BSN 206 Hallmark Exam Select All that Apply
1. The nurse has delegated the task of temperature as- A. The type of temperature
sessment to the NAP. Which information should be required
provided to the NAP? C. The frequency for taking
or monitoring the temper-
A. The type of temperature required ature
B. The PT's age E. What changes to report
C. The frequency for taking or monitoring the temper- immediately to the nurse
ature
D. The Patient's Diagnosis
E. What changes to report immediately to the nurse
2. Which of the following situations may affect a patient's A. Moving from lying to
vital signs? standing position
B. Time of Day
A. Moving from lying to standing position. E. Pain rated as a 7 on 0-10
B. Time of day. scale
C. Occupation
D. Isolation precautions.
E. Pain rated as a 7 on 0-10 pain scale.
3. The nurse will take the patient's vital signs preopera- B. To provide a set of vi-
tively and record them as part of the patient's prepara- tal signs to use for com-
tion for surgery. Why is it necessary to take vital signs parison during and after
preoperatively? surgery.
A. To provide the patient with reassurance that he or D. To verify the patient is
she is being cared for by a competent staff. not experiencing any com-
plications that may con-
B. To provide a set of vital signs to use for comparison traindicate surgery or re-
during and after surgery. quire intervention.
C. To ensure the equipment is appropriately calibrated
and functional.
, BSN 206 Hallmark Exam Select All that Apply
D. To verify the patient is not experiencing any com-
plications that may contraindicate surgery or require
intervention.
E. To determine whether the patient is "feeling funny"
4. Which of the following patients would require frequent A. A young adult with
assessment of their temperature? a white blood count of
15,000/mm3.
A. A young adult with a white blood count of B. An adult female in the
15,000/mm3. recovery room following a
B. An adult female in the recovery room following a hysterectomy.
hysterectomy. C. A patient receiving
C. A patient receiving a blood transfusion for chronic a blood transfusion for
anemia. chronic anemia.
D. A child who is below the normal height and weight
for his age.
E. An elderly patient who needs assistance with feed-
ing and dressing.
5. The NAP reports that the patient's temperature is 39° A. Remove the PT's blan-
C (102.2 °F). Which of the following are appropriate kets
nursing actions? D. Administer an antipyret-
ic to the PT as ordered
A. Remove the PT's blankets
B. Limit the PT's fluid intake
C. Apply a hyperthermia blanket as ordered
D. Administer an antipyretic to the PT as ordered
E. Place the PT's feet in a tub of cool water with ice
6. The Nurse has delegated the task of temperature as- A. The frequency for taking
sessment to the NAP. Which information should be or monitoring the temper-
, BSN 206 Hallmark Exam Select All that Apply
provided to the NAP? ature
A. The frequency for taking or monitoring the temper- D. What changes to report
ature immediately to the nurse
B. The PT's diagnosis E. The type of temperature
C. The PT's age required
D. What changes to report immediately to the nurse
E. The type of temperature is Required
7. The nurse will take the PT's vital signs preoperatively A. To provide a set of vi-
and record them as part of the PT's preparation for tal signs to use for com-
surgery. why is it necessary to take vital signs preop- parison during and after
eratively? surgery
B. To verify the patient is
A. To provide a set of vital signs to use for comparison not experiencing any com-
during and after surgery plications that may con-
B. To verify the patient is not experiencing any com- traindicate surgery or re-
plications that may contraindicate surgery or require quire intervention
intervention
8. Which of the following PT's would require frequent B. An adult female in the
assessment of their temperature? recovery room following a
hysterectomy
A. an elderly PT who needs assistance with feeding and C. A PT receiving a blood
dressing transfusion for chronic
B. An adult female in the recovery room following a anemia
hysterectomy D. A young adult with
C. A PT receiving a blood transfusion for chronic ane- a white blood count of
mia 15,000/ mm3
D. A young adult with a white blood count of 15,000/
mm3
E. A child who is below the normal height and weight
for his age
, BSN 206 Hallmark Exam Select All that Apply
9. Which of the following actions, if made by the NAP, B. The NAP inserts the
would require intervention and further instruction by red-tipped electronic ther-
the nurse? mometer probe into the
PT's mouth after applying
A. The NAP pulls the pinna up back, and out in an adult a probe coper.
when inserting the tympanic thermometer C. The NAP wipes the sin-
B. The NAP inserts the red-tipped electronic ther- gle-use chemical dot ther-
mometer probe into the PT's mouth after applying a mometer and places it
probe coper. back in the PT's drawer for
C. The NAP wipes the single-use chemical dot ther- future use
mometer and places it back in the PT's drawer for
future use
D. The NAP waits until a tone sounds to read the tym-
panic thermometer
E. The NAP uses a blue-tipped electronic probe for
assessing a PT's axillary temperature
10. Identify the factors that may have an effect on an A. Drinking a cold glass of
elderly PT's temperature: water
B. Participation in PT exer-
A. Drinking a cold glass of water cises
B. Participation in PT exercises C. Infection
C. Infection E. Room Temp
D. PT's Height
E. Room Temp
11. The task of pulse assessment could be delegated to B. The Temporal pulse of a
the NAP for which of the following PTs? child
A. Radial pulse of a PT in the ER with chest pain C. A radial pulse on a PT
B. The Temporal pulse of a child with a 1200 mL fluid re-
C. A radial pulse on a PT with a 1200 mL fluid restric- striction
tion
1. The nurse has delegated the task of temperature as- A. The type of temperature
sessment to the NAP. Which information should be required
provided to the NAP? C. The frequency for taking
or monitoring the temper-
A. The type of temperature required ature
B. The PT's age E. What changes to report
C. The frequency for taking or monitoring the temper- immediately to the nurse
ature
D. The Patient's Diagnosis
E. What changes to report immediately to the nurse
2. Which of the following situations may affect a patient's A. Moving from lying to
vital signs? standing position
B. Time of Day
A. Moving from lying to standing position. E. Pain rated as a 7 on 0-10
B. Time of day. scale
C. Occupation
D. Isolation precautions.
E. Pain rated as a 7 on 0-10 pain scale.
3. The nurse will take the patient's vital signs preopera- B. To provide a set of vi-
tively and record them as part of the patient's prepara- tal signs to use for com-
tion for surgery. Why is it necessary to take vital signs parison during and after
preoperatively? surgery.
A. To provide the patient with reassurance that he or D. To verify the patient is
she is being cared for by a competent staff. not experiencing any com-
plications that may con-
B. To provide a set of vital signs to use for comparison traindicate surgery or re-
during and after surgery. quire intervention.
C. To ensure the equipment is appropriately calibrated
and functional.
, BSN 206 Hallmark Exam Select All that Apply
D. To verify the patient is not experiencing any com-
plications that may contraindicate surgery or require
intervention.
E. To determine whether the patient is "feeling funny"
4. Which of the following patients would require frequent A. A young adult with
assessment of their temperature? a white blood count of
15,000/mm3.
A. A young adult with a white blood count of B. An adult female in the
15,000/mm3. recovery room following a
B. An adult female in the recovery room following a hysterectomy.
hysterectomy. C. A patient receiving
C. A patient receiving a blood transfusion for chronic a blood transfusion for
anemia. chronic anemia.
D. A child who is below the normal height and weight
for his age.
E. An elderly patient who needs assistance with feed-
ing and dressing.
5. The NAP reports that the patient's temperature is 39° A. Remove the PT's blan-
C (102.2 °F). Which of the following are appropriate kets
nursing actions? D. Administer an antipyret-
ic to the PT as ordered
A. Remove the PT's blankets
B. Limit the PT's fluid intake
C. Apply a hyperthermia blanket as ordered
D. Administer an antipyretic to the PT as ordered
E. Place the PT's feet in a tub of cool water with ice
6. The Nurse has delegated the task of temperature as- A. The frequency for taking
sessment to the NAP. Which information should be or monitoring the temper-
, BSN 206 Hallmark Exam Select All that Apply
provided to the NAP? ature
A. The frequency for taking or monitoring the temper- D. What changes to report
ature immediately to the nurse
B. The PT's diagnosis E. The type of temperature
C. The PT's age required
D. What changes to report immediately to the nurse
E. The type of temperature is Required
7. The nurse will take the PT's vital signs preoperatively A. To provide a set of vi-
and record them as part of the PT's preparation for tal signs to use for com-
surgery. why is it necessary to take vital signs preop- parison during and after
eratively? surgery
B. To verify the patient is
A. To provide a set of vital signs to use for comparison not experiencing any com-
during and after surgery plications that may con-
B. To verify the patient is not experiencing any com- traindicate surgery or re-
plications that may contraindicate surgery or require quire intervention
intervention
8. Which of the following PT's would require frequent B. An adult female in the
assessment of their temperature? recovery room following a
hysterectomy
A. an elderly PT who needs assistance with feeding and C. A PT receiving a blood
dressing transfusion for chronic
B. An adult female in the recovery room following a anemia
hysterectomy D. A young adult with
C. A PT receiving a blood transfusion for chronic ane- a white blood count of
mia 15,000/ mm3
D. A young adult with a white blood count of 15,000/
mm3
E. A child who is below the normal height and weight
for his age
, BSN 206 Hallmark Exam Select All that Apply
9. Which of the following actions, if made by the NAP, B. The NAP inserts the
would require intervention and further instruction by red-tipped electronic ther-
the nurse? mometer probe into the
PT's mouth after applying
A. The NAP pulls the pinna up back, and out in an adult a probe coper.
when inserting the tympanic thermometer C. The NAP wipes the sin-
B. The NAP inserts the red-tipped electronic ther- gle-use chemical dot ther-
mometer probe into the PT's mouth after applying a mometer and places it
probe coper. back in the PT's drawer for
C. The NAP wipes the single-use chemical dot ther- future use
mometer and places it back in the PT's drawer for
future use
D. The NAP waits until a tone sounds to read the tym-
panic thermometer
E. The NAP uses a blue-tipped electronic probe for
assessing a PT's axillary temperature
10. Identify the factors that may have an effect on an A. Drinking a cold glass of
elderly PT's temperature: water
B. Participation in PT exer-
A. Drinking a cold glass of water cises
B. Participation in PT exercises C. Infection
C. Infection E. Room Temp
D. PT's Height
E. Room Temp
11. The task of pulse assessment could be delegated to B. The Temporal pulse of a
the NAP for which of the following PTs? child
A. Radial pulse of a PT in the ER with chest pain C. A radial pulse on a PT
B. The Temporal pulse of a child with a 1200 mL fluid re-
C. A radial pulse on a PT with a 1200 mL fluid restric- striction
tion
