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Hallmark final exam BSN-205 Questions And Answers Rated 100- Correct!_.pdf
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8/29/24, 3:46 AMHallmark final exam BSN-205
Jeremiah
Terms in this set (179)
Which of the follow would require a follow An adult with respirtations of 10 breaths per minute
up?
Which of the following vital signs recorded Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.
for an older adult would be considered
acceptable (within normal limits)?
Time of day
Which of the following situations may affect
Moving from lying to a standing postion
a patients vital signs?
Pain rated as a 7 on a scale of 1-10
Why is it necessay to take a patients vital To verify the patients not experiencing any complications
signs preoperatively? To provide a set of vital signs for comparison during and after surgery.
The NAP reports to the nurse a 65 year old Assess the patient's BP
patient's BP is 160/98. What is the
appropriate initial response of the nurse?
Which patient would it be appropriate for Elderly nursing home resident
the nurse to delegate vital signs?
The nurse has delegated the task of -The type of temperature required
temperature assessment to the NAP. Which -The frequency for taking or monitoring the temperature
information should be provided to the NAP? -What changes to report immediately to the nurse
Who would you expect to have the lowest B. An 80 year old who walked half a mile
body temperature?
A) A 16 year old who ran 1 mile
B) An 80 year old who walked 1/2 mile
C) A toddler who is febrile
D) A child playing softball
1/12
, 8/29/24, 3:46 AM
The NAP is preparing to measure a patient's A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the
vital signs. The patient reports having eaten a patient's oral temperature
bowl of warm soup. The NAP asks the RN
what he should do. What is the best
response?
A) "Ask the patient not to eat, drink, or smoke
for 15 minutes and then assess the patient's
oral temperature"
B) "Since the soup was not hot, go ahead
and take the patient's temperature."
C) "Change to the red thermometer probe
and take the patient's temperature rectally."
D) "Take the patient's temperature using the
axillary route and when you record the
reading, add 1°F."
For which patient would a tympanic D) A tachypneic patient who is receiving oxygen by nasal cannula.
thermometer be the preferred thermometer
to use?
A) A marathon runner who developed
weakness during the race.
B) A newborn in the intensive care unit that
requires continuous temperature monitoring.
C) A child who had tubes surgically placed in
the ears.
D) A tachypneic patient who is receiving
oxygen by nasal cannula.
Which of the following patients would need A) A patient receiving a blood transfusion for chronic anemia
frequent assessment of their temperature? A 43-year-old female who has undergone a hysterectomy. Correct
(Select all that apply.) E) A 19 year old with a while blood cell count of 15,000/mm
A) A patient receiving a blood transfusion for
chronic anemia
B) An elderly patient who needs assistance
with feeding and dressing
C) A 43 year old female who has undergone
a hysterectomy
D) A child who is small for his age
E) A 19 year old with a while blood cell count
of 15,000/mm
The NAP reports that the patient's C) Remove the patient's blankets.
temperature is 39° C (102.2 °F). Which of the E) Administer an antipyretic to the patient as ordered
following are appropriate nursing actions?
(Select all that apply.)
A) Place the patient's feet in a tub of cool
water with ice.
B) Apply a hyperthermia blanket as ordered.
C) Remove the patient's blankets.
D) Limit the patient's fluid intakeE) Administer
an antipyretic to the patient as ordered
2/12
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