HALLMARK FINAL EXAM BSN 206
NIGHTINGALE COLLEGE NEWEST
COMPLETE 300 QUESTIO NS AND
CORRECT DETAILED ANS WERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Question : Which of the following patients would require
follow-up?(a) A child with a respiratory rate of 20 breaths per minute.(b) An adolescent with a respiratory rate of 16 breaths per minute.(c) A newborn with a respiratory rate of 40 breaths per minute.(d) An adult with a respiratory rate of 10 breaths per minute.
Correct answer: An adult with a respiratory rate of 10 breaths
per minute.
Question : Which of the following vital signs recorded for an
older adult would be considered acceptable (within normal limits)?(a) Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.(b) Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
(c) Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.(d) Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%
Correct answer: Temp 97.0° F (36.1 °C), P-60, R-16, BP
116/78, O2 sat 95%.
Question : The nurse has delegated the task of temperature
assessment to the NAP. Which information should be provided to the NAP? (Select all that apply.) (a) The type of temperature required.(b) The patient's age.(c) The frequency for taking or monitoring the temperature.(d) The patient's diagnosis.(e) What changes to report immediately to the nurse.
Correct answer: What changes to report immediately to the
nurse The frequency for taking or monitoring the temperature The type of temperature required
Question : Which of the following situations may affect a
patient's vital signs? (Select all that apply.) (a) Moving from lying to standing position.(b) Time of day.(c) Occupation.(d) Isolation precautions.
(e) Pain rated as a 7 on 0-10 pain scale.
Correct answer: Moving from lying to standing position
Time of Day Pain rated as a 7 on a 0-10 pain scale
Question : The nurse will take the patient's vital signs
preoperatively and record them as part of the patient's preparation for surgery. Why is it necessary to take vital signs preoperatively? (Select all that apply.) (a) To provide the patient with reassurance that he or she is being cared for by a competent staff.(b) To provide a set of vital signs to use for comparison during and after surgery.(c) You Answered To ensure the equipment is appropriately calibrated and functional.(d) To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention.(e) You Answered To determine whether the patient is "feeling funny" or "different".
Correct answer: To provide a set of vital signs to use for
comparison during and after surgery To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention
Question : The NAP reports to the nurse a 65-year-old patient
s blood pressure is 160/98. What is the appropriate initial response of the nurse?(a) Document this as a normal finding in an elderly adult.(b) Ask the NAP if the patient is nauseous.(c) Instruct the NAP to obtain a full set of vital signs.(d) Assess the patient s blood pressure.
Correct answer: Assess the patient's blood pressure
Question : Which patient would it be appropriate for the
nurse to delegate vital signs?(a) Patient transferred from ICU.(b) Elderly nursing home resident.(c) New admission to the hospital.(d) Patient with recent complaint of headache.
Correct answer: Elderly nursing home resident
Question : Which person would be expected to have the
lowest body temperature?(a) An 80-year-old who walked half a mile.(b) A child playing softball.(c) A 16-year-old who ran 1 mile.(d) A toddler who is febrile.