BSN 206 Foundations of Nursing Fundamentals Hallmark
Exam (Latest Update ) Questions & Answers 100%
Correct {Grade A} - Nightingale
Ensure the chest piece is rotated to the diaphragm side. - correct answer Reduce
environmental noise by turning off the TV or closing the door.
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side.
A nurse performs orthostatic blood pressure readings on a client with the
following results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by
the nurse is best?
A) Reassess the blood pressures in 1 hour.
B) Reassure the client that these findings are normal.
C) Instruct the client not to get up without help.
D) Document the findings and continue to monitor. - correct answer C) Instruct the
client not to get up without help.
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
,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?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into the wound.
d. Assess the wound to determine the extent of evisceration. - correct 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.)
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration. - correct answer Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
The nurse documents vital signs on a newly admitted patient as: "blood pressure is
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
, 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:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - correct answer b. 54 mm Hg.
The nursing student learns that the purpose of measuring a client's vital signs
includes which of the following rationale? (Select all that apply.)
Evaluate effectiveness of interventions.
Monitor body systems functioning.
Identify early signs of problems.
Determine if a cure has been obtained.
Provide a baseline to compare against. - correct answer Evaluate effectiveness of
interventions.
Monitor body systems functioning.
Identify early signs of problems.
Provide a baseline to compare against.
The nurse receives a hand-off report on four clients. Which client finding should
the nurse assess first?
A) Pulse oximetry 96%
B) Respiratory rate 18 breaths/min
C) Blood pressure 102/62 mm Hg
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
Exam (Latest Update ) Questions & Answers 100%
Correct {Grade A} - Nightingale
Ensure the chest piece is rotated to the diaphragm side. - correct answer Reduce
environmental noise by turning off the TV or closing the door.
Make sure the stethoscope does not touch the client's clothing or BP cuff.
Keep the stethoscope tubing still to avoid extraneous sound.
Ensure the bladder of the cuff is centered 1 inch (2.5 cm) above the brachial artery.
Ensure the chest piece is rotated to the diaphragm side.
A nurse performs orthostatic blood pressure readings on a client with the
following results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by
the nurse is best?
A) Reassess the blood pressures in 1 hour.
B) Reassure the client that these findings are normal.
C) Instruct the client not to get up without help.
D) Document the findings and continue to monitor. - correct answer C) Instruct the
client not to get up without help.
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
,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?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into the wound.
d. Assess the wound to determine the extent of evisceration. - correct 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.)
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration. - correct answer Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
The nurse documents vital signs on a newly admitted patient as: "blood pressure is
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
, 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:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - correct answer b. 54 mm Hg.
The nursing student learns that the purpose of measuring a client's vital signs
includes which of the following rationale? (Select all that apply.)
Evaluate effectiveness of interventions.
Monitor body systems functioning.
Identify early signs of problems.
Determine if a cure has been obtained.
Provide a baseline to compare against. - correct answer Evaluate effectiveness of
interventions.
Monitor body systems functioning.
Identify early signs of problems.
Provide a baseline to compare against.
The nurse receives a hand-off report on four clients. Which client finding should
the nurse assess first?
A) Pulse oximetry 96%
B) Respiratory rate 18 breaths/min
C) Blood pressure 102/62 mm Hg
BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025-2026) Questions & Answers 100%
Correct (Grade A) - Nightingale
