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HALLMARK FINAL EXAM BSN 206 NIGHTINGALE
COLLEGE LATEST 2025/ 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
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?
- Instruct the client to avoid looking at the wound.
- Apply sterile saline-soaked towels to the area.
- Apply sterile gloves and push the intestines back into
- Assess the wound to determine the extent of
the wound.
evisceration. - Answer-b. Apply sterile saline-soaked towels to the area.
A healthy 30-year-old male arrives at the clinic for a physical. The nurse is responsible for collecting his vital signs. Which of these can be delegated to UAP? (Select all that apply.) 1 / 4
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Temperature.BP.Pulse.Pulse oximetry.Respiration. - Answer-Temperature.BP.Pulse.Pulse oximetry.Respiration.
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:
- 14 mm Hg.
- 54 mm Hg.
- 64 mm Hg.
- 80 mm Hg. - Answer-b. 54 mm Hg.
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The nurse caring for a 30-year-old post-surgical client
would assess that they are in pain as indicated by:
- a temperature of 102° F.
- a pulse rate of 120 beats/min.
- respirations of 16 breaths/min.
- blood pressure of 128/86 mm Hg. - Answer-B) a pulse
rate of 120 beats/min.
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 - Answer-Pulse oximetry 89% Respirations 26 & shallow Patient in orthopneic position
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A nurse notes a client has abnormal vital signs. What action by the nurse is best?
- Notify the provider.
- Compare with prior readings.
- Document the findings.
- Retake the vital signs in 15 minutes. - Answer-B)
Compare with prior readings.
A nurse assesses a client's radial pulse rate to be 110 beats/min and regular. What action by the nurse is best?
- Assess the client for causes of tachycardia.
- Document the findings in the client's chart.
- Take an apical heart rate and compare the two.
- Notify the client's health care provider. - Answer-A)
Assess the client for causes of tachycardia.
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:
- instruct the client to use the wheelchair for all mobility
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activity.