HALLMARK BSN 20 CERTIFICATION
EVALUATION EXAM 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Which of the following vital signs recorded for an older adult would
be considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. Answer:
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Normal values for an older adult are: average body temperature
approximately 36° C (96.8° F), heart rate 60 to 100 beats per minute,
respiratory rate 16 to 25 breaths per minute, average BP less than 120
over 80, and pulse oximetry 95% to 100%. A BP greater than 140 over
90 may be an indication of hypertension.
◉ The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? (Select all that
apply.)
,The patient's diagnosis.
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
The patient's age. Answer: What changes to report immediately to the
nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
It is more important that the temperature be done on time by the correct
route, with the correct equipment, and that identified changes be
reported as requested.
◉ Which of the following situations may affect a patient's vital signs?
(Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. Answer: Moving from lying to
standing position.
Time of day.
,Pain rated as a 7 on 0-10 pain scale.
Factors that may alter vital signs include time of day, stress (emotional
and physical), temperature alterations/weather conditions,
exercise/activity, emotions, medication, postural changes, acute pain,
smoking, disease/injury status, noise, food/liquid consumption, and
odors. The person's occupation and isolation precautions do not alter
vital signs. If a person's job requires an activity that increases exertion or
stress, the activity affects vital signs, not the occupation.
◉ 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.)
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide the patient with reassurance that he or she is being cared for
by a competent staff.
To determine whether the patient is "feeling funny"
To provide a set of vital signs to use for comparison during and after
surgery.
To ensure the equipment is appropriately calibrated and functional.
Answer: To verify the patient is not experiencing any complications that
may contraindicate surgery or require intervention.
, To provide a set of vital signs to use for comparison during and after
surgery.
The patient who is going to surgery is going to experience a change in
condition and an invasive procedure. Vital signs are necessary so that the
operative team has a baseline for comparison as well as to rule out any
complications before the beginning of the surgical event. Providing
reassurance to the patient can be done verbally. If a patient reports
feeling different, assessing vital signs is appropriate. There is no
indication the patient is feeling different. Equipment should be
maintained in a functional state at all times.
◉ 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?
Instruct the NAP to obtain a full set of vital signs.
Document this as a normal finding in an elderly adult.
Assess the patient's blood pressure.
Ask the NAP if the patient is nauseous. Answer: Assess the patient's
blood pressure.
This is out of normal range. If there is a question regarding a patient's
vital signs or a suspected change in the patient's condition that may
require further assessment, the nurse should take the patient's vital signs
rather than delegating the task.
EVALUATION EXAM 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Which of the following vital signs recorded for an older adult would
be considered acceptable (within normal limits)?
Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. Answer:
Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Normal values for an older adult are: average body temperature
approximately 36° C (96.8° F), heart rate 60 to 100 beats per minute,
respiratory rate 16 to 25 breaths per minute, average BP less than 120
over 80, and pulse oximetry 95% to 100%. A BP greater than 140 over
90 may be an indication of hypertension.
◉ The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? (Select all that
apply.)
,The patient's diagnosis.
What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
The patient's age. Answer: What changes to report immediately to the
nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
It is more important that the temperature be done on time by the correct
route, with the correct equipment, and that identified changes be
reported as requested.
◉ Which of the following situations may affect a patient's vital signs?
(Select all that apply.)
Moving from lying to standing position.
Time of day.
Occupation.
Isolation precautions.
Pain rated as a 7 on 0-10 pain scale. Answer: Moving from lying to
standing position.
Time of day.
,Pain rated as a 7 on 0-10 pain scale.
Factors that may alter vital signs include time of day, stress (emotional
and physical), temperature alterations/weather conditions,
exercise/activity, emotions, medication, postural changes, acute pain,
smoking, disease/injury status, noise, food/liquid consumption, and
odors. The person's occupation and isolation precautions do not alter
vital signs. If a person's job requires an activity that increases exertion or
stress, the activity affects vital signs, not the occupation.
◉ 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.)
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide the patient with reassurance that he or she is being cared for
by a competent staff.
To determine whether the patient is "feeling funny"
To provide a set of vital signs to use for comparison during and after
surgery.
To ensure the equipment is appropriately calibrated and functional.
Answer: To verify the patient is not experiencing any complications that
may contraindicate surgery or require intervention.
, To provide a set of vital signs to use for comparison during and after
surgery.
The patient who is going to surgery is going to experience a change in
condition and an invasive procedure. Vital signs are necessary so that the
operative team has a baseline for comparison as well as to rule out any
complications before the beginning of the surgical event. Providing
reassurance to the patient can be done verbally. If a patient reports
feeling different, assessing vital signs is appropriate. There is no
indication the patient is feeling different. Equipment should be
maintained in a functional state at all times.
◉ 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?
Instruct the NAP to obtain a full set of vital signs.
Document this as a normal finding in an elderly adult.
Assess the patient's blood pressure.
Ask the NAP if the patient is nauseous. Answer: Assess the patient's
blood pressure.
This is out of normal range. If there is a question regarding a patient's
vital signs or a suspected change in the patient's condition that may
require further assessment, the nurse should take the patient's vital signs
rather than delegating the task.
