indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm
Hg.
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
The nurse is performing a
morning assessment and notes
the client to be experiencing
dyspnea. Which client
assessment findings would most
indicate this respiratory
condition? (Select all that apply.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position
B) Compare with prior readings.
A nurse notes a client has
abnormal vital signs. What action
by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15
minutes.
A) Assess the client for causes of tachycardia.
A nurse assesses a client's radial
pulse rate to be 110 beats/min
and regular. What action by the
nurse is best?
A) Assess the client for causes of
tachycardia.
B) Document the findings in the
client's chart.
C) Take an apical heart rate and
compare the two.
D) Notify the client's health care
provider.
