BSN 206 FOUNDATIONS OF
NURSING FUNDAMENTALS
HALLMARK FINAL EXAM 2025
LATEST NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
, 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.)
C, E
What is an appropriate nursing intervention for an adult patient with a respiratory rate of 30
breaths per minute? (Select all that apply.)
D, E
Which of the following may increase both rate and depth of respiration? (Select all that
apply.)
B, F, G
When assessing the respiratory rate, the nurse has difficulty seeing the patient's chest rise and
fall with inspiration and expiration. What is the nurse's best action?
Move the patient's arm over their chest and feel the rise and fall of the chest.
How can the nurse best obtain an accurate measurement of a patient's respiratory rate?
Continue to act as though taking the patient's pulse while discretely observing the rise and fall
of the patient's chest.
The nurse is validating the NAP's skill with respiratory rate assessment. Which of the
following actions, if made by the NAP, indicates that further instruction is needed?
When a patient inhales a breath, the NAP counts that as one, and when the patient exhales the
breath, the NAP counts that as two.
The nurse assesses the BP in both arms of a newly admitted patient. Why would the nurse do
this?
To determine if there is a difference in the readings between the two arms.
Which of the following patients would be considered hypertensive after having two or more
consistent readings of these values?
A football player with a diastolic BP of 94.
For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess BP?
A patient with a deep vein thrombosis (blood clot, usually in the lower extremities).
The student nurse is unsure of the BP measurement. What should the student nurse do first?
Assess the BP in the other arm.
, Using the image below, please choose the correct BP combination:
Image A = 120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds his blood
pressure is elevated. Which of the following could explain the cause for this alteration in BP?
The patient complains of pain at a 9 on a 0-10 pain scale.
The patient has a history of a left mastectomy. Where should the nurse take the patient's
blood pressure?
in the right arm
The nurse is unable to obtain a BP reading using an electronic BP machine on a post-
operative patient. The machine reads "Error." What priority action should the nurse take?
Take the patient's BP manually using a sphygmomanometer.
The NAP reports to the nurse the patient's respirations are 32 and the patient is complaining
of shortness of breath. What is the best action by the nurse at this time?
Assess the patient, including the pulse oximetry reading.
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
A patient complains of feeling excessively tired. Which statement, if made by the NAP,
indicates further instruction is necessary?
"I will turn the continuous pulse oximetry alarms off at night so you can sleep."
The NAP tells the nurse the patient's pulse oximetry is 85% on room air. What nursing
action(s) should the nurse take? (Select all that apply.)
B, C, E
The nurse reads the following entry in a patient's health record. The patient has an order for
SpO2 every 4 hours. Based on this information, what would be the nurse's best action?
01/25/17 0800 Unable to obtain pulse oximetry reading. Attempted X2 fingers of each hand.
Patient's fingers cool to touch. Patient states has artificial nails. Patient on 2 L oxygen per
nasal cannula. Respirations nonlabored. C. Smith, N.A.P.__
Have the NAP use a different site, such as the ear lobe, to obtain the SpO2 reading.
A nurse is going to take an oral temperature on a client who has just consumed a cup of
coffee. What action by the nurse is best?
, Return in 30 minutes to take the client's temperature.
A nurse is caring for a client with a cardiac disease history. When measuring vital signs, the
nurse finds that the radial pulse is 102 beats/minute and irregular. The nurse correctly:
listens to the apical pulse for 1 full minute.
Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a client with orthostatic hypotension is to:
allow the client to sit on the side of the bed for a minute before standing.
The nurse has applied a pulse oximeter to the finger of a client who is hypothermic. The pulse
oximeter does not provide a good reading. What action by the nurse is best?
Assess the fingers for good circulation.
A client has been given an opioid analgesic (e.g., morphine) for pain relief. Why does the
nurse assess the client's respiratory rate before administering the next dose?
Opioid analgesics may depress rate and depth of respirations.
Standards of the Joint Commission state that pain is the fifth vital sign and should be
documented by assessments of: (Select all that apply.)
A, B, C, D, E
The nurse is assessing the patient and family for probable familial causes of the patient’s
hypertension. The nurse begins by analyzing the patient’s personal history, as well as family
history and current lifestyle situation. Which findings will the nurse consider to be risk
factors? (Select all that apply.)
A, B, E
A teen has come to the health care provider's office because he does not feel well after
football practice. His temperature is 102°F (38.9°C). The nurse may conclude which of the
following regarding this temperature reading?
This is a high temperature for a person his age.
The home health nurse is instructing a caregiver about caring for a client with hypothermia.
The nurse recognizes that further instruction is warranted when the caregiver states, "I will:
instruct the client to remain on strict bed rest."
NURSING FUNDAMENTALS
HALLMARK FINAL EXAM 2025
LATEST NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
, 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.)
C, E
What is an appropriate nursing intervention for an adult patient with a respiratory rate of 30
breaths per minute? (Select all that apply.)
D, E
Which of the following may increase both rate and depth of respiration? (Select all that
apply.)
B, F, G
When assessing the respiratory rate, the nurse has difficulty seeing the patient's chest rise and
fall with inspiration and expiration. What is the nurse's best action?
Move the patient's arm over their chest and feel the rise and fall of the chest.
How can the nurse best obtain an accurate measurement of a patient's respiratory rate?
Continue to act as though taking the patient's pulse while discretely observing the rise and fall
of the patient's chest.
The nurse is validating the NAP's skill with respiratory rate assessment. Which of the
following actions, if made by the NAP, indicates that further instruction is needed?
When a patient inhales a breath, the NAP counts that as one, and when the patient exhales the
breath, the NAP counts that as two.
The nurse assesses the BP in both arms of a newly admitted patient. Why would the nurse do
this?
To determine if there is a difference in the readings between the two arms.
Which of the following patients would be considered hypertensive after having two or more
consistent readings of these values?
A football player with a diastolic BP of 94.
For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess BP?
A patient with a deep vein thrombosis (blood clot, usually in the lower extremities).
The student nurse is unsure of the BP measurement. What should the student nurse do first?
Assess the BP in the other arm.
, Using the image below, please choose the correct BP combination:
Image A = 120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds his blood
pressure is elevated. Which of the following could explain the cause for this alteration in BP?
The patient complains of pain at a 9 on a 0-10 pain scale.
The patient has a history of a left mastectomy. Where should the nurse take the patient's
blood pressure?
in the right arm
The nurse is unable to obtain a BP reading using an electronic BP machine on a post-
operative patient. The machine reads "Error." What priority action should the nurse take?
Take the patient's BP manually using a sphygmomanometer.
The NAP reports to the nurse the patient's respirations are 32 and the patient is complaining
of shortness of breath. What is the best action by the nurse at this time?
Assess the patient, including the pulse oximetry reading.
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
A patient complains of feeling excessively tired. Which statement, if made by the NAP,
indicates further instruction is necessary?
"I will turn the continuous pulse oximetry alarms off at night so you can sleep."
The NAP tells the nurse the patient's pulse oximetry is 85% on room air. What nursing
action(s) should the nurse take? (Select all that apply.)
B, C, E
The nurse reads the following entry in a patient's health record. The patient has an order for
SpO2 every 4 hours. Based on this information, what would be the nurse's best action?
01/25/17 0800 Unable to obtain pulse oximetry reading. Attempted X2 fingers of each hand.
Patient's fingers cool to touch. Patient states has artificial nails. Patient on 2 L oxygen per
nasal cannula. Respirations nonlabored. C. Smith, N.A.P.__
Have the NAP use a different site, such as the ear lobe, to obtain the SpO2 reading.
A nurse is going to take an oral temperature on a client who has just consumed a cup of
coffee. What action by the nurse is best?
, Return in 30 minutes to take the client's temperature.
A nurse is caring for a client with a cardiac disease history. When measuring vital signs, the
nurse finds that the radial pulse is 102 beats/minute and irregular. The nurse correctly:
listens to the apical pulse for 1 full minute.
Because the older adult's blood vessels are nonelastic, they are prone to orthostatic
hypotension. A priority intervention for a client with orthostatic hypotension is to:
allow the client to sit on the side of the bed for a minute before standing.
The nurse has applied a pulse oximeter to the finger of a client who is hypothermic. The pulse
oximeter does not provide a good reading. What action by the nurse is best?
Assess the fingers for good circulation.
A client has been given an opioid analgesic (e.g., morphine) for pain relief. Why does the
nurse assess the client's respiratory rate before administering the next dose?
Opioid analgesics may depress rate and depth of respirations.
Standards of the Joint Commission state that pain is the fifth vital sign and should be
documented by assessments of: (Select all that apply.)
A, B, C, D, E
The nurse is assessing the patient and family for probable familial causes of the patient’s
hypertension. The nurse begins by analyzing the patient’s personal history, as well as family
history and current lifestyle situation. Which findings will the nurse consider to be risk
factors? (Select all that apply.)
A, B, E
A teen has come to the health care provider's office because he does not feel well after
football practice. His temperature is 102°F (38.9°C). The nurse may conclude which of the
following regarding this temperature reading?
This is a high temperature for a person his age.
The home health nurse is instructing a caregiver about caring for a client with hypothermia.
The nurse recognizes that further instruction is warranted when the caregiver states, "I will:
instruct the client to remain on strict bed rest."
