BSN 206 HALLMARK EXAM BANK 2026/2027 |
ACCURATE CURRENTLY TESTING VERSIONS WITH 670+
QUESTIONS AND DETAILED VERIFIED ANSWERS|
ACCURATE FOR GUARANTEED PASS
The patient has a history of a left mastectomy. Where should the nurse take the
patient's blood pressure?
In the right arm
In the left arm
In the right leg
In the left leg - CORRECT ANSWER ✔✔ - 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?
Reattempt using a different electronic BP machine.
Notify the health care provider of this change in patient condition.
Increase the patient's rate of intravenous (IV) fluids.
Take the patient's BP manually using a sphygmomanometer. - CORRECT ANSWER
✔✔ - Take the patient's BP manually using a sphygmomanometer
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per minute.
An adolescent with a respiratory rate of 16 breaths per minute.
Pg. 1
,A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. - CORRECT ANSWER
✔✔ - An adult with a respiratory rate of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered
acceptable (within normal limits)?
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% - CORRECT ANSWER
✔✔ - Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
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 action by the nurse at this
time?
Request the NAP obtain the patient's pulse oximetry and report back.
Ask the NAP to obtain and document a full set of vital signs.
Assess the patient, including the pulse oximetry reading.
Notify the health care provider of this change in condition. - CORRECT ANSWER
✔✔ - Assess the patient, including the pulse oximetry reading
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
A patient who is receiving oxygen via face mask.
A patient who has an intermittent pulse oximetry reading of 95%.
Pg. 2
,A patient with a heart rate of 64 beats per minute. - CORRECT ANSWER ✔✔ - A
patient with a continuous pulse oximetry reading of 84%
A patient complains of feeling excessively tired. Which statement, if made by the
NAP, indicates further instruction is necessary?
"I will turn the continuous pulse oximetry alarms off at night so you can sleep."
"I can give you a back massage to help you relax before bedtime."
"If the finger clip is bothering you, I can attach a probe to your ear."
"I will notify the nurse that you need your sleeping medication tonight." -
CORRECT ANSWER ✔✔ - I will turn the continuous pulse oximetry alarms off at
night so you can sleep.
The NAP tells the nurse the patient's pulse oximetry is 85% on room air. What
nursing action(s) should the nurse take? (Select all that apply.)
Start oxygen at 2 liters per minute by nasal cannula.
Reassess the patient's pulse oximetry.
Place the patient in the high-Fowler's position.
Have the NAP take the patient's vital signs.
Assess the patient's respiratory and cardiac status. - CORRECT ANSWER ✔✔ -
Reassess the patient's pulse oximetry
Place the patient in the high-Fowler's position
Assess the patient's respiratory and cardiac status
The nurse reads the following entry in a patient's health record. The patient has
an order for SpO2 every 4 hours. Based on this information, what would be the
nurse's best action?01/25/17 0800 Unable to obtain pulse oximetry reading.
Attempted X2 fingers of each hand. Patient's fingers cool to touch. Patient states
Pg. 3
, has artificial nails. Patient on 2 L oxygen per nasal cannula. Respirations
nonlabored. C. Smith, N.A.P.__
Remove one of the patient's acrylic nails and reattempt obtaining the SpO2.
Place the patient's hands under warm running water and reattempt the reading.
Have the NAP use a different site, such as the ear lobe, to obtain the SpO2
reading.
Nothing further, as the NAP has provided sufficient data regarding patient
condition. - CORRECT ANSWER ✔✔ - Have the NAP use a different site, such as
the ear lobe, to obtain the SpO2 reading.
Which of the following vital signs are expected for the adult patient who has
problems in oxygenation?
Temp 97.5° F (36.4 °C), P-76, R-20, BP 110/70, O2 sat 95%.
Temp 98.2° F (36.8 °C), P-64, R-16, BP 120/80, O2 sat 96%.
Temp 98.6° F (37 °C), P-102, R-28, BP 98/50, O2 sat 85%.
Temp 97.9° F (36.6 °C), P-80, R-18, BP 140/90, O2 sat 95%. - CORRECT ANSWER
✔✔ - Temp 98.6° F (37 °C), 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 these can be delegated to NAP?
(Select all that apply.)
Respiration.
BP.
Pulse.
Temperature.
Pulse oximetry. - CORRECT ANSWER ✔✔ - Respiration
BP
Pg. 4
ACCURATE CURRENTLY TESTING VERSIONS WITH 670+
QUESTIONS AND DETAILED VERIFIED ANSWERS|
ACCURATE FOR GUARANTEED PASS
The patient has a history of a left mastectomy. Where should the nurse take the
patient's blood pressure?
In the right arm
In the left arm
In the right leg
In the left leg - CORRECT ANSWER ✔✔ - 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?
Reattempt using a different electronic BP machine.
Notify the health care provider of this change in patient condition.
Increase the patient's rate of intravenous (IV) fluids.
Take the patient's BP manually using a sphygmomanometer. - CORRECT ANSWER
✔✔ - Take the patient's BP manually using a sphygmomanometer
Which of the following patients would require follow-up?
A child with a respiratory rate of 20 breaths per minute.
An adolescent with a respiratory rate of 16 breaths per minute.
Pg. 1
,A newborn with a respiratory rate of 40 breaths per minute.
An adult with a respiratory rate of 10 breaths per minute. - CORRECT ANSWER
✔✔ - An adult with a respiratory rate of 10 breaths per minute
Which of the following vital signs recorded for an older adult would be considered
acceptable (within normal limits)?
Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88% - CORRECT ANSWER
✔✔ - Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
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 action by the nurse at this
time?
Request the NAP obtain the patient's pulse oximetry and report back.
Ask the NAP to obtain and document a full set of vital signs.
Assess the patient, including the pulse oximetry reading.
Notify the health care provider of this change in condition. - CORRECT ANSWER
✔✔ - Assess the patient, including the pulse oximetry reading
Which patient is at high risk for for the pulse oximetry alarm to sound?
A patient with a continuous pulse oximetry reading of 84%.
A patient who is receiving oxygen via face mask.
A patient who has an intermittent pulse oximetry reading of 95%.
Pg. 2
,A patient with a heart rate of 64 beats per minute. - CORRECT ANSWER ✔✔ - A
patient with a continuous pulse oximetry reading of 84%
A patient complains of feeling excessively tired. Which statement, if made by the
NAP, indicates further instruction is necessary?
"I will turn the continuous pulse oximetry alarms off at night so you can sleep."
"I can give you a back massage to help you relax before bedtime."
"If the finger clip is bothering you, I can attach a probe to your ear."
"I will notify the nurse that you need your sleeping medication tonight." -
CORRECT ANSWER ✔✔ - I will turn the continuous pulse oximetry alarms off at
night so you can sleep.
The NAP tells the nurse the patient's pulse oximetry is 85% on room air. What
nursing action(s) should the nurse take? (Select all that apply.)
Start oxygen at 2 liters per minute by nasal cannula.
Reassess the patient's pulse oximetry.
Place the patient in the high-Fowler's position.
Have the NAP take the patient's vital signs.
Assess the patient's respiratory and cardiac status. - CORRECT ANSWER ✔✔ -
Reassess the patient's pulse oximetry
Place the patient in the high-Fowler's position
Assess the patient's respiratory and cardiac status
The nurse reads the following entry in a patient's health record. The patient has
an order for SpO2 every 4 hours. Based on this information, what would be the
nurse's best action?01/25/17 0800 Unable to obtain pulse oximetry reading.
Attempted X2 fingers of each hand. Patient's fingers cool to touch. Patient states
Pg. 3
, has artificial nails. Patient on 2 L oxygen per nasal cannula. Respirations
nonlabored. C. Smith, N.A.P.__
Remove one of the patient's acrylic nails and reattempt obtaining the SpO2.
Place the patient's hands under warm running water and reattempt the reading.
Have the NAP use a different site, such as the ear lobe, to obtain the SpO2
reading.
Nothing further, as the NAP has provided sufficient data regarding patient
condition. - CORRECT ANSWER ✔✔ - Have the NAP use a different site, such as
the ear lobe, to obtain the SpO2 reading.
Which of the following vital signs are expected for the adult patient who has
problems in oxygenation?
Temp 97.5° F (36.4 °C), P-76, R-20, BP 110/70, O2 sat 95%.
Temp 98.2° F (36.8 °C), P-64, R-16, BP 120/80, O2 sat 96%.
Temp 98.6° F (37 °C), P-102, R-28, BP 98/50, O2 sat 85%.
Temp 97.9° F (36.6 °C), P-80, R-18, BP 140/90, O2 sat 95%. - CORRECT ANSWER
✔✔ - Temp 98.6° F (37 °C), 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 these can be delegated to NAP?
(Select all that apply.)
Respiration.
BP.
Pulse.
Temperature.
Pulse oximetry. - CORRECT ANSWER ✔✔ - Respiration
BP
Pg. 4
