BSN 205 FINAL EXAM HALLMARK LATEST

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BSN 205 FINAL EXAM HALLMARK LATEST

- S 400 ACTUAL EXAM

QUESTIONS WITH 100% CORRECT

ANSWERS/ HALLMARK BSN 205 FINAL

EXAM -

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?

• "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the

patient's oral temperature"

• "Since the soup was not hot, go ahead and take the patient's temperature."
• "Change to the red thermometer probe and take the patient's temperature

rectally."

• "Take the patient's temperature using the axillary route and when you record the

reading, add 1°F." - ANSWER-A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's oral temperature

For which patient would a tympanic thermometer be the preferred thermometer to use?

• A marathon runner who developed weakness during the race.
• A newborn in the intensive care unit that requires continuous temperature

monitoring.

• A child who had tubes surgically placed in the ears.
• A tachypneic patient who is receiving oxygen by nasal cannula. - ANSWER-D)

A tachypneic patient who is receiving oxygen by nasal cannula.

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pg. 2 Which of the following patients would need frequent assessment of their temperature? (Select all that apply.)

• A patient receiving a blood transfusion for chronic anemia
• An elderly patient who needs assistance with feeding and dressing
• A 43 year old female who has undergone a hysterectomy
• A child who is small for his age
• A 19 year old with a while blood cell count of 15,000/mm - ANSWER-A) A

patient receiving a blood transfusion for chronic anemia A 43-year-old female who has undergone a hysterectomy. Correct

• A 19 year old with a while blood cell count of 15,000/mm

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.)

• Place the patient's feet in a tub of cool water with ice.
• Apply a hyperthermia blanket as ordered.
• Remove the patient's blankets.
• Limit the patient's fluid intakeE) Administer an antipyretic to the patient as

ordered - ANSWER-C) Remove the patient's blankets.

• 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.)

• The NAP inserts the red-tipped electronic thermometer probe into the patient's

mouth after applying a probe cover.

• The NAP wipes the single-use chemical dot thermometer and places it back in

the patient's drawer for future use. 2 / 4

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• The NAP waits until a tone sounds to read the tympanic thermometer.
• The NAP uses a blue-tipped electronic probe for assessing a patient's axillary

temperature.E) The NAP pulls the pinna up, back, and out in an adult when inserting the tympanic thermometer. - ANSWER-A) The NAP inserts the red- tipped electronic thermometer probe into the patient's mouth after applying a probe cover. Correct

• The NAP wipes the single-use chemical dot thermometer and places it back in

the patient's drawer for future use. Correct

Identify the factors that may have an effect on an 82-year-old patient's temperature: (Select all that apply.)

• Drinking a cold glass of water
• Participation in strenuous physical therapy exercises
• Infection
• Room Temperature
• Patient's height - ANSWER-A) Drinking a cold glass of water
• Participation in strenuous physical therapy exercises
• 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) - ANSWER-B) 96.8-100.4 °F (36-38 °C)

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pg. 4 Your 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
• Tympanic
• Chemical dot
• Rectal Electronic - ANSWER-A) Temporal Artery

The task of pulse assessment could be delegated to the NAP for which of the following patients? - ANSWER--A radial pulse on a patient with a 1200 ml fluid restriction -The temporal pulse of a child

Which of the following would require a follow-up? - ANSWER-An adult with respirations of 10 breaths per minute

Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limits)? - ANSWER-Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%.

Which of the following situations may affect a patient's vital signs? - ANSWER- Time of day Moving from lying to a standing position Pain rated as a 7 on a scale of 1-10

Why is it necessary to take a patient's vital signs preoperatively? - ANSWER-To verify the patients not experiencing any complications To provide a set of vital signs for comparison during and after surgery.

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