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Hallmark ISB BSN 206 Foundations of Nursing Fundamentals Exam Module Week 3 - 11 (Latest Update) Questions with Answers & Rationales | 100% Correct | Grade A – Nightingale
Question 1: Which of the following would require a follow up?
Choices: An adult with respirations of 10 breaths per minute, An
adult with respirations of 16 breaths per minute, An adult with respirations of 20 breaths per minute, An adult with respirations of 24 breaths per minute
Correct answer: An adult with respirations of 10 breaths per
minute
Question 2: Which of the following vital signs recorded for an
older adult would be considered acceptable (within normal limits)?
Choices: Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%,
Temp 99.0° F, P-110, R-24, BP 150/90, O2 sat 88%, Temp 100.2° F, P-90, R-30, BP 140/85, O2 sat 90%, Temp 96.0° F, P- 50, R-12, BP 100/60, O2 sat 92%
Correct answer: Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat
95%
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Question 3: Which of the following situations may affect a
patient's vital signs?
Choices: Time of day, Moving from lying to a standing position,
Pain rated as a 7 on a scale of 1-10, All of these
Correct answer: Time of day, Moving from lying to a standing
position, Pain rated as a 7 on a scale of 1-10
Question 4: Why is it necessary to take a patient's vital signs
preoperatively?
Choices: To verify the patient’s not experiencing any
complications, To provide a set of vital signs for comparison during and after surgery, Both of these, None of these
Correct answer: To verify the patient’s not experiencing any
complications, To provide a set of vital signs for comparison during and after surgery
Question 5: The NAP reports to the nurse a 65-year-old patient's
BP is 160/98. What is the appropriate initial response of the nurse?
Choices: Assess the patient’s BP, Tell the NAP to reassess,
Notify the doctor immediately, Ignore the report
Correct answer: Assess the patient’s BP
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Question 6: Which patient would it be appropriate for the nurse
to delegate vital signs?
Choices: Elderly nursing home resident, A patient in critical
condition, A patient post-surgery with unstable vitals, A patient with a known arrhythmia
Correct answer: Elderly nursing home resident
Question 7: The nurse has delegated the task of temperature
assessment to the NAP. Which information should be provided to the NAP?
Choices: The type of temperature required, The frequency for
taking or monitoring the temperature, What changes to report immediately to the nurse, All of these
Correct answer: The type of temperature required, The
frequency for taking or monitoring the temperature, What changes to report immediately to the nurse
Question 8: Who would you expect to have the lowest body
temperature?
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Choices: A) A 16-year-old who ran 1 mile, B) An 80-year-old
who walked 1/2 mile, C) A toddler who is febrile, D) A child playing softball
Correct answer: B) An 80-year-old who walked 1/2 mile
Question 9: The NAP is preparing to measure a patient's vital
signs. The patient reports having eaten a bowl of warm soup.The NAP asks the RN what he should do. What is the best response?
Choices: A) "Ask the patient not to eat, drink, or smoke for 15
minutes and then assess the patient’s oral temperature", B) "Since the soup was not hot, go ahead and take the patient’s temperature.", C) "Change to the red thermometer probe and take the patient’s temperature rectally.", D) "Take the patient’s temperature using the axillary route and when you record the reading, add 1°F."
Correct answer: A) "Ask the patient not to eat, drink, or smoke
for 15 minutes and then assess the patient’s oral temperature"
Question 10: For which patient would a tympanic thermometer
be the preferred thermometer to use?