BSN206 Hallmark Exam Review Actual
study set with Questions and
correct/verified Answers
The nurse assesses the BP in both arms of a newly admitted patient. Why would the nurse do this? -
ANSW-To determine if there's a difference in the reading between the two arms
Which of the following patients would be considered hypertensive after having two or more consistent
reading of these values? - ANSW-A football player with a diastolic BP pf 94
For which patient should you avoid using a leg pressure cuff to assess BP? - ANSW-A patient with a deep
vein thrombosis
The student nurse is unsure of the BP measurement. What should the student nurse do first? - ANSW-
Asses the BP in the other arm
It's 7am and the nurse takes the vital signs of a postoperative patient and finds his BP is elevated. Which
of the following could explain the cause for this alteration in BP? - ANSW-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 patients BP? - ANSW-In
the right arm
The nurse in 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? - ANSW-Take the patient's BP
manually using a sphygmomanometer
Which of the following vitals signs are expected for the adult patient who has problems in oxygenation?
Temp 97.5 F (36.4C), P-76, R-20, BP 110/70, O2 sat- 95%
Temp 98.6 F (37C), P-102, R-28, BP 98/50, O2 sat- 85%
Temp 97.9 F (36.6C), P-80, R-18, BP 140/90, O2 sat- 95%
Temp 98.2 F (36.8C), P-64, R-16, BP 120/80, O2 sat- 96% - ANSW-Temp 98.6 F (37C), P-102, R-28, BP
98/50, O2 sat- 85%
A healthy 30-year old male arrives at the clinic for a physical. The nurse is responsible for collecting his
vital signs. Which of the following can be delegated to a NAP?
Temperature, pulse, respirations, BP, pulse oximetry - ANSW-Temperature, pulse, respirations, BP, pulse
oximetry
The nurse decides to collect the patients temperature orally using an electric thermometer. Choose the
equipment to be used.
, Tympanic thermometer, Blue probe electronic thermometer., Chemical oral thermometer, Watch with
second hand, Thermometer cover., Lubricant, Red probe electronic thermometer, Tissue, Patient data
recording sheet and a pen, Thermometer cover, Chemical external thermometer - ANSW-Blue probe
electronic thermometer., Thermometer cover., Patient data recording sheet and a pen.
The nurse is having great difficulty hearing any sound when taking a patient's BP. What can the nurse do
to increase ability rot auscultate the reading?
Reduce environmental noise by turning off the TV or closing the door., Ensure the stethoscope does not
touch the patient's clothing or BP cuff., Use a different stethoscope with longer tubing for improved
conduction of sound, Keep the stethoscope tubing still to avoid extraneous sound., Ensure chest piece is
rotated to the diaphragm side., Ensure bladder of the cuff is centered 1 in above the brachial artery., Use
the bell side of the stethoscope to auscultate the blood pressure - ANSW-Reduce environmental noise by
turning off the TV or closing the door., Ensure the stethoscope does not touch the patient's clothing or
BP cuff., Keep the stethoscope tubing still to avoid extraneous sound., Ensure chest piece is rotated to
the diaphragm side., Ensure bladder of the cuff is centered 1 in above the brachial artery.
The NAP reports to the nurse that the patient's pulse oximetry is 88%. What action should the nurse
take?
None should be taken because this is a normal value, Verify the reading by taking the patient's pulse
oximetry., Assist the patient to a high-Fowlers position., Be prepared to administer oxygen., Perform a
cardiopulmonary assessment., Notify the health care provider., Assist the patient to full supine position -
ANSW-Verify the reading by taking the patient's pulse oximetry., Assist the patient to a high-Fowlers
position., Be prepared to administer oxygen., Perform a cardiopulmonary assessment., Notify the health
care provider.
A 15-year old male patient is hypothermic. Which temperature reflects hypothermia?
110 F (43.3 C)
101 F (38.3 C)
99 F (37.2 C)
95 F (35 C) - ANSW-95 F (35 C)
The patient's BP reading is 150/80 mmHg. For the patient, 80 is representative of:
study set with Questions and
correct/verified Answers
The nurse assesses the BP in both arms of a newly admitted patient. Why would the nurse do this? -
ANSW-To determine if there's a difference in the reading between the two arms
Which of the following patients would be considered hypertensive after having two or more consistent
reading of these values? - ANSW-A football player with a diastolic BP pf 94
For which patient should you avoid using a leg pressure cuff to assess BP? - ANSW-A patient with a deep
vein thrombosis
The student nurse is unsure of the BP measurement. What should the student nurse do first? - ANSW-
Asses the BP in the other arm
It's 7am and the nurse takes the vital signs of a postoperative patient and finds his BP is elevated. Which
of the following could explain the cause for this alteration in BP? - ANSW-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 patients BP? - ANSW-In
the right arm
The nurse in 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? - ANSW-Take the patient's BP
manually using a sphygmomanometer
Which of the following vitals signs are expected for the adult patient who has problems in oxygenation?
Temp 97.5 F (36.4C), P-76, R-20, BP 110/70, O2 sat- 95%
Temp 98.6 F (37C), P-102, R-28, BP 98/50, O2 sat- 85%
Temp 97.9 F (36.6C), P-80, R-18, BP 140/90, O2 sat- 95%
Temp 98.2 F (36.8C), P-64, R-16, BP 120/80, O2 sat- 96% - ANSW-Temp 98.6 F (37C), P-102, R-28, BP
98/50, O2 sat- 85%
A healthy 30-year old male arrives at the clinic for a physical. The nurse is responsible for collecting his
vital signs. Which of the following can be delegated to a NAP?
Temperature, pulse, respirations, BP, pulse oximetry - ANSW-Temperature, pulse, respirations, BP, pulse
oximetry
The nurse decides to collect the patients temperature orally using an electric thermometer. Choose the
equipment to be used.
, Tympanic thermometer, Blue probe electronic thermometer., Chemical oral thermometer, Watch with
second hand, Thermometer cover., Lubricant, Red probe electronic thermometer, Tissue, Patient data
recording sheet and a pen, Thermometer cover, Chemical external thermometer - ANSW-Blue probe
electronic thermometer., Thermometer cover., Patient data recording sheet and a pen.
The nurse is having great difficulty hearing any sound when taking a patient's BP. What can the nurse do
to increase ability rot auscultate the reading?
Reduce environmental noise by turning off the TV or closing the door., Ensure the stethoscope does not
touch the patient's clothing or BP cuff., Use a different stethoscope with longer tubing for improved
conduction of sound, Keep the stethoscope tubing still to avoid extraneous sound., Ensure chest piece is
rotated to the diaphragm side., Ensure bladder of the cuff is centered 1 in above the brachial artery., Use
the bell side of the stethoscope to auscultate the blood pressure - ANSW-Reduce environmental noise by
turning off the TV or closing the door., Ensure the stethoscope does not touch the patient's clothing or
BP cuff., Keep the stethoscope tubing still to avoid extraneous sound., Ensure chest piece is rotated to
the diaphragm side., Ensure bladder of the cuff is centered 1 in above the brachial artery.
The NAP reports to the nurse that the patient's pulse oximetry is 88%. What action should the nurse
take?
None should be taken because this is a normal value, Verify the reading by taking the patient's pulse
oximetry., Assist the patient to a high-Fowlers position., Be prepared to administer oxygen., Perform a
cardiopulmonary assessment., Notify the health care provider., Assist the patient to full supine position -
ANSW-Verify the reading by taking the patient's pulse oximetry., Assist the patient to a high-Fowlers
position., Be prepared to administer oxygen., Perform a cardiopulmonary assessment., Notify the health
care provider.
A 15-year old male patient is hypothermic. Which temperature reflects hypothermia?
110 F (43.3 C)
101 F (38.3 C)
99 F (37.2 C)
95 F (35 C) - ANSW-95 F (35 C)
The patient's BP reading is 150/80 mmHg. For the patient, 80 is representative of:
