BSN 206 Hallmark questions and answers.Buy
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Which of the following patients would require follow-up?
- A child with a respiratory rate of 20 breaths per minute.
- A newborn with a respiratory rate of 40 breaths per minute.
- An adolescent with a respiratory rate of 16 breaths per minute.
- An adult with a respiratory rate of 10 breaths per minute.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
- Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
- 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 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Which of the following situations may affect a patient's vital signs? (Select all that
apply.)
- Pain rated as a 7 on 0-10 pain scale.
- Isolation precautions.
- Occupation.
- Time of day.
- Moving from lying to standing position.
- Pain rated as a 7 on 0-10 pain scale.
- Time of day.
- Moving from lying to standing position.
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 patient's diagnosis
- The frequency for taking or monitoring the temperature.
- The type of temperature required.
- The patient's age.
- What changes to report immediately to the nurse.
- The frequency for taking or monitoring the temperature.
- The type of temperature required.
- What changes to report immediately to the nurse.
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 verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
- 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.
, - To determine whether the patient is "feeling funny" or "different".
- 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.
- To provide a set of vital signs to use for comparison during and after surgery.
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?
- Ask the NAP if the patient is nauseous.
- Assess the patient s blood pressure.
- Instruct the NAP to obtain a full set of vital signs.
- Document this as a normal finding in an elderly adult.
- Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate vital signs?
- Patient with recent complaint of headache.
- Elderly nursing home resident.
- New admission to the hospital.
- Patient transferred from ICU.
- 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 16-year-old who ran 1 mile.
- A child playing softball.
- A toddler who is febrile.
- 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?
- "Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the
patient's oral temperature."
- "Take the patient's temperature using the axillary route and when you record the
reading, add 1°F."
- "Change to the red thermometer probe and take the patient's temperature
rectally."
- "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."
For which patient would a tympanic thermometer be the preferred thermometer to
use?
- A marathon runner who developed weakness during the race.
- A pediatric patient who had tubes surgically placed in the ears.
- A newborn that requires continuous temperature monitoring.
- A tachypneic patient who is receiving oxygen by nasal cannula.
- A tachypneic patient who is receiving oxygen by nasal cannula.
Which of the following patients would require frequent assessment of their
temperature? (Select all that apply.)
- An elderly patient who needs assistance with feeding and dressing.
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Which of the following patients would require follow-up?
- A child with a respiratory rate of 20 breaths per minute.
- A newborn with a respiratory rate of 40 breaths per minute.
- An adolescent with a respiratory rate of 16 breaths per minute.
- An adult with a respiratory rate of 10 breaths per minute.
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 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%.
- Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%.
- 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 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%.
Which of the following situations may affect a patient's vital signs? (Select all that
apply.)
- Pain rated as a 7 on 0-10 pain scale.
- Isolation precautions.
- Occupation.
- Time of day.
- Moving from lying to standing position.
- Pain rated as a 7 on 0-10 pain scale.
- Time of day.
- Moving from lying to standing position.
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 patient's diagnosis
- The frequency for taking or monitoring the temperature.
- The type of temperature required.
- The patient's age.
- What changes to report immediately to the nurse.
- The frequency for taking or monitoring the temperature.
- The type of temperature required.
- What changes to report immediately to the nurse.
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 verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
- 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.
, - To determine whether the patient is "feeling funny" or "different".
- 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.
- To provide a set of vital signs to use for comparison during and after surgery.
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?
- Ask the NAP if the patient is nauseous.
- Assess the patient s blood pressure.
- Instruct the NAP to obtain a full set of vital signs.
- Document this as a normal finding in an elderly adult.
- Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate vital signs?
- Patient with recent complaint of headache.
- Elderly nursing home resident.
- New admission to the hospital.
- Patient transferred from ICU.
- 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 16-year-old who ran 1 mile.
- A child playing softball.
- A toddler who is febrile.
- 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?
- "Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the
patient's oral temperature."
- "Take the patient's temperature using the axillary route and when you record the
reading, add 1°F."
- "Change to the red thermometer probe and take the patient's temperature
rectally."
- "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."
For which patient would a tympanic thermometer be the preferred thermometer to
use?
- A marathon runner who developed weakness during the race.
- A pediatric patient who had tubes surgically placed in the ears.
- A newborn that requires continuous temperature monitoring.
- A tachypneic patient who is receiving oxygen by nasal cannula.
- A tachypneic patient who is receiving oxygen by nasal cannula.
Which of the following patients would require frequent assessment of their
temperature? (Select all that apply.)
- An elderly patient who needs assistance with feeding and dressing.
