BSN 205 LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS SCORED A+
✔✔Which of the following patients would be considered hypertensive after having two
or more consistent readings of these values? - ✔✔A football player with a diastolic BP
of 94.
✔✔For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess
BP? - ✔✔A patient with a deep vein thrombosis (blood clot, usually in the lower
extremities).
✔✔The student nurse is unsure of the BP measurement. What should the student nurse
do first? - ✔✔Assess the BP in the other arm.
✔✔Using the image below, please choose the correct BP combination: - ✔✔Image A =
120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
✔✔It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds
his blood pressure is elevated. Which of the following could explain the cause for this
alteration in BP? - ✔✔The patient complains of pain at a 9 on a 0-10 pain scale.
✔✔The patient has a history of a left mastectomy. Where should the nurse take the
patient's blood pressure? - ✔✔In the right arm
✔✔The nurse is unable to obtain a BP reading using an electronic BP machine on a
post-operative patient. The machine reads "Error." What priority action should the nurse
take? - ✔✔Take the patient's BP manually using a sphygmomanometer.
✔✔The NAP reports to the nurse the patient's respirations are 32 and the patient is
complaining of shortness of breath. What is the best nursing action at this time?
A) Request the NAP obtain the patient's pulse oximetry and report the reading to the
nurse.
B) Ask the NAP to obtain a full set of vital signs
C) Assess the patient yourself, including the pulse oximetry reading
D) Notify the health care provider - ✔✔C) Assess the patient yourself, including the
pulse oximetry reading
✔✔Which patient is at high risk for for the pulse oximetry alarm to sound?
A) A patient with a continuous pulse oximetry reading of 84%. Correct
B) A patient who is receiving oxygen via face mask.
C) A patient who has an intermittent pulse oximetry reading of 95%
,D) A patient with a HR of 64 beats per minute - ✔✔A) A patient with a continuous pulse
oximetry reading of 84%. Correct
✔✔A patient complains of feeling excessively tired. Which statement, if made by the
NAP, indicates further instruction is necessary?
A) "I will turn the continuous pulse oximetry alarms off at night so you can sleep without
interruption."
B) "I can give you a back massage to help you relax."
C) "What kind of nighttime ritual helps you go to sleep?"
D) "If the finger clip is bothering you, I can attach a probe to your ear."
E) "I will notify the nurse and the two of you can determine whether you need your
sleeping medication." - ✔✔A) "I will turn the continuous pulse oximetry alarms off at
night so you can sleep without interruption."
✔✔The NAP tells you that the patient's pulse oximetry is 85% on room air. What nursing
action(s) should you take? (Select all that apply.)
A) Start oxygen at 2 liters per minute by nasal cannula
B) Reassess pulse oximetry
C) Place the patient in the high-Fowler's position
D) Have the NAP take the patient's vital signs
E) Assess the patient's respiratory and cardiac status - ✔✔B) Reassess pulse oximetry
C) Place the patient in the high-Fowler's position
E) Assess the patient's respiratory and cardiac status
✔✔Which of the following vitals signs are expected for the adult patient who has
problems in oxygenation? - ✔✔Temp 98.6 F (37C), P-102, R-28, BP 98/50, O2 sat-
85%
✔✔A healthy 30-year old male arrives at the clinic for a physical. The nurse is
responsible for collecting his vital signs. Which of the following can be delegated to a
NAP? - ✔✔-Temperature
-pulse
-respirations
-BP-pulse oximetry
✔✔The nurse decides to collect the patients temperature orally using an electric
thermometer. Choose the equipment to be used. - ✔✔-Blue probe electronic
thermometer.
-Thermometer cover.
-Patient data recording sheet and a pen.
, ✔✔The patient's BP reading is 150/80 mmHg. For the patient, 80 is representative of: -
✔✔-diastolic pressure
-the ventricles during relaxation
✔✔The nurse is having great difficulty hearing any sound when taking a patient's BP.
What can the nurse do to increase ability rot auscultate the reading? - ✔✔-Reduce
environmental noise by turning off the TV or closing the door.
-Ensure the stethoscope does not touch the patient's clothing or BP cuff.
-Keep the stethoscope tubing still to avoid extraneous sound.
-Ensure chest piece is rotated to the diaphragm side.-Ensure bladder of the cuff is
centered 1 in above the brachial artery.
✔✔The NAP reports to the nurse that the patient's pulse oximetry is 88%. What action
should the nurse take? - ✔✔-Verify the reading by taking the patient's pulse oximetry.
-Assist the patient to a high fowlers position.
-Be prepared to administer oxygen.
-Perform a cardiopulmonary assessment.
-Notify the health care provider.
✔✔A 15-year old male patient is hypothermic. Which temperature reflects hypothermia?
- ✔✔95 F 35C
✔✔Identify why a child's respirations might be shallow - ✔✔The child is in acute pain
✔✔You are taking a patient's BP by using one-step method. Which of the following is an
incorrect step in the sequence for performing this procedure? - ✔✔Pump the cuff to
20mmHg above the patient's normal diastolic pressure. Release the valve quickly.
Observe the needle fall. Identify the onset of the first Korotkoff sound in mmHg.
✔✔A patient has been given an opioid analgesic for pain relief. Why does the nurse
assess the patient's respiratory rate before administering the next dose? - ✔✔Opioid
analgesic may depress rate and depth of respiration.
✔✔A teen has come to the health care provider's office because he does not feel well
after football practice. His temperature is 102F. The nurse may conclude which of the
following regarding temperature reading? - ✔✔This is a high temperature for a person
his age.
✔✔Who would the nurse expect to have the highest body temperature reading? - ✔✔An
adult female who is walking.
✔✔Which of the following should the nurse report to the health care provider? - ✔✔An
adult patient with a heart rate of 55.
SOLUTIONS SCORED A+
✔✔Which of the following patients would be considered hypertensive after having two
or more consistent readings of these values? - ✔✔A football player with a diastolic BP
of 94.
✔✔For which patient should you avoid using a leg pressure cuff (thigh cuff) to assess
BP? - ✔✔A patient with a deep vein thrombosis (blood clot, usually in the lower
extremities).
✔✔The student nurse is unsure of the BP measurement. What should the student nurse
do first? - ✔✔Assess the BP in the other arm.
✔✔Using the image below, please choose the correct BP combination: - ✔✔Image A =
120/80, Image B = 128/76, Image C = 140/90, Image D = 138/84
✔✔It is 7 a.m. and the nurse takes the vital signs of a postoperative patient and finds
his blood pressure is elevated. Which of the following could explain the cause for this
alteration in BP? - ✔✔The patient complains of pain at a 9 on a 0-10 pain scale.
✔✔The patient has a history of a left mastectomy. Where should the nurse take the
patient's blood pressure? - ✔✔In the right arm
✔✔The nurse is unable to obtain a BP reading using an electronic BP machine on a
post-operative patient. The machine reads "Error." What priority action should the nurse
take? - ✔✔Take the patient's BP manually using a sphygmomanometer.
✔✔The NAP reports to the nurse the patient's respirations are 32 and the patient is
complaining of shortness of breath. What is the best nursing action at this time?
A) Request the NAP obtain the patient's pulse oximetry and report the reading to the
nurse.
B) Ask the NAP to obtain a full set of vital signs
C) Assess the patient yourself, including the pulse oximetry reading
D) Notify the health care provider - ✔✔C) Assess the patient yourself, including the
pulse oximetry reading
✔✔Which patient is at high risk for for the pulse oximetry alarm to sound?
A) A patient with a continuous pulse oximetry reading of 84%. Correct
B) A patient who is receiving oxygen via face mask.
C) A patient who has an intermittent pulse oximetry reading of 95%
,D) A patient with a HR of 64 beats per minute - ✔✔A) A patient with a continuous pulse
oximetry reading of 84%. Correct
✔✔A patient complains of feeling excessively tired. Which statement, if made by the
NAP, indicates further instruction is necessary?
A) "I will turn the continuous pulse oximetry alarms off at night so you can sleep without
interruption."
B) "I can give you a back massage to help you relax."
C) "What kind of nighttime ritual helps you go to sleep?"
D) "If the finger clip is bothering you, I can attach a probe to your ear."
E) "I will notify the nurse and the two of you can determine whether you need your
sleeping medication." - ✔✔A) "I will turn the continuous pulse oximetry alarms off at
night so you can sleep without interruption."
✔✔The NAP tells you that the patient's pulse oximetry is 85% on room air. What nursing
action(s) should you take? (Select all that apply.)
A) Start oxygen at 2 liters per minute by nasal cannula
B) Reassess pulse oximetry
C) Place the patient in the high-Fowler's position
D) Have the NAP take the patient's vital signs
E) Assess the patient's respiratory and cardiac status - ✔✔B) Reassess pulse oximetry
C) Place the patient in the high-Fowler's position
E) Assess the patient's respiratory and cardiac status
✔✔Which of the following vitals signs are expected for the adult patient who has
problems in oxygenation? - ✔✔Temp 98.6 F (37C), P-102, R-28, BP 98/50, O2 sat-
85%
✔✔A healthy 30-year old male arrives at the clinic for a physical. The nurse is
responsible for collecting his vital signs. Which of the following can be delegated to a
NAP? - ✔✔-Temperature
-pulse
-respirations
-BP-pulse oximetry
✔✔The nurse decides to collect the patients temperature orally using an electric
thermometer. Choose the equipment to be used. - ✔✔-Blue probe electronic
thermometer.
-Thermometer cover.
-Patient data recording sheet and a pen.
, ✔✔The patient's BP reading is 150/80 mmHg. For the patient, 80 is representative of: -
✔✔-diastolic pressure
-the ventricles during relaxation
✔✔The nurse is having great difficulty hearing any sound when taking a patient's BP.
What can the nurse do to increase ability rot auscultate the reading? - ✔✔-Reduce
environmental noise by turning off the TV or closing the door.
-Ensure the stethoscope does not touch the patient's clothing or BP cuff.
-Keep the stethoscope tubing still to avoid extraneous sound.
-Ensure chest piece is rotated to the diaphragm side.-Ensure bladder of the cuff is
centered 1 in above the brachial artery.
✔✔The NAP reports to the nurse that the patient's pulse oximetry is 88%. What action
should the nurse take? - ✔✔-Verify the reading by taking the patient's pulse oximetry.
-Assist the patient to a high fowlers position.
-Be prepared to administer oxygen.
-Perform a cardiopulmonary assessment.
-Notify the health care provider.
✔✔A 15-year old male patient is hypothermic. Which temperature reflects hypothermia?
- ✔✔95 F 35C
✔✔Identify why a child's respirations might be shallow - ✔✔The child is in acute pain
✔✔You are taking a patient's BP by using one-step method. Which of the following is an
incorrect step in the sequence for performing this procedure? - ✔✔Pump the cuff to
20mmHg above the patient's normal diastolic pressure. Release the valve quickly.
Observe the needle fall. Identify the onset of the first Korotkoff sound in mmHg.
✔✔A patient has been given an opioid analgesic for pain relief. Why does the nurse
assess the patient's respiratory rate before administering the next dose? - ✔✔Opioid
analgesic may depress rate and depth of respiration.
✔✔A teen has come to the health care provider's office because he does not feel well
after football practice. His temperature is 102F. The nurse may conclude which of the
following regarding temperature reading? - ✔✔This is a high temperature for a person
his age.
✔✔Who would the nurse expect to have the highest body temperature reading? - ✔✔An
adult female who is walking.
✔✔Which of the following should the nurse report to the health care provider? - ✔✔An
adult patient with a heart rate of 55.
