BSN 206 Hallmark Exam 94 Questions and Answers-
Latest Update.
The nurse has delegated the task of temperature assessment to the NAP. Which
information should be provided to the NAP?
A. The type of temperature required
B. The PT's age
C. The frequency for taking or monitoring the temperature
D. The Patient's Diagnosis
E. What changes to report immediately to the nurse - ANS A. The type of temperature
required
C. The frequency for taking or monitoring the temperature
E. What changes to report immediately to the nurse
Which of the following situations may affect a patient's vital signs?
A. Moving from lying to standing position.
B. Time of day.
C. Occupation
D. Isolation precautions.
E. Pain rated as a 7 on 0-10 pain scale. - ANS A. Moving from lying to standing position
B. Time of Day
E. Pain rated as a 7 on 0-10 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?
A. To provide the patient with reassurance that he or she is being cared for by a
competent staff.
B. To provide a set of vital signs to use for comparison during and after surgery.
C. To ensure the equipment is appropriately calibrated and functional.
D. To verify the patient is not experiencing any complications that may contraindicate
surgery or require intervention.
E. To determine whether the patient is "feeling funny" - ANS B. To provide a set of vital
signs to use for comparison during and after surgery.
D. To verify the patient is not experiencing any complications that may contraindicate
surgery or require intervention.
Which of the following patients would require frequent assessment of their temperature?
,A. A young adult with a white blood count of 15,000/mm3.
B. An adult female in the recovery room following a hysterectomy.
C. A patient receiving a blood transfusion for chronic anemia.
D. A child who is below the normal height and weight for his age.
E. An elderly patient who needs assistance with feeding and dressing. - ANS A. A
young adult with a white blood count of 15,000/mm3.
B. An adult female in the recovery room following a hysterectomy.
C. A patient receiving a blood transfusion for chronic anemia.
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the
following are appropriate nursing actions?
A. Remove the PT's blankets
B. Limit the PT's fluid intake
C. Apply a hyperthermia blanket as ordered
D. Administer an antipyretic to the PT as ordered
E. Place the PT's feet in a tub of cool water with ice - ANS A. Remove the PT's blankets
D. Administer an antipyretic to the PT as ordered
The Nurse has delegated the task of temperature assessment to the NAP. Which
information should be provided to the NAP?
A. The frequency for taking or monitoring the temperature
B. The PT's diagnosis
C. The PT's age
D. What changes to report immediately to the nurse
E. The type of temperature is Required - ANS A. The frequency for taking or monitoring
the temperature
D. What changes to report immediately to the nurse
E. The type of temperature required
The nurse will take the PT's vital signs preoperatively and record them as part of the
PT's preparation for surgery. why is it necessary to take vital signs preoperatively?
A. To provide a set of vital signs to use for comparison during and after surgery
B. To verify the patient is not experiencing any complications that may contraindicate
surgery or require intervention - ANS A. To provide a set of vital signs to use for
comparison during and after surgery
B. To verify the patient is not experiencing any complications that may contraindicate
surgery or require intervention
Which of the following PT's would require frequent assessment of their temperature?
A. an elderly PT who needs assistance with feeding and dressing
B. An adult female in the recovery room following a hysterectomy
C. A PT receiving a blood transfusion for chronic anemia
, D. A young adult with a white blood count of 15,000/ mm3
E. A child who is below the normal height and weight for his age - ANS B. An adult
female in the recovery room following a hysterectomy
C. A PT receiving a blood transfusion for chronic anemia
D. A young adult with a white blood count of 15,000/ mm3
Which of the following actions, if made by the NAP, would require intervention and
further instruction by the nurse?
A. The NAP pulls the pinna up back, and out in an adult when inserting the tympanic
thermometer
B. The NAP inserts the red-tipped electronic thermometer probe into the PT's mouth
after applying a probe coper.
C. The NAP wipes the single-use chemical dot thermometer and places it back in the
PT's drawer for future use
D. The NAP waits until a tone sounds to read the tympanic thermometer
E. The NAP uses a blue-tipped electronic probe for assessing a PT's axillary
temperature - ANS B. The NAP inserts the red-tipped electronic thermometer probe into
the PT's mouth after applying a probe coper.
C. The NAP wipes the single-use chemical dot thermometer and places it back in the
PT's drawer for future use
Identify the factors that may have an effect on an elderly PT's temperature:
A. Drinking a cold glass of water
B. Participation in PT exercises
C. Infection
D. PT's Height
E. Room Temp - ANS A. Drinking a cold glass of water
B. Participation in PT exercises
C. Infection
E. Room Temp
The task of pulse assessment could be delegated to the NAP for which of the following
PTs?
A. Radial pulse of a PT in the ER with chest pain
B. The Temporal pulse of a child
C. A radial pulse on a PT with a 1200 mL fluid restriction
D. A femoral pulse following a lower leg amputation
E. An apical pulse of a PT who is to receive a cardiac drug - ANS B. The Temporal
pulse of a child
C. A radial pulse on a PT with a 1200 mL fluid restriction
Which of the following PTs would be at risk for having an alteration in peripheral pulse?
A. An elderly PT with Type 1 diabetes who is otherwise healthy
B. A PT with Alzheimer's disease
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