BSN 205 HALLMARK 2026 STUDY GUIDE QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Which position is used when applying the sling to transfer a patient from the bed to a
chair with a hydraulic lift?
A. Prone
B. Side-lying
C. Supine
D. Sims - ✔✔C. Supine
✔✔Which action would decrease a patient's pain before a transfer with a hydraulic lift?
A. Stop the transfer if the patient expresses or displays physical signs of pain.
B. Explain the procedure to the patient before beginning the transfer.
C. Administer a prescribed analgesic 30 to 60 minutes before the transfer.
D. Postpone the transfer if the patient reports having physical pain or anxiety before the
transfer. - ✔✔C. Administer a prescribed analgesic 30 to 60 minutes before the transfer.
✔✔Which position is used when applying the sling to transfer a patient from the bed to a
chair with a hydraulic lift?
A. Prone
B. Side-lying
C. Supine
D. Sims - ✔✔C. Supine
✔✔1. When preparing to apply elastic stockings, why does the nurse assess for skin
discoloration?
A. To identify the potential risk for deep vein thrombosis (DVT)
B. To identify improper patient positioning
C. To select the proper stocking size
D. To determine whether a sequential compression device is needed - ✔✔A - To
identify the potential risk for deep vein thrombosis (DVT)
✔✔2. Which condition is not associated with venous stasis, part of Virchow's triad?
A. Pregnancy
B. Obesity
C. Anxiety
D. Immobility - ✔✔C - Anxiety
✔✔3. Why does the nurse remove the patient's elastic stockings at least once per shift?
A. To permit the skin to breathe.
B. To wash the legs with a disposable bath product.
C. To air out the stockings and allow sweat to evaporate.
,D. To check the skin for irritation or breakdown. - ✔✔D. To check the skin for irritation or
breakdown.
✔✔4. Why might the nurse choose not to apply a pair of prescribed elastic stockings to
a patient's legs?
A. The patient will have a scheduled bath in a few hours.
B. The patient says they are too tight.
C. The patient's skin is irritated.
D. The patient has become fully ambulatory. - ✔✔C - The patient's skin is irritated.
✔✔5. After determining the proper size stocking and assessing the patient's circulatory
status, a nurse delegates the application of elastic stockings to nursing assistive
personnel (NAP). The nurse discovers that the NAP has been using moisturizer on the
patient's legs before applying the stockings. What is the best action by the nurse?
A. Explain that moisturizer may cause excessive skin softening, which can lead to skin
breakdown.
B. Instruct NAP to use a small amount of cornstarch or powder.
C. Ask the patient if he or she is allergic to the moisturizer.
D. Inspect the patient's skin for color variations. - ✔✔B - Instruct NAP to use a small
amount of cornstarch or powder.
✔✔TRUE/FALSE: A contaminated or traumatic wound may show signs of infection
within 24 hours. A surgical wound infection usually develops postoperatively within 14
days. - ✔✔false
✔✔TRUE/FALSE: Healing by primary intention is expected when the edges of a clean
surgical incision are sutured or stapled together, tissue loss is minimal or absent, and
the wound is uncontaminated by microorganisms. - ✔✔true
✔✔Which of the following patients has the least risk for developing a wound infection?
A. An 80-year-old man who has a burn
B. A 17-year-old patient who has a metal fragment lodged in his thigh
C. A 30-year-old female who had an episiotomy after childbirth
D. A patient receiving chemotherapy who has a surgical incisionE. A patient with
peripheral vascular disease and an ulcer on the heel - ✔✔C. A 30- year- old female who
had an episiotomy after childbirth
✔✔Which of the following may indicate internal hemorrhage? (select all that apply)
A. Distention or swelling of the affected body part
B. Elevated white blood cells
C. Decrease in blood pressure and increase in pulse
D. Change in the type and amount of drainage - ✔✔A, C, A change in the type and
amount of drainage from a surgical drain.
, ✔✔When teaching a patient about wound healing, what should the nurse tell the
patient? - ✔✔Inadequate nutrition delays wound healing and increases risk of infection.
✔✔The nurse is caring for a patient who had knee replacement surgery 5 days ago.
The patient's knee appears red and is very warm to the touch. The patient requests pain
medication. Which of the following would be a correct explanation of what the nurse has
assessed? - ✔✔The patient is showing signs of postopperative infection
✔✔The nurse is caring for a patient after major abdominal surgery. Which of the
following demonstrates correct understanding of wound dehiscence? - ✔✔The nurse
should be alert for an increase in serosanguineous drainage from the wound.
✔✔The nurse reports that a patient has a wound on his abdomen that is healing by
secondary intention. The nurse understands this means the patient: - ✔✔Is at greater
risk for infection.
✔✔A postoperative diabetic patient had an exploratory laparotomy (incision in the
abdomen) 5 days ago. The patient's history indicates obesity with a body mass index
(BMI) of 32 and smoking 1 pack/day. Based on this information, the nurse understands
the patient should be observed for: - ✔✔Wound dehiscence.
✔✔The patient asks the nurse what the purpose is for his Hemovac drain. What is the
nurse's best response? - ✔✔To provide suction to remove and collect drainage from
your wound to help it heal."
✔✔When should wound drainage be cultured? - ✔✔When there is a change in color,
amount, or odor of drainage.
✔✔The nurse is teaching a patient how to empty his Hemovac drain. Which action of
the patient indicates that further instruction is needed? The patient: - ✔✔empties the
Hemovac drain, replaces the plug, and records the amount of drainage.
✔✔Because a patient has a Penrose drain, the nurse inspects the patient's skin and
changes the dressing by placing a drainage sponge around the drain. What is the
rationale for doing this? - ✔✔Because drainage can be irritating to the skin and may
cause skin breakdown.
✔✔Which of the following is inappropriate to delegate to nursing assistive personnel
(NAP)? - ✔✔Assessment of wound drainage.
AND SOLUTIONS GRADED A+
✔✔Which position is used when applying the sling to transfer a patient from the bed to a
chair with a hydraulic lift?
A. Prone
B. Side-lying
C. Supine
D. Sims - ✔✔C. Supine
✔✔Which action would decrease a patient's pain before a transfer with a hydraulic lift?
A. Stop the transfer if the patient expresses or displays physical signs of pain.
B. Explain the procedure to the patient before beginning the transfer.
C. Administer a prescribed analgesic 30 to 60 minutes before the transfer.
D. Postpone the transfer if the patient reports having physical pain or anxiety before the
transfer. - ✔✔C. Administer a prescribed analgesic 30 to 60 minutes before the transfer.
✔✔Which position is used when applying the sling to transfer a patient from the bed to a
chair with a hydraulic lift?
A. Prone
B. Side-lying
C. Supine
D. Sims - ✔✔C. Supine
✔✔1. When preparing to apply elastic stockings, why does the nurse assess for skin
discoloration?
A. To identify the potential risk for deep vein thrombosis (DVT)
B. To identify improper patient positioning
C. To select the proper stocking size
D. To determine whether a sequential compression device is needed - ✔✔A - To
identify the potential risk for deep vein thrombosis (DVT)
✔✔2. Which condition is not associated with venous stasis, part of Virchow's triad?
A. Pregnancy
B. Obesity
C. Anxiety
D. Immobility - ✔✔C - Anxiety
✔✔3. Why does the nurse remove the patient's elastic stockings at least once per shift?
A. To permit the skin to breathe.
B. To wash the legs with a disposable bath product.
C. To air out the stockings and allow sweat to evaporate.
,D. To check the skin for irritation or breakdown. - ✔✔D. To check the skin for irritation or
breakdown.
✔✔4. Why might the nurse choose not to apply a pair of prescribed elastic stockings to
a patient's legs?
A. The patient will have a scheduled bath in a few hours.
B. The patient says they are too tight.
C. The patient's skin is irritated.
D. The patient has become fully ambulatory. - ✔✔C - The patient's skin is irritated.
✔✔5. After determining the proper size stocking and assessing the patient's circulatory
status, a nurse delegates the application of elastic stockings to nursing assistive
personnel (NAP). The nurse discovers that the NAP has been using moisturizer on the
patient's legs before applying the stockings. What is the best action by the nurse?
A. Explain that moisturizer may cause excessive skin softening, which can lead to skin
breakdown.
B. Instruct NAP to use a small amount of cornstarch or powder.
C. Ask the patient if he or she is allergic to the moisturizer.
D. Inspect the patient's skin for color variations. - ✔✔B - Instruct NAP to use a small
amount of cornstarch or powder.
✔✔TRUE/FALSE: A contaminated or traumatic wound may show signs of infection
within 24 hours. A surgical wound infection usually develops postoperatively within 14
days. - ✔✔false
✔✔TRUE/FALSE: Healing by primary intention is expected when the edges of a clean
surgical incision are sutured or stapled together, tissue loss is minimal or absent, and
the wound is uncontaminated by microorganisms. - ✔✔true
✔✔Which of the following patients has the least risk for developing a wound infection?
A. An 80-year-old man who has a burn
B. A 17-year-old patient who has a metal fragment lodged in his thigh
C. A 30-year-old female who had an episiotomy after childbirth
D. A patient receiving chemotherapy who has a surgical incisionE. A patient with
peripheral vascular disease and an ulcer on the heel - ✔✔C. A 30- year- old female who
had an episiotomy after childbirth
✔✔Which of the following may indicate internal hemorrhage? (select all that apply)
A. Distention or swelling of the affected body part
B. Elevated white blood cells
C. Decrease in blood pressure and increase in pulse
D. Change in the type and amount of drainage - ✔✔A, C, A change in the type and
amount of drainage from a surgical drain.
, ✔✔When teaching a patient about wound healing, what should the nurse tell the
patient? - ✔✔Inadequate nutrition delays wound healing and increases risk of infection.
✔✔The nurse is caring for a patient who had knee replacement surgery 5 days ago.
The patient's knee appears red and is very warm to the touch. The patient requests pain
medication. Which of the following would be a correct explanation of what the nurse has
assessed? - ✔✔The patient is showing signs of postopperative infection
✔✔The nurse is caring for a patient after major abdominal surgery. Which of the
following demonstrates correct understanding of wound dehiscence? - ✔✔The nurse
should be alert for an increase in serosanguineous drainage from the wound.
✔✔The nurse reports that a patient has a wound on his abdomen that is healing by
secondary intention. The nurse understands this means the patient: - ✔✔Is at greater
risk for infection.
✔✔A postoperative diabetic patient had an exploratory laparotomy (incision in the
abdomen) 5 days ago. The patient's history indicates obesity with a body mass index
(BMI) of 32 and smoking 1 pack/day. Based on this information, the nurse understands
the patient should be observed for: - ✔✔Wound dehiscence.
✔✔The patient asks the nurse what the purpose is for his Hemovac drain. What is the
nurse's best response? - ✔✔To provide suction to remove and collect drainage from
your wound to help it heal."
✔✔When should wound drainage be cultured? - ✔✔When there is a change in color,
amount, or odor of drainage.
✔✔The nurse is teaching a patient how to empty his Hemovac drain. Which action of
the patient indicates that further instruction is needed? The patient: - ✔✔empties the
Hemovac drain, replaces the plug, and records the amount of drainage.
✔✔Because a patient has a Penrose drain, the nurse inspects the patient's skin and
changes the dressing by placing a drainage sponge around the drain. What is the
rationale for doing this? - ✔✔Because drainage can be irritating to the skin and may
cause skin breakdown.
✔✔Which of the following is inappropriate to delegate to nursing assistive personnel
(NAP)? - ✔✔Assessment of wound drainage.
