1|Page
HALLMARK FINAL EXAM BSN 206 NIGHTINGALE
COLLEGE LATEST 2025/ 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
The nurse is performing a dressing change on a client who
is postoperative from a laparotomy. The client coughs and
the nurse sees a few loops of intestine uncoiling from the
wound. What is the nurse's best action at this time?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into
the wound.
d. Assess the wound to determine the extent of
evisceration. - Answer-b. Apply sterile saline-soaked
towels to the area.
A healthy 30-year-old male arrives at the clinic for a
physical. The nurse is responsible for collecting his vital
signs. Which of these can be delegated to UAP? (Select
all that apply.)
,2|Page
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration. - Answer-Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
The nurse documents vital signs on a newly admitted
patient as: "blood pressure is 148/94 mm Hg, the pulse is
80 beats/min, and the respirations are 16 breaths/min."
The nurse would record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - Answer-b. 54 mm Hg.
,3|Page
The nurse caring for a 30-year-old post-surgical client
would assess that they are in pain as indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm Hg. - Answer-B) a pulse
rate of 120 beats/min.
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.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position - Answer-Pulse oximetry
89%
Respirations 26 & shallow
Patient in orthopneic position
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A nurse notes a client has abnormal vital signs. What
action by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15 minutes. - Answer-B)
Compare with prior readings.
A nurse assesses a client's radial pulse rate to be 110
beats/min and regular. What action by the nurse is best?
A) Assess the client for causes of tachycardia.
B) Document the findings in the client's chart.
C) Take an apical heart rate and compare the two.
D) Notify the client's health care provider. - Answer-A)
Assess the client for causes of tachycardia.
Because the older adult's blood vessels are nonelastic,
they are prone to orthostatic hypotension. A priority
intervention for a client with orthostatic hypotension is to:
A) instruct the client to use the wheelchair for all mobility
activity.
HALLMARK FINAL EXAM BSN 206 NIGHTINGALE
COLLEGE LATEST 2025/ 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||VERIFIED EXAM!!!|| ||LATEST EXAM!!!||
The nurse is performing a dressing change on a client who
is postoperative from a laparotomy. The client coughs and
the nurse sees a few loops of intestine uncoiling from the
wound. What is the nurse's best action at this time?
a. Instruct the client to avoid looking at the wound.
b. Apply sterile saline-soaked towels to the area.
c. Apply sterile gloves and push the intestines back into
the wound.
d. Assess the wound to determine the extent of
evisceration. - Answer-b. Apply sterile saline-soaked
towels to the area.
A healthy 30-year-old male arrives at the clinic for a
physical. The nurse is responsible for collecting his vital
signs. Which of these can be delegated to UAP? (Select
all that apply.)
,2|Page
Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration. - Answer-Temperature.
BP.
Pulse.
Pulse oximetry.
Respiration.
The nurse documents vital signs on a newly admitted
patient as: "blood pressure is 148/94 mm Hg, the pulse is
80 beats/min, and the respirations are 16 breaths/min."
The nurse would record the pulse pressure as:
a. 14 mm Hg.
b. 54 mm Hg.
c. 64 mm Hg.
d. 80 mm Hg. - Answer-b. 54 mm Hg.
,3|Page
The nurse caring for a 30-year-old post-surgical client
would assess that they are in pain as indicated by:
A) a temperature of 102° F.
B) a pulse rate of 120 beats/min.
C) respirations of 16 breaths/min.
D) blood pressure of 128/86 mm Hg. - Answer-B) a pulse
rate of 120 beats/min.
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.)
Occasional productive cough
Temperature 100.1 °F
Pulse oximetry 89%
Respirations 26 & shallow
Patient in orthopneic position - Answer-Pulse oximetry
89%
Respirations 26 & shallow
Patient in orthopneic position
, 4|Page
A nurse notes a client has abnormal vital signs. What
action by the nurse is best?
A) Notify the provider.
B) Compare with prior readings.
C) Document the findings.
D) Retake the vital signs in 15 minutes. - Answer-B)
Compare with prior readings.
A nurse assesses a client's radial pulse rate to be 110
beats/min and regular. What action by the nurse is best?
A) Assess the client for causes of tachycardia.
B) Document the findings in the client's chart.
C) Take an apical heart rate and compare the two.
D) Notify the client's health care provider. - Answer-A)
Assess the client for causes of tachycardia.
Because the older adult's blood vessels are nonelastic,
they are prone to orthostatic hypotension. A priority
intervention for a client with orthostatic hypotension is to:
A) instruct the client to use the wheelchair for all mobility
activity.
