BSN 206 (2025) Actual Exam Questions
and Answers A+ Graded
Which .of .the .following .patients .would .require .follow-up? .- .CORRECT .ANSWER-
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)? .- .CORRECT .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? .- .CORRECT .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? .- .CORRECT
.ANSWER-Moving .from .lying .to .standing .position.
Pain .rated .as .a .7 .on .0-10 .pain .scale.
Time .of .day.
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? .- .CORRECT .ANSWER-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? .- .CORRECT .ANSWER-
Assess .the .patient .s .blood .pressure.
, Which .patient .would .it .be .appropriate .for .the .nurse .to .delegate .vital .signs .-
.CORRECT .ANSWER-Elderly .nursing .home .resident
Which .person .would .be .expected .to .have .the .lowest .body .temperature .-
.CORRECT .ANSWER-An .80-year-old .who .walked .half .a .mile
80-year-old .would .have .a .lower .starting .temperature .and .therefore, .would .most
.likely .have .the .lowest .body .temperature .although .it .may .take .longer .to .return
.to .baseline .after .exercise.
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 .- .CORRECT .ANSWER-Ask .the .patient .not .to .eat,
.drink, .or .smoke .for .20 .minutes .and .then .assess .the .patient's .oral .temperature.
The .temperature .of .food .or .liquid .could .impair .the .accuracy .of .the .reading.
For .which .patient .would .a .tympanic .thermometer .be .the .preferred .thermometer
.to .use .- .CORRECT .ANSWER-A .tachypneic .patient .who .is .receiving .oxygen .by
.nasal .cannula.
Which .of .the .following .patients .would .require .frequent .assessment .of .their
.temperature .- .CORRECT .ANSWER-A .young .adult .with .a .white .blood .count .of
.15,000/mm
A .patient .receiving .a .blood .transfusion .for .chronic .anemia.
An .adult .female .in .the .recovery .room .following .a .hysterectomy.
The .NAP .reports .that .the .patient's .temperature .is .39° .C .(102.2 .°F). .Which .of .the
.following .are .appropriate .nursing .actions? .- .CORRECT .ANSWER-Remove .the
.patient's .blankets
Administer .an .antipyretic .to .the .patient .as .ordered.
Which .of .the .following .actions, .if .made .by .the .NAP, .would .require .intervention
.and .further .instruction .by .the .nurse? .- .CORRECT .ANSWER-The .NAP .wipes .the
.single-use .chemical .dot .thermometer .and .places .it .back .in .the .patient's .drawer
.for .future .use.
The .NAP .inserts .the .red-tipped .electronic .thermometer .probe .into .the .patient's
.mouth .after .applying .a .probe .cover.
Identify .the .factors .that .may .have .an .effect .on .an .elderly .patient's .temperature .-
.CORRECT .ANSWER-Drinking .a .cold .glass .of .water.
Infection
and Answers A+ Graded
Which .of .the .following .patients .would .require .follow-up? .- .CORRECT .ANSWER-
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)? .- .CORRECT .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? .- .CORRECT .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? .- .CORRECT
.ANSWER-Moving .from .lying .to .standing .position.
Pain .rated .as .a .7 .on .0-10 .pain .scale.
Time .of .day.
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? .- .CORRECT .ANSWER-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? .- .CORRECT .ANSWER-
Assess .the .patient .s .blood .pressure.
, Which .patient .would .it .be .appropriate .for .the .nurse .to .delegate .vital .signs .-
.CORRECT .ANSWER-Elderly .nursing .home .resident
Which .person .would .be .expected .to .have .the .lowest .body .temperature .-
.CORRECT .ANSWER-An .80-year-old .who .walked .half .a .mile
80-year-old .would .have .a .lower .starting .temperature .and .therefore, .would .most
.likely .have .the .lowest .body .temperature .although .it .may .take .longer .to .return
.to .baseline .after .exercise.
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 .- .CORRECT .ANSWER-Ask .the .patient .not .to .eat,
.drink, .or .smoke .for .20 .minutes .and .then .assess .the .patient's .oral .temperature.
The .temperature .of .food .or .liquid .could .impair .the .accuracy .of .the .reading.
For .which .patient .would .a .tympanic .thermometer .be .the .preferred .thermometer
.to .use .- .CORRECT .ANSWER-A .tachypneic .patient .who .is .receiving .oxygen .by
.nasal .cannula.
Which .of .the .following .patients .would .require .frequent .assessment .of .their
.temperature .- .CORRECT .ANSWER-A .young .adult .with .a .white .blood .count .of
.15,000/mm
A .patient .receiving .a .blood .transfusion .for .chronic .anemia.
An .adult .female .in .the .recovery .room .following .a .hysterectomy.
The .NAP .reports .that .the .patient's .temperature .is .39° .C .(102.2 .°F). .Which .of .the
.following .are .appropriate .nursing .actions? .- .CORRECT .ANSWER-Remove .the
.patient's .blankets
Administer .an .antipyretic .to .the .patient .as .ordered.
Which .of .the .following .actions, .if .made .by .the .NAP, .would .require .intervention
.and .further .instruction .by .the .nurse? .- .CORRECT .ANSWER-The .NAP .wipes .the
.single-use .chemical .dot .thermometer .and .places .it .back .in .the .patient's .drawer
.for .future .use.
The .NAP .inserts .the .red-tipped .electronic .thermometer .probe .into .the .patient's
.mouth .after .applying .a .probe .cover.
Identify .the .factors .that .may .have .an .effect .on .an .elderly .patient's .temperature .-
.CORRECT .ANSWER-Drinking .a .cold .glass .of .water.
Infection
