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BSN 206 Foundations of Nursing Fundamentals Hallmark Post Test ISB (Latest Update) Questions & Answers | 100% Correct | Grade A – Nightingale
Question 1: Which of the following patients would require
follow up?
Choices:
a) An adult with a respiratory rate of 10 breaths per minute
b) An adult with a respiratory rate of 15 breaths per minute
c) An adult with a respiratory rate of 20 breaths per minute
Correct answer: a) An adult with a respiratory rate of 10 breaths
per minute
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Question 2: Which of the following vital signs recorded for an
older adult would be considered acceptable (within normal limits)?
Choices:
a) Temp 97.0 F (36.1C), P-60, R-16, BP 116/78, O2 sat 95%
b) Temp 98.6 F (37.0C), P-110, R-28, BP 150/90, O2 sat 90%
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c) Temp 95.0 F (35.0C), P-50, R-12, BP 100/60, O2 sat 92%
Correct answer: a) Temp 97.0 F (36.1C), P-60, R-16, BP
116/78, O2 sat 95%
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Question 3: The nurse has delegated the task of temperature
assessment to the NAP. Which information should be provided to the NAP? Select all that apply.
Choices:
a) The frequency for taking or monitoring the temperature
b) What changes to report immediately to the nurse
c) The type of temperature required
d) The patient’s diagnosis
Correct answer:
a) The frequency for taking or monitoring the temperature
b) What changes to report immediately to the nurse
c) The type of temperature required
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Question 4: Which of the following situations may affect a
patient's vital signs? (Select all that apply)
Choices:
a) Time of day
b) Moving from lying to standing position
c) Pain rated as a 7 on a 0-10 pain scale
d) Room temperature
Correct answer:
a) Time of day
b) Moving from lying to standing position
c) Pain rated as a 7 on a 0-10 pain scale
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Question 5: 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)
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Choices:
a) To provide a set of vital signs to use for comparison during
and after surgery
b) To verify the patient is not experiencing any complications
that may contraindicate surgery or require intervention
c) To ensure the patient is comfortable
d) To document the patient’s weight
Correct answer:
a) To provide a set of vital signs to use for comparison during
and after surgery
b) To verify the patient is not experiencing any complications
that may contraindicate surgery or require intervention
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Question 6: 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?