BSN 206 HALLMARK FINAL EXAM 2025
(NIGHTINGALE COLLEGE) REAL
QUESTIONS WITH 100% VERIFIED
ANSWERS |A+ GRADED
MULTIPLE CHOICE
The clients BP reading is 150/80 mmHg. For this client, 80 is representative of:
1. The ventricles during contraction.
2. The systolic pressure.
3. The ventricles during relaxation.
4. The pulse pressure.
5. The diastolic pressure.
6. The pulse deficit.
The ventricles during relaxation
The diastolic pressure
The UAP reports to the nurse that the client's pulse oximetry is 88%. What action(s) should the nurse take? (Select
all that apply.)
1. Perform a cardiopulmonary assessment.
2. Notify the health care provider.
3. Verify the reading by taking the client's pulse oximetry.
4. Assist the client to a high-Fowler's position.
5. None should be taken because this is a normal value.
6. Assist the client to a fully supine position.
7. Be prepared to administer oxygen.
Notify the health care provider
Verify the reading by taking the client's pulse oximetry
Assist the client to a high-fowler's position
Be prepared to administer oxygen
Perform a cardiopulmonary assessment
1|Page
,The student nurse is assessing a client's pulses. What action by the student requires the nurse to intervene?
1. Assessing the radial pulse on the client's wrist
2. Assessing the brachial pulse on the client's inner elbow
3. Assessing apical pulse between the fifth and sixth intercostal spaces
4. Assessing the dorsalis pedis pulse by palpating behind the client's knee
Assessing the dorsalis pedis pulse by palpating behind the client's knee
When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled sound the nurse
hears is at 70, and the disappearance of the sound the nurse hears is at 62. How should the nurse record this finding?
1. 138/70
2. 68
3. 76
4. 138/62
138/62
The nurse was assigned to care for five clients. Which of the following vital sign measurements would be cause for
concern? (Select all that apply.)
1. 22-year-old with heart rate of 90 beats/minute
2. 75-year-old with pulse oximetry of 88% on room air
3. 88-year-old with temperature of 96.8° F (36° F)
4. 8-year-old with respiratory rate of 24 breaths/minute
75 year old with pulse oximetry of 88% on room air
A 65-year-old with blood pressure of 140/90
A nursing student is assigned to take the vital signs on a client and finds the radial pulse to be irregular. What action
should the nursing student take?
1. Auscultate the client's apical pulse.
2. Check the client's previous pulse reading.
3. Wait 15 minutes and reassess the pulse.
4. Ask a fellow student to assess the pulse.
Auscultate the clients apical pulse
2|Page
,The nurse has applied a pulse oximeter to the finger of a client who is hypothermic. The pulse oximeter does not
provide a good reading. What action by the nurse is best?
1. Document that the reading cannot be obtained.
2. Assess the fingers for good circulation.
3. Remove any fingernail polish present on the fingernail.
4. Move the oximeter probe to another finger.
Assess the fingers for good circulation
The nurse is performing a morning assessment and notes the client to be experiencing dyspnea. Which client
assessment findings would most indicate this respiratory condition? (Select all that apply.)
1. Pulse oximetry 89%
2. Respirations 26 & shallow
3. Temperature 100.1 °F
4. Patient in orthopneic position
5. Occasional productive cough
Pulse oximetry 89%
Respirations 26 and shallow
The nursing student learns that the purpose of measuring a client's vital signs includes which of the following
rationale? (Select all that apply.)
1. Provide a baseline to compare against.
Evaluate effectiveness of interventions.
Monitor body systems functioning.
Determine if a cure has been obtained.
Identify early signs of problems.
Provide a baseline to compare against
evaluate effectiveness of interventions
Monitor body system functioning
identify early signs of problems
A client is experiencing pyrexia. Which piece of equipment will the nurse obtain to monitor this condition?
1. sphygomomanometer
2. pulse oximeter
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, 3. blood pressure cuff
4. thermometer
5. stethoscope
Thermometer
Which of the following should the nurse report to the health care provider?
1.A young adult with a blood pressure of 110/70.
2.An elderly male with a temperature of 96.8°F (36°C).
3.An adult client with a heart rate of 55.
4.A newborn with a respiratory rate of 40.
An adult client with a heart rate of 55
The nurse caring for a 30-year-old post-surgical client would assess that they are in pain as indicated by:
1.blood pressure of 128/86 mm Hg.
2.a temperature of 102° F.
3. respirations of 16 breaths/min.
4.a pulse rate of 120 beats/min
A pulse rate of 120 beats per min
A nurse is caring for a client with a cardiac disease history. When measuring vital signs, the nurse finds that the
radial pulse is 102 beats/minute and irregular. The nurse correctly:
1.listens to the apical pulse for 1 full minute.
2.takes the pulse for 1 full minute on the other wrist.
3.takes the pulse for 30 seconds on the other wrist.
4.records the findings on the graphic sheet.
listens to apical pulse for 1 full minute
The nurse assesses that the 86-year-old client is experiencing orthostatic hypotension when assessments indicate:
(Select all that apply.)
1.a drop of 15 to 20 mm Hg from baseline when changing position.
2.dizziness upon rising to a standing position.
3.syncope
4|Page
(NIGHTINGALE COLLEGE) REAL
QUESTIONS WITH 100% VERIFIED
ANSWERS |A+ GRADED
MULTIPLE CHOICE
The clients BP reading is 150/80 mmHg. For this client, 80 is representative of:
1. The ventricles during contraction.
2. The systolic pressure.
3. The ventricles during relaxation.
4. The pulse pressure.
5. The diastolic pressure.
6. The pulse deficit.
The ventricles during relaxation
The diastolic pressure
The UAP reports to the nurse that the client's pulse oximetry is 88%. What action(s) should the nurse take? (Select
all that apply.)
1. Perform a cardiopulmonary assessment.
2. Notify the health care provider.
3. Verify the reading by taking the client's pulse oximetry.
4. Assist the client to a high-Fowler's position.
5. None should be taken because this is a normal value.
6. Assist the client to a fully supine position.
7. Be prepared to administer oxygen.
Notify the health care provider
Verify the reading by taking the client's pulse oximetry
Assist the client to a high-fowler's position
Be prepared to administer oxygen
Perform a cardiopulmonary assessment
1|Page
,The student nurse is assessing a client's pulses. What action by the student requires the nurse to intervene?
1. Assessing the radial pulse on the client's wrist
2. Assessing the brachial pulse on the client's inner elbow
3. Assessing apical pulse between the fifth and sixth intercostal spaces
4. Assessing the dorsalis pedis pulse by palpating behind the client's knee
Assessing the dorsalis pedis pulse by palpating behind the client's knee
When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled sound the nurse
hears is at 70, and the disappearance of the sound the nurse hears is at 62. How should the nurse record this finding?
1. 138/70
2. 68
3. 76
4. 138/62
138/62
The nurse was assigned to care for five clients. Which of the following vital sign measurements would be cause for
concern? (Select all that apply.)
1. 22-year-old with heart rate of 90 beats/minute
2. 75-year-old with pulse oximetry of 88% on room air
3. 88-year-old with temperature of 96.8° F (36° F)
4. 8-year-old with respiratory rate of 24 breaths/minute
75 year old with pulse oximetry of 88% on room air
A 65-year-old with blood pressure of 140/90
A nursing student is assigned to take the vital signs on a client and finds the radial pulse to be irregular. What action
should the nursing student take?
1. Auscultate the client's apical pulse.
2. Check the client's previous pulse reading.
3. Wait 15 minutes and reassess the pulse.
4. Ask a fellow student to assess the pulse.
Auscultate the clients apical pulse
2|Page
,The nurse has applied a pulse oximeter to the finger of a client who is hypothermic. The pulse oximeter does not
provide a good reading. What action by the nurse is best?
1. Document that the reading cannot be obtained.
2. Assess the fingers for good circulation.
3. Remove any fingernail polish present on the fingernail.
4. Move the oximeter probe to another finger.
Assess the fingers for good circulation
The nurse is performing a morning assessment and notes the client to be experiencing dyspnea. Which client
assessment findings would most indicate this respiratory condition? (Select all that apply.)
1. Pulse oximetry 89%
2. Respirations 26 & shallow
3. Temperature 100.1 °F
4. Patient in orthopneic position
5. Occasional productive cough
Pulse oximetry 89%
Respirations 26 and shallow
The nursing student learns that the purpose of measuring a client's vital signs includes which of the following
rationale? (Select all that apply.)
1. Provide a baseline to compare against.
Evaluate effectiveness of interventions.
Monitor body systems functioning.
Determine if a cure has been obtained.
Identify early signs of problems.
Provide a baseline to compare against
evaluate effectiveness of interventions
Monitor body system functioning
identify early signs of problems
A client is experiencing pyrexia. Which piece of equipment will the nurse obtain to monitor this condition?
1. sphygomomanometer
2. pulse oximeter
3|Page
, 3. blood pressure cuff
4. thermometer
5. stethoscope
Thermometer
Which of the following should the nurse report to the health care provider?
1.A young adult with a blood pressure of 110/70.
2.An elderly male with a temperature of 96.8°F (36°C).
3.An adult client with a heart rate of 55.
4.A newborn with a respiratory rate of 40.
An adult client with a heart rate of 55
The nurse caring for a 30-year-old post-surgical client would assess that they are in pain as indicated by:
1.blood pressure of 128/86 mm Hg.
2.a temperature of 102° F.
3. respirations of 16 breaths/min.
4.a pulse rate of 120 beats/min
A pulse rate of 120 beats per min
A nurse is caring for a client with a cardiac disease history. When measuring vital signs, the nurse finds that the
radial pulse is 102 beats/minute and irregular. The nurse correctly:
1.listens to the apical pulse for 1 full minute.
2.takes the pulse for 1 full minute on the other wrist.
3.takes the pulse for 30 seconds on the other wrist.
4.records the findings on the graphic sheet.
listens to apical pulse for 1 full minute
The nurse assesses that the 86-year-old client is experiencing orthostatic hypotension when assessments indicate:
(Select all that apply.)
1.a drop of 15 to 20 mm Hg from baseline when changing position.
2.dizziness upon rising to a standing position.
3.syncope
4|Page
