Hallmark BSN 205 Test | Questions with 100% Correct Answers | Verified | Updated 2023, Exams of Community Corrections

Download Hallmark BSN 205 Test | Questions with 100% Correct Answers | Verified | Updated 2023 and more Exams Community Corrections in PDF only on Docsity! Hallmark BSN 205 Test | Questions with 100% Correct Answers | Verified | Updated 2023 Which of the following patients would require follow- up? An adolescent with a respiratory rate of 16 breaths per minute. A child with a respiratory rate of 20 breaths per minute. A newborn with a respiratory rate of 40 breaths per minute. An adult with a respiratory rate of 10 breaths per minute. - ✔✔️A️n 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)? Temp 98.6 °F (37 °C), P-56, R-20, BP 120/80, O2 sat 91%. Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%. Temp 96.8° F (36 °C), P-60, R-18, BP 160/90, O2 sat 93%. Temp 98.0 °F (36.7 °C), P-76, R-22, BP 110/70, O2 sat 88%. - ✔✔️T️emp 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? (Select all that apply.) The patient's diagnosis. The frequency for taking or monitoring the temperature. The patient's age. The type of temperature required. What changes to report immediately to the nurse. - ✔✔️T️he frequency for taking or monitoring the temperature. The type of temperature required. What changes to report immediately to the nurse. Which of the following situations may affect a patient's vital signs? (Select all that apply.) O Isolation precautions. Time of day. O Occupation. Pain rated as a 7 on 0-10 pain scale. Moving from lying to standing position. - ✔✔️T️ime of day. Pain rated as a 7 on 0-10 pain scale. 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? (Select all that apply.) To provide a set of vital signs to use for comparison during and after surgery. To determine whether the patient is "feeling funny" or "different". To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention. To ensure the equipment is appropriately calibrated and functional. To provide the patient with reassurance that he or she is being cared for by a competent staff. - ✔✔️T️o provide a set of vital signs to use for comparison during and after surgery. 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? Document this as a normal finding in an elderly adult. Assess the patient s blood pressure. Ask the NAP if the patient is nauseous. Instruct the NAP to obtain a full set of vital signs. - ✔✔️A️ssess the patient s blood pressure. Which patient would it be appropriate for the nurse to delegate vital signs? Patient with recent complaint of headache. New admission to the hospital. Elderly nursing home resident. Patient transferred from 1CU. - ✔✔️E️lderly nursing home resident. The NAP wipes the single-use chemical dot thermometer and places it back in the patient's drawer for future use Identify the factors that may have an effect on an elderly patient's temperature. (Select all that apply) Participation in physical therapy exercises Drinking a cold glass of water Infection Patient's height Room temperature - ✔✔️P️articipation in physical therapy exercises Drinking a cold glass of water Infection Room temperature If a 52-year-old patient has a normal temperature, what range should the patient's temperature fall within? A. 37-39 °C (98.6-102.2 °F) B. 96.8-100.4 °F (36-38 °C) C. 35-36 °C (95-96.8 °F) D. 96.8-98.6 °F (36-37 °C) - ✔✔️B️. 96.8-100.4 °F (36-38 °C) 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? Temporal artery Chemical dot Rectal electronic Tympanic - ✔✔️T️emporal artery Reflects rapid change in core temperature and can be used on newborns The task of pulse assessment could be delegated to the NAP for which of the following patients? (Select all that apply.) A. An apical pulse of a patient who is going to receive a cardiac drug B. A radial pulse on a patient with a 1200 mL fluid restriction. C. A radial pulse of a patient in the emergency room with chest pain. D. A femoral pulse following a lower leg amputation. E. The temporal pulse of a child. - ✔✔️B️. A radial pulse on a patient with a 1200 mL fluid restriction. E. The temporal pulse of a child. PATIENT MUST BE STABLE Which of the following patients would be at risk for having an alteration in peripheral pulse? (Select all that apply) A patient with Alzheimer's disease The patient who was just informed of a diagnosis of cancer A patient with peripheral vascular disease A patient who is receiving bolus IV fluids An elderly patient with Type 1 diabetes who is otherwise healthy - ✔✔️T️he patient who was just informed of a diagnosis of cancer A patient with peripheral vascular disease A patient who is receiving bolus IV fluids Whenever there is an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should initially do which of the following? Auscultate the apical pulse for quality and rate Reassess the radial pulse for 30 seconds Check the carotid pulses one side at a time Check the radial pulse on the opposite side - ✔✔️A️uscultate the apical pulse for quality and rate What is a normal pulse range for an adult? 60-100 bpm 50-80 bpm 90-140 bpm 120-160 bpm - ✔✔️6️0-100 bpm for adult 120-160 bpm for newborn 90-140 bpm for 2 year old child The nurse should routinely auscultate the apical pulse with the bell side of the stethoscope, and use the diaphragm side to identify heart murmurs. True False - ✔✔️F️alse Routine auscultation of the apical pulse, use the diaphragm side. Bell side is used to identify heart murmers In which of the following patients would the nurse expect to find a decrease in pulse rate? (Select all that apply) A newborn following a heelstick A patient who received morphine for pain A student who is getting ready to take an exam A patient returning from the operating room A patient who experienced a bleeding episode - ✔✔️A️ patient who received morphine for pain A patient returning from the operating room The new NAP is unable to palpate a patient's radial pulse. What could be a possible explanation for this difficulty? (Select all that apply) The NAP is assessing for a pulse on the thumb side of the wrist The NAP is assessing for a pulse on the ulnar side of the wrist