BSN 206 HALLMARK EXAM BANK 2026/2027 |
ACCURATE CURRENTLY TESTING VERSIONS WITH
670+ QUESTIONS AND DETAILED VERIFIED
ANSWERS| ACCURATE FOR GUARANTEED PASS
position. Have the NAP take the patient's vital signs. Assess the
patient's respiratory and cardiac status. - 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 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. - 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%. -
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. - ANSWER//Respiration BP Pulse
Temperature Pulse Oximetry The nurse decides to collect the patient's
temperature orally using an electronic thermometer. Choose the
equipment to be used. (Select all that apply.) Red probe electronic
1|Pag e
,thermometer. Chemical oral thermometer. Blue probe electronic
thermometer. Tympanic thermometer. Patient data recording sheet
and a pen. Thermometer cover. Lubricant. Watch with second hand.
Tissue. Chemical external thermometer. - ANSWER//Blue probe
electronic thermometer Patient data recording sheet and a pen
Thermometer cover The patient's BP reading is 150/80 mmHg. For this
patient, 80 is representative of: (Select all that apply.) The ventricles
during contraction. The pulse pressure. The ventricles during
relaxation. The systolic pressure. The diastolic pressure. The pulse
deficit. - ANSWER//The ventricles during relaxation The diastolic
pressure The nurse is having great difficulty hearing any sound when
taking a patient's BP. What can the nurse do to increase the ability to
auscultate the reading? (Select all that apply.) Ensure the bladder of
the cuff is centered 1 inch (2.5 cm) above the brachial artery. Make
sure the stethoscope does not touch the patient's clothing or BP cuff.
Use the bell side of the stethoscope to auscultate the blood pressure.
Use a different stethoscope with longer tubing for improved
conduction of sound. Reduce environmental noise by turning off the
TV or closing the door. Keep the stethoscope tubing still to avoid
extraneous sound. Ensure the chest piece is rotated to the diaphragm
side. - ANSWER//Ensure the bladder of the cuff is centered 1 inch
(2.5cm) above the brachial artery Make sure the stethoscope does not
touch the patient's clothing or BP cuff Reduce environmental noise by
turning off the TV or closing the door Keep the stethoscope tubing still
to avoid extraneous sound Ensure the chest piece is rotated to the
diaphragm side The NAP reports to the nurse that the patient's pulse
oximetry is 88%. What action(s) should the nurse take? (Select all that
apply.) Verify the reading by taking the patient's pulse oximetry.
Notify the health care provider. Perform a cardiopulmonary
assessment. None should be taken because this is a normal value.
Assist the patient to a high-Fowler's position. Assist the patient to a
fully supine position. Be prepared to administer oxygen. -
ANSWER//Verify the reading by taking the patient's pulse oximetry
Notify the health care provider Perform a cardiopulmonary
assessment Assist the patient to a high-Fowler's position Be prepared
to administer oxygen A 15-year-old male patient is hypothermic.
2|Pag e
,Which temperature reflects hypothermia? 99° F (37.2°C). 95° F (35°C).
110° F (43.3°C). 101° F (38.3°C). - ANSWER//95F (35C) Identify why a
child's respirations might be shallow. The child was running around in
the waiting room with her sibling before her name was called. The
child's parents are smokers and the lungs are negatively affected by
secondhand smoke. The child is in acute pain. The child is anxious
about seeing the doctor. - ANSWER//The child is in acute pain You are
taking a patient's BP by using the one-step method. Which of the
following is an incorrect step in the sequence for performing this
procedure? Listen for the last Korotkoff sound in mm Hg. Completely
deflate the cuff and remove it from the patient's arm. Make the
patient comfortable. Perform hand hygiene. Document the result.
Pump the cuff to 20 mm Hg above the patient's normal diastolic
pressure. Release the valve quickly. Observe the needle fall. Identify
the onset of the first Korotkoff sound in mm Hg. Perform hand
hygiene. Select the appropriate-size cuff. With the patient sitting,
place the forearm at heart level, palm up. Provide privacy and explain
the procedure. Expose the arm and apply the cuff around the upper
arm. Palpate for a brachial pulse. Place the stethoscope in your ears
and place the diaphragm over the site of the brachial pulse. -
ANSWER//Pump the cuff to 20 mm Hg above the patient's normal
diastolic pressure. Release the valve quickly. Observe the needle fall.
Identify the onset of the first Korotkoff sound in mm Hg. A patient has
been given an opioid analgesic (e.g., morphine) for pain relief. Why
does the nurse assess the patient's respiratory rate before
administering the next dose? Opioid analgesics may depress rate and
depth of respirations. To reduce the addiction potential to
unnecessary pain medication. To see if the patient's complaints of
pain are supported physiologically. Assessment will provide the
patient with a sense of security and reduce anxiety. -
ANSWER//Opioid analgesics may depress rate and depth of
respirations A teen has come to the health care provider's office
because he does not feel well after football practice. His temperature
is 102°F (38.9°C). The nurse may conclude which of the following
regarding this temperature reading? This is a low temperature for a
person his age. The reading is likely due to drug or alcohol intake. This
3|Pag e
, is a high temperature for a person his age. This is a normal
temperature for a person his age. - ANSWER//This is a high
temperature for a person his age Who would the nurse expect to have
the highest body temperature reading? An elderly African-American
male. An adult female who is walking. A preterm baby who is sleeping.
A teenager playing video games. - ANSWER//An adult female who is
walking Which of the following should the nurse report to the health
care provider? An elderly male with a temperature of 96.8°F (36°C). A
young adult with a blood pressure of 110/70. An adult patient with a
heart rate of 55. A newborn with a respiratory rate of 40. -
ANSWER//An adult patient with a heart rate of 55 A patient was
brought to the emergency department following a motor vehicle
accident. He appears drowsy, but will arouse to his name being called.
He is bleeding profusely from an injury to his leg. What would the
nurse expect his vital signs to be? 98.6°F (37°C), 84, 20, 120/80 97.8°F
(36.5°C), 110, 24, 80/40 99.0°F (37.2°C), 88, 16, 130/80 100.4°F (38°C),
76, 24, 140/90 - ANSWER//97.8°F (36.5°C), 110, 24, 80/40 The nurse
was assigned to care for five patients. Which of the following vital sign
measurements would be cause for concern? (Select all that apply.)
Correct! 65-year-old with blood pressure of 140/90 22-year-old with
heart rate of 90 beats/minute 75-year-old with pulse oximetry of 88%
on room air 88-year-old with temperature of 96.8° F (36° F) 8-year-old
with respiratory rate of 24 breaths/minute - ANSWER//75-year-old
with pulse oximetry of 88% on room air The nurse reads the following
nurse's note in the patient's health record. What is the priority nursing
intervention based on this information?9/21/17 1800 Patient
complains of headaches, almost daily, occurring more frequently in
the evening. BP 164/98. P. Johnson N.A.P. Inform the patient it is
normal to have a higher BP reading in the evening. Administer
acetaminophen (Tylenol) to relieve the patient's headache. Instruct
the NAP to repeat the BP measurement using a manual cuff. Obtain a
complete set of vital signs and gather further assessment data. -
ANSWER//Obtain a complete set of vital signs and gather further
assessment data A nursing student is assigned to take the vital signs
on a patient and finds the radial pulse to be irregular. What action
should the nursing student take? Check the patient's previous pulse
4|Pag e
ACCURATE CURRENTLY TESTING VERSIONS WITH
670+ QUESTIONS AND DETAILED VERIFIED
ANSWERS| ACCURATE FOR GUARANTEED PASS
position. Have the NAP take the patient's vital signs. Assess the
patient's respiratory and cardiac status. - 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 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. - 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%. -
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. - ANSWER//Respiration BP Pulse
Temperature Pulse Oximetry The nurse decides to collect the patient's
temperature orally using an electronic thermometer. Choose the
equipment to be used. (Select all that apply.) Red probe electronic
1|Pag e
,thermometer. Chemical oral thermometer. Blue probe electronic
thermometer. Tympanic thermometer. Patient data recording sheet
and a pen. Thermometer cover. Lubricant. Watch with second hand.
Tissue. Chemical external thermometer. - ANSWER//Blue probe
electronic thermometer Patient data recording sheet and a pen
Thermometer cover The patient's BP reading is 150/80 mmHg. For this
patient, 80 is representative of: (Select all that apply.) The ventricles
during contraction. The pulse pressure. The ventricles during
relaxation. The systolic pressure. The diastolic pressure. The pulse
deficit. - ANSWER//The ventricles during relaxation The diastolic
pressure The nurse is having great difficulty hearing any sound when
taking a patient's BP. What can the nurse do to increase the ability to
auscultate the reading? (Select all that apply.) Ensure the bladder of
the cuff is centered 1 inch (2.5 cm) above the brachial artery. Make
sure the stethoscope does not touch the patient's clothing or BP cuff.
Use the bell side of the stethoscope to auscultate the blood pressure.
Use a different stethoscope with longer tubing for improved
conduction of sound. Reduce environmental noise by turning off the
TV or closing the door. Keep the stethoscope tubing still to avoid
extraneous sound. Ensure the chest piece is rotated to the diaphragm
side. - ANSWER//Ensure the bladder of the cuff is centered 1 inch
(2.5cm) above the brachial artery Make sure the stethoscope does not
touch the patient's clothing or BP cuff Reduce environmental noise by
turning off the TV or closing the door Keep the stethoscope tubing still
to avoid extraneous sound Ensure the chest piece is rotated to the
diaphragm side The NAP reports to the nurse that the patient's pulse
oximetry is 88%. What action(s) should the nurse take? (Select all that
apply.) Verify the reading by taking the patient's pulse oximetry.
Notify the health care provider. Perform a cardiopulmonary
assessment. None should be taken because this is a normal value.
Assist the patient to a high-Fowler's position. Assist the patient to a
fully supine position. Be prepared to administer oxygen. -
ANSWER//Verify the reading by taking the patient's pulse oximetry
Notify the health care provider Perform a cardiopulmonary
assessment Assist the patient to a high-Fowler's position Be prepared
to administer oxygen A 15-year-old male patient is hypothermic.
2|Pag e
,Which temperature reflects hypothermia? 99° F (37.2°C). 95° F (35°C).
110° F (43.3°C). 101° F (38.3°C). - ANSWER//95F (35C) Identify why a
child's respirations might be shallow. The child was running around in
the waiting room with her sibling before her name was called. The
child's parents are smokers and the lungs are negatively affected by
secondhand smoke. The child is in acute pain. The child is anxious
about seeing the doctor. - ANSWER//The child is in acute pain You are
taking a patient's BP by using the one-step method. Which of the
following is an incorrect step in the sequence for performing this
procedure? Listen for the last Korotkoff sound in mm Hg. Completely
deflate the cuff and remove it from the patient's arm. Make the
patient comfortable. Perform hand hygiene. Document the result.
Pump the cuff to 20 mm Hg above the patient's normal diastolic
pressure. Release the valve quickly. Observe the needle fall. Identify
the onset of the first Korotkoff sound in mm Hg. Perform hand
hygiene. Select the appropriate-size cuff. With the patient sitting,
place the forearm at heart level, palm up. Provide privacy and explain
the procedure. Expose the arm and apply the cuff around the upper
arm. Palpate for a brachial pulse. Place the stethoscope in your ears
and place the diaphragm over the site of the brachial pulse. -
ANSWER//Pump the cuff to 20 mm Hg above the patient's normal
diastolic pressure. Release the valve quickly. Observe the needle fall.
Identify the onset of the first Korotkoff sound in mm Hg. A patient has
been given an opioid analgesic (e.g., morphine) for pain relief. Why
does the nurse assess the patient's respiratory rate before
administering the next dose? Opioid analgesics may depress rate and
depth of respirations. To reduce the addiction potential to
unnecessary pain medication. To see if the patient's complaints of
pain are supported physiologically. Assessment will provide the
patient with a sense of security and reduce anxiety. -
ANSWER//Opioid analgesics may depress rate and depth of
respirations A teen has come to the health care provider's office
because he does not feel well after football practice. His temperature
is 102°F (38.9°C). The nurse may conclude which of the following
regarding this temperature reading? This is a low temperature for a
person his age. The reading is likely due to drug or alcohol intake. This
3|Pag e
, is a high temperature for a person his age. This is a normal
temperature for a person his age. - ANSWER//This is a high
temperature for a person his age Who would the nurse expect to have
the highest body temperature reading? An elderly African-American
male. An adult female who is walking. A preterm baby who is sleeping.
A teenager playing video games. - ANSWER//An adult female who is
walking Which of the following should the nurse report to the health
care provider? An elderly male with a temperature of 96.8°F (36°C). A
young adult with a blood pressure of 110/70. An adult patient with a
heart rate of 55. A newborn with a respiratory rate of 40. -
ANSWER//An adult patient with a heart rate of 55 A patient was
brought to the emergency department following a motor vehicle
accident. He appears drowsy, but will arouse to his name being called.
He is bleeding profusely from an injury to his leg. What would the
nurse expect his vital signs to be? 98.6°F (37°C), 84, 20, 120/80 97.8°F
(36.5°C), 110, 24, 80/40 99.0°F (37.2°C), 88, 16, 130/80 100.4°F (38°C),
76, 24, 140/90 - ANSWER//97.8°F (36.5°C), 110, 24, 80/40 The nurse
was assigned to care for five patients. Which of the following vital sign
measurements would be cause for concern? (Select all that apply.)
Correct! 65-year-old with blood pressure of 140/90 22-year-old with
heart rate of 90 beats/minute 75-year-old with pulse oximetry of 88%
on room air 88-year-old with temperature of 96.8° F (36° F) 8-year-old
with respiratory rate of 24 breaths/minute - ANSWER//75-year-old
with pulse oximetry of 88% on room air The nurse reads the following
nurse's note in the patient's health record. What is the priority nursing
intervention based on this information?9/21/17 1800 Patient
complains of headaches, almost daily, occurring more frequently in
the evening. BP 164/98. P. Johnson N.A.P. Inform the patient it is
normal to have a higher BP reading in the evening. Administer
acetaminophen (Tylenol) to relieve the patient's headache. Instruct
the NAP to repeat the BP measurement using a manual cuff. Obtain a
complete set of vital signs and gather further assessment data. -
ANSWER//Obtain a complete set of vital signs and gather further
assessment data A nursing student is assigned to take the vital signs
on a patient and finds the radial pulse to be irregular. What action
should the nursing student take? Check the patient's previous pulse
4|Pag e
