FOUNDATIONS OF NURSING FUNDAMENTALS
HALLMARK EXAMS CONCEPT REVIEW GUIDE
2026 PATIENT CARE DOCUMENTATION AND
PROFESSIONAL PRACTICE
◉ Which of the following vital signs recorded for an older adult
would be considered acceptable (within normal limits)?
Answer: Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
◉ Which of the following situations may affect a patients vital signs?
Answer: Time of day
Moving from lying to a standing postion
Pain rated as a 7 on a scale of 1-10
◉ Why is it necessay to take a patients vital signs preoperatively?
Answer: To verify the patients not experiencing any complications
To provide a set of vital signs for comparison during and after
surgery.
◉ The NAP reports to the nurse a 65 year old patient's BP is 160/98.
What is the appropriate initial response of the nurse?
,Answer: Assess the patient's BP
◉ Which patient would it be appropriate for the nurse to delegate
vital signs?
Answer: Elderly nursing home resident
◉ The nurse has delegated the task of temperature assessment to
the NAP. Which information should be provided to the NAP?
Answer: -The type of temperature required
-The frequency for taking or monitoring the temperature
-What changes to report immediately to the nurse
◉ Who would you expect to have the lowest body temperature?
A) A 16 year old who ran 1 mile
B) An 80 year old who walked 1/2 mile
C) A toddler who is febrile
D) A child playing softball
Answer: B. An 80 year old who walked half a mile
◉ The NAP is preparing to measure a patient's vital signs. The
patient reports having eaten a bowl of warm soup. The NAP asks the
RN what he should do. What is the best response?
,A) "Ask the patient not to eat, drink, or smoke for 15 minutes and
then assess the patient's oral temperature"
B) "Since the soup was not hot, go ahead and take the patient's
temperature."
C) "Change to the red thermometer probe and take the patient's
temperature rectally."
D) "Take the patient's temperature using the axillary route and when
you record the reading, add 1°F."
Answer: A) "Ask the patient not to eat, drink, or smoke for 15
minutes and then assess the patient's oral temperature
◉ For which patient would a tympanic thermometer be the
preferred thermometer to use?
A) A marathon runner who developed weakness during the race.
B) A newborn in the intensive care unit that requires continuous
temperature monitoring.
C) A child who had tubes surgically placed in the ears.
D) A tachypneic patient who is receiving oxygen by nasal cannula.
Answer: D) A tachypneic patient who is receiving oxygen by nasal
cannula.
◉ Which of the following patients would need frequent assessment
of their temperature? (Select all that apply.)
, A) A patient receiving a blood transfusion for chronic anemia
B) An elderly patient who needs assistance with feeding and
dressing
C) A 43 year old female who has undergone a hysterectomy
D) A child who is small for his age
E) A 19 year old with a while blood cell count of 15,000/mm
Answer: A) A patient receiving a blood transfusion for chronic
anemia
A 43-year-old female who has undergone a hysterectomy. Correct
E) A 19 year old with a while blood cell count of 15,000/mm
◉ The NAP reports that the patient's temperature is 39° C (102.2
°F). Which of the following are appropriate nursing actions? (Select
all that apply.)
A) Place the patient's feet in a tub of cool water with ice.
B) Apply a hyperthermia blanket as ordered.
C) Remove the patient's blankets.
D) Limit the patient's fluid intakeE) Administer an antipyretic to the
patient as ordered
Answer: C) Remove the patient's blankets.
E) Administer an antipyretic to the patient as ordered
HALLMARK EXAMS CONCEPT REVIEW GUIDE
2026 PATIENT CARE DOCUMENTATION AND
PROFESSIONAL PRACTICE
◉ Which of the following vital signs recorded for an older adult
would be considered acceptable (within normal limits)?
Answer: Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
◉ Which of the following situations may affect a patients vital signs?
Answer: Time of day
Moving from lying to a standing postion
Pain rated as a 7 on a scale of 1-10
◉ Why is it necessay to take a patients vital signs preoperatively?
Answer: To verify the patients not experiencing any complications
To provide a set of vital signs for comparison during and after
surgery.
◉ The NAP reports to the nurse a 65 year old patient's BP is 160/98.
What is the appropriate initial response of the nurse?
,Answer: Assess the patient's BP
◉ Which patient would it be appropriate for the nurse to delegate
vital signs?
Answer: Elderly nursing home resident
◉ The nurse has delegated the task of temperature assessment to
the NAP. Which information should be provided to the NAP?
Answer: -The type of temperature required
-The frequency for taking or monitoring the temperature
-What changes to report immediately to the nurse
◉ Who would you expect to have the lowest body temperature?
A) A 16 year old who ran 1 mile
B) An 80 year old who walked 1/2 mile
C) A toddler who is febrile
D) A child playing softball
Answer: B. An 80 year old who walked half a mile
◉ The NAP is preparing to measure a patient's vital signs. The
patient reports having eaten a bowl of warm soup. The NAP asks the
RN what he should do. What is the best response?
,A) "Ask the patient not to eat, drink, or smoke for 15 minutes and
then assess the patient's oral temperature"
B) "Since the soup was not hot, go ahead and take the patient's
temperature."
C) "Change to the red thermometer probe and take the patient's
temperature rectally."
D) "Take the patient's temperature using the axillary route and when
you record the reading, add 1°F."
Answer: A) "Ask the patient not to eat, drink, or smoke for 15
minutes and then assess the patient's oral temperature
◉ For which patient would a tympanic thermometer be the
preferred thermometer to use?
A) A marathon runner who developed weakness during the race.
B) A newborn in the intensive care unit that requires continuous
temperature monitoring.
C) A child who had tubes surgically placed in the ears.
D) A tachypneic patient who is receiving oxygen by nasal cannula.
Answer: D) A tachypneic patient who is receiving oxygen by nasal
cannula.
◉ Which of the following patients would need frequent assessment
of their temperature? (Select all that apply.)
, A) A patient receiving a blood transfusion for chronic anemia
B) An elderly patient who needs assistance with feeding and
dressing
C) A 43 year old female who has undergone a hysterectomy
D) A child who is small for his age
E) A 19 year old with a while blood cell count of 15,000/mm
Answer: A) A patient receiving a blood transfusion for chronic
anemia
A 43-year-old female who has undergone a hysterectomy. Correct
E) A 19 year old with a while blood cell count of 15,000/mm
◉ The NAP reports that the patient's temperature is 39° C (102.2
°F). Which of the following are appropriate nursing actions? (Select
all that apply.)
A) Place the patient's feet in a tub of cool water with ice.
B) Apply a hyperthermia blanket as ordered.
C) Remove the patient's blankets.
D) Limit the patient's fluid intakeE) Administer an antipyretic to the
patient as ordered
Answer: C) Remove the patient's blankets.
E) Administer an antipyretic to the patient as ordered
