FOUNDATIONS OF NURSING FUNDAMENTALS HALLMARK EXAMS LEARNING WORKBOOK 2026 CLINICAL SKILLS AND NURSING PROCESS APPLICATION

FOUNDATIONS OF NURSING FUNDAMENTALS
HALLMARK EXAMS LEARNING WORKBOOK
2026 CLINICAL SKILLS AND NURSING
PROCESS APPLICATION

◉ 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%
Answer: Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.


◉ 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 type of temperature required.
The patient's age.
The frequency for taking or monitoring the temperature.
The patient's diagnosis.
What changes to report immediately to the nurse.
Answer: What changes to report immediately to the nurse

,The frequency for taking or monitoring the temperature
The type of temperature required


◉ 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 a 0-10 pain scale


◉ 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 provide the patient with reassurance that he or she is being cared
for by a competent staff.
To provide a set of vital signs to use for comparison during and after
surgery.
You Answered To ensure the equipment is appropriately calibrated
and functional.

,To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
You Answered To determine whether the patient is "feeling funny"
or &quotdifferent&quot.
Answer: To provide a set of vital signs to use for comparison during
and after surgery
To verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention


◉ 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?
Document this as a normal finding in an elderly adult.
Ask the NAP if the patient is nauseous.
Instruct the NAP to obtain a full set of vital signs.
Assess the patient s blood pressure.
Answer: Assess the patient's blood pressure


◉ Which patient would it be appropriate for the nurse to delegate
vital signs?
Patient transferred from ICU.
Elderly nursing home resident.
New admission to the hospital.
Patient with recent complaint of headache.

, Answer: Elderly nursing home resident


◉ Which person would be expected to have the lowest body
temperature?
An 80-year-old who walked half a mile.
A child playing softball.
A 16-year-old who ran 1 mile.
A toddler who is febrile.
Answer: 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?
"Change to the red thermometer probe and take the patient's
temperature rectally."
"Take the patient's temperature using the axillary route and when
you record the reading, add 1°F."
"Since the soup was not hot, go ahead and take the patient's
temperature."
"Ask the patient not to eat, drink, or smoke for 20 minutes and then
assess the patient's oral temperature."
Answer: Ask the patient to not eat, drink, or smoke for 20 minutes
then assess the patient's oral temperature