BSN 206 Hallmark questions and answers.Buy Quality Materials!
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Course
BSN 206
Institution
BSN 206
BSN 206 Hallmark questions and answers.Buy Quality Materials!
Which of the following patients would require follow up?
A. An adult with a respiratory rate of 10
B. A newborn with a respiratory rate of 40 breaths per minute.
C. A child with a respiratory rate of 20 breaths per minute.
D. An...
BSN 206 Hallmark questions and answers.Buy
Quality Materials!
Which of the following patients would require follow up?
A. An adult with a respiratory rate of 10
B. A newborn with a respiratory rate of 40 breaths per minute.
C. A child with a respiratory rate of 20 breaths per minute.
D. An adolescent with a respiratory rate of 16 breaths per minute.
A. An adult with a respiratory rate of 10
Which of the following vital signs recorded for an older adult would be
considered acceptable (within normal limits)?
A. Temp 97.0 F, P-60, R-16, BP 116/78, O2 sat 95%
B. Temp 98.6 F, P-56, R-20, BP 120/80, O2 sat 91%
C. Temp 96.8 F, P-60, R-189, BP 160/90, O2 sat 93%
D. Temp 98.0 F, P-76, R-22, BP 110/70, O2 sat 88%
A. Temp 97.0 F, 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? (Select all that apply)
A. The patient's diagnoses
B. The patient's age
C. What changes to report immediately to the nurse
D. The type of temperature required
E. The frequency for taking or monitoring the temperature
C. What changes to report immediately to the nurse
D. The type of temperature required
E. The frequency for taking or monitoring the temperature
Which of the following situations may affect a patient's vital signs? (select all that
apply)
A. Pain rated as a 7 on a 0-10 pain scale
B. Occupation
C. Time of day
D. Moving from lying to standing position
E. Isolation precautions
A. Pain rated as a 7 on a 0-10 pain scale
C. Time of day
D. Moving from lying to standing position
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 determine whether the patient is "feeling funny" or "different"
,C. 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
E. To ensure the equipment is appropriately calibrated and functional
C. 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
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?
A. Document this as a normal finding in an elderly adult
B. Assess the patient's blood pressure
C. Ask the NAP if the patient is nauseous
D. Instruct the NAP to obtain a full set of vital signs
B. Assess the patient's blood pressure
Which patient would it be appropriate for the nurse to delegate vital signs?
A. Patient with recent complaint of headache
B. New admission to the hospital.
C. Patient transferred from ICU
D. Elderly nursing home resident
D. Elderly nursing home resident
Which person would be expected to have the lowest body temperature?
A. An 80-year-old who walked half a mile
B. A child playing softball
C. A 16-year-old who ran 1 mile
D. A toddler who is febrile
A. 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?
A. "Take the patient's temperature using the axillary route and when you record
the reading, add 1 F"
B. " Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the
patient's oral temperature
C. "Change to the red thermometer probe and take the patient's temperature
rectally."
D. "Since the soup was not hot, go ahead and take the patient's temperature"
B. " 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. A marathon runner who developed weakness during the race
B. A tachypneic patient who is receiving oxygen by nasal canula
C. A newborn that requires continuous temperature monitoring
D. A pediatric patient who had tubes surgically placed in the ears
B. A tachypneic patient who is receiving oxygen by nasal canula
,Which of the following patients would require frequent assessment of their
temperature? (Select all that apply)
A. A patient receiving a blood transfusion for chronic anemia
B. An adult female in the recovery room following a hysterectomy
C. A child who is below the normal height and weight for his age
D. A young adult with a white blood count of 15,000/mm3
E. An elderly patient who needs assistance with feeding and dressing
A. A patient receiving a blood transfusion for chronic anemia
B. An adult female in the recovery room following a hysterectomy
D. A young adult with a white blood count of 15,000/mm3
The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the
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 intake
E. Administer an antipyretic to the patient as ordered
C. Remove the patient's blankets.
E. 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? (Select all that apply)
A. The NAP pulls the pinna up, back, and out in an adult when inserting the
tympanic thermometer
B. The NAP uses a blue-tipped electronic probe for assessing a patient's axillary
temperature
C. The NAP wipes the single-use chemical dot thermometer and places it back in
the patient's drawer for future use
D. The NAP waits until a tone sounds to read the tympanic thermometer
E. The NAP inserts the red-tipped electronic thermometer probe into the patient's
mouth after applying a probe cover
C. The NAP wipes the single-use chemical dot thermometer and places it back in the
patient's drawer for future use
E. The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth
after applying a probe cover
If a 52-year-old patient has a normal temperature, what range should the patient's
temperature fall within?
A. 98.6-102.2 F
B. 96.8-98.6 F
C. 95-96.8 F
D. 96.8-100.4F
D. 96.8-100.4F
A newborn patient's temperature has been rising rapidly and the baby has been
crying. Which of the following thermometers would be the best to use in
measuring this patient's temperature?
A. Chemical dot
, B. Rectal electronic
C. Tympanic
D. Temporal artery
D. Temporal artery
The task of pulse assessment could be delegated to the NAP for which of the
following patient's? (Select all that apply)
A. A femoral pulse following a lower leg amputation
B. An apical pulse of a patient who is to receive a cardiac drug
C. A radial pulse of a patient in the emergency room with chest pain
D. The temporal pulse of a child
E. A radial pulse on a patient with a 1200mL fluid restriction
D. The temporal pulse of a child
E. A radial pulse on a patient with a 1200mL fluid restriction
Which of the following patients would be at risk for having an alteration in
peripheral pulse? (Select all that apply)
A. The patient who was just informed of a diagnosis of cancer
B. A patient who is receiving bolus IV fluids
C. A patient with Alzheimer's disease
D. A patient with peripheral vascular disease
E. An elderly patient with Type 1 diabetes who is otherwise healthy
A. The patient who was just informed of a diagnosis of cancer
B. A patient who is receiving bolus IV fluids
D. A patient with peripheral vascular disease
Whenever there is an alteration in the radial pulse rate, rhythm, or amplitude, the
nurse should initially do which of the following?
A. Reassess the radial pulse for 30 seconds
B. Auscultate the apical pulse for quality and rate
C. Check the carotid pulses one side at a time
D. Check the radial pulse on the opposite side
B. Auscultate the apical pulse for quality and rate
What is the normal pulse range for an adult?
A. 90 to 140 bpm
B. 50 to 80 bpm
C. 120-160 bpm
D. 60-100 bpm
D. 60-100 bpm
The nurse should routinely auscultate the apical pulse with the bell side of the
stethoscope, and use the diaphragm side to identify hear murmurs.
True or False?
False, The diaphragm side is for high pitched sounds like the apical pulse
In which of the following patients would the nurse expect to find a decrease in
pulse rate? (Select all that apply)
A. A newborn following a heelstick
B. A patient who received morphine for pain
C. A patient who experienced a bleeding episode
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