BSN 205 HALLMARK 2026 EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔A patient has been given an opioid analgesic for pain relief. Why does the nurse
assess the patient's respiratory rate before administering the next dose? - ✔✔Opioid
analgesic may depress rate and depth of respiration.
✔✔A teen has come to the health care provider's office because he does not feel well
after football practice. His temperature is 102F. The nurse may conclude which of the
following regarding temperature reading? - ✔✔This is a high temperature for a person
his age.
✔✔Who would the nurse expect to have the highest body temperature reading? - ✔✔An
adult female who is walking.
✔✔Which of the following should the nurse report to the health care provider? - ✔✔An
adult patient with a heart rate of 55.
✔✔The patient was brought to the emergency department following a motor vehicle
accident. He appears drowsy, but will arouse to his name being called. He is bleeding
profusely from an injury to his leg. What would the nurse expect his vital signs to be? -
✔✔97.8F (36.5C), 110, 24, 80/40
✔✔The nurse was assigned to care for five patients. Which of the following vital signs
measurements would be cause for concern? - ✔✔-75 year old with pulse oximetry of
88% on room air.-65 year old with blood pressure of 140/90
✔✔The nurse reads the following nurse's note in the patient's health record. What is the
priority nursing intervention based on this information? - ✔✔Obtain a complete set of
vital signs and gather further assessment data.
✔✔A nursing student is assigned to take the vital signs on the patient and finds the
radial pulse to be irregular. What action should the nursing student take? -
✔✔Auscultate the patient's apical pulse.
✔✔An elderly patient was recently admitted to a medical unit with severe fluid and
electrolyte imbalance. His family states that he has periods of confusion. What are
some practical precautions the nurse can take to ensure the patient's safety without
having to use restraints? (Select all that apply.) - ✔✔-Make staff assignments for
patients in adjacent rooms.
-Activate the bed alarm when the patient is in bed.
-Perform nurse toilet and turn or comfort and safety rounds hourly.
,✔✔A patient is admitted to a medical unit with pneumonia. She is able to ambulate on
her own to the bathroom. What safety precautions should be taken for this patient?
(Select all that apply.) - ✔✔-Explain the use of the call light.
-Keep the bed in the low, locked position.
-Ensure that the pathway to the bathroom is clear.Keep patient's personal items on the
overbed table.
✔✔The nurse walking down the hospital corridor glances into the patient's room and
sees the patient's feet and legs sticking out from the bathroom entrance. The nurse
immediately goes into the room and determines that the patient has fallen. What actions
should be taken? (Select all that apply.) - ✔✔-Call for assistance.
-Assess for injury.
-Notify the health care provider.
-Assess the situation for precipitous factors (e.g., hypotension, slippery footwear, etc.).
-Fill out an agency occurrence or sentinel event report.
✔✔Which of the following are appropriate safety measures for the use of a wheelchair?
(Select all that apply.) - ✔✔-Brakes on both wheels are locked when the patient is being
transferred into the wheelchair.
-Back the wheelchair into and out of an elevator.
-Seat patient in wheelchair with buttocks against back of seat.
✔✔Which of the following patients is at greatest risk for experiencing a fall? - ✔✔A
confused patient with a history of a previous fall.
✔✔A nursing instructor asks what may cause orthostatic hypotension. The nursing
student correctly replies: (Select all that apply.) - ✔✔-Prolonged bed rest.
-Hypovolemia.
-Antihypertensives.
✔✔The nurse is getting a patient with right-sided weakness up in a chair. On what side
of the bed should the nurse place the chair? - ✔✔On the patient's left side.
✔✔The nurse is planning tasks for the day. Which of the following patients would
require repositioning at this time? (Select all that apply.) - ✔✔-A patient in correct body
alignment who was turned 2 hours ago.
-A comfortable patient with paraplegia who has been sitting in a chair for 30 minutes.
✔✔Which of the following patients should be allowed to lie back down? - ✔✔A patient
who complains of feeling dizzy and slightly nauseous when sitting on the bedside.
✔✔Which of the following techniques is used to assess muscle strength in a patient? -
✔✔. APPLY AN OPPOSING FORCE OR RESISTANCE
, ✔✔What is an increased thoracic curvature, common in older adults, called? -
✔✔Kyphosis
✔✔Neck flexion and extension should be - ✔✔45 degrees
✔✔Which of the following findings in a musculoskeletal assessment would be
considered abnormal?
A. Nodules
B. Bogginess
C. Symmetry
D. BOTH A AND B - ✔✔A. Nodules
B. Bogginess
✔✔What does a goniometer measure? - ✔✔Angles of extension and flexion
✔✔The nurse is helping a patient with hemiparesis take a few steps. A gait belt has
been applied. The patient is using a cane. Where should the nurse stand in relation to
the patient? - ✔✔On the patient's weak side
✔✔The nurse is preparing to initiate ambulation with a patient who is recovering from a
stroke. What information will help the nurse determine how far to walk? - ✔✔Ask the
patient how far she would like to go.
✔✔The nurse has applied a gait belt to a postoperative patient to facilitate ambulation.
Within a few feet of the bed, the patient begins to complain of dizziness and leans
heavily on the nurse. What would be the nurse's initial response? - ✔✔Slowly lower the
patient to the floor.
✔✔The nurse is preparing to delegate the ambulation of a patient with the use of a gait
belt to nursing assistive personnel (NAP). Which statement made by NAP requires the
nurse to follow up? - ✔✔"I will use the under-axillae technique to help him up to a
standing position."
✔✔The nurse is ambulating a patient with a gait belt when he says he feels sick to his
stomach. What would the nurse do? - ✔✔Return the patient to the bed or chair
(whichever is closer).
✔✔When preparing to move a patient in bed, what will the nurse do first? - ✔✔Assess
the patient's ability to help with moving.
SOLUTIONS GRADED A+
✔✔A patient has been given an opioid analgesic for pain relief. Why does the nurse
assess the patient's respiratory rate before administering the next dose? - ✔✔Opioid
analgesic may depress rate and depth of respiration.
✔✔A teen has come to the health care provider's office because he does not feel well
after football practice. His temperature is 102F. The nurse may conclude which of the
following regarding temperature reading? - ✔✔This is a high temperature for a person
his age.
✔✔Who would the nurse expect to have the highest body temperature reading? - ✔✔An
adult female who is walking.
✔✔Which of the following should the nurse report to the health care provider? - ✔✔An
adult patient with a heart rate of 55.
✔✔The patient was brought to the emergency department following a motor vehicle
accident. He appears drowsy, but will arouse to his name being called. He is bleeding
profusely from an injury to his leg. What would the nurse expect his vital signs to be? -
✔✔97.8F (36.5C), 110, 24, 80/40
✔✔The nurse was assigned to care for five patients. Which of the following vital signs
measurements would be cause for concern? - ✔✔-75 year old with pulse oximetry of
88% on room air.-65 year old with blood pressure of 140/90
✔✔The nurse reads the following nurse's note in the patient's health record. What is the
priority nursing intervention based on this information? - ✔✔Obtain a complete set of
vital signs and gather further assessment data.
✔✔A nursing student is assigned to take the vital signs on the patient and finds the
radial pulse to be irregular. What action should the nursing student take? -
✔✔Auscultate the patient's apical pulse.
✔✔An elderly patient was recently admitted to a medical unit with severe fluid and
electrolyte imbalance. His family states that he has periods of confusion. What are
some practical precautions the nurse can take to ensure the patient's safety without
having to use restraints? (Select all that apply.) - ✔✔-Make staff assignments for
patients in adjacent rooms.
-Activate the bed alarm when the patient is in bed.
-Perform nurse toilet and turn or comfort and safety rounds hourly.
,✔✔A patient is admitted to a medical unit with pneumonia. She is able to ambulate on
her own to the bathroom. What safety precautions should be taken for this patient?
(Select all that apply.) - ✔✔-Explain the use of the call light.
-Keep the bed in the low, locked position.
-Ensure that the pathway to the bathroom is clear.Keep patient's personal items on the
overbed table.
✔✔The nurse walking down the hospital corridor glances into the patient's room and
sees the patient's feet and legs sticking out from the bathroom entrance. The nurse
immediately goes into the room and determines that the patient has fallen. What actions
should be taken? (Select all that apply.) - ✔✔-Call for assistance.
-Assess for injury.
-Notify the health care provider.
-Assess the situation for precipitous factors (e.g., hypotension, slippery footwear, etc.).
-Fill out an agency occurrence or sentinel event report.
✔✔Which of the following are appropriate safety measures for the use of a wheelchair?
(Select all that apply.) - ✔✔-Brakes on both wheels are locked when the patient is being
transferred into the wheelchair.
-Back the wheelchair into and out of an elevator.
-Seat patient in wheelchair with buttocks against back of seat.
✔✔Which of the following patients is at greatest risk for experiencing a fall? - ✔✔A
confused patient with a history of a previous fall.
✔✔A nursing instructor asks what may cause orthostatic hypotension. The nursing
student correctly replies: (Select all that apply.) - ✔✔-Prolonged bed rest.
-Hypovolemia.
-Antihypertensives.
✔✔The nurse is getting a patient with right-sided weakness up in a chair. On what side
of the bed should the nurse place the chair? - ✔✔On the patient's left side.
✔✔The nurse is planning tasks for the day. Which of the following patients would
require repositioning at this time? (Select all that apply.) - ✔✔-A patient in correct body
alignment who was turned 2 hours ago.
-A comfortable patient with paraplegia who has been sitting in a chair for 30 minutes.
✔✔Which of the following patients should be allowed to lie back down? - ✔✔A patient
who complains of feeling dizzy and slightly nauseous when sitting on the bedside.
✔✔Which of the following techniques is used to assess muscle strength in a patient? -
✔✔. APPLY AN OPPOSING FORCE OR RESISTANCE
, ✔✔What is an increased thoracic curvature, common in older adults, called? -
✔✔Kyphosis
✔✔Neck flexion and extension should be - ✔✔45 degrees
✔✔Which of the following findings in a musculoskeletal assessment would be
considered abnormal?
A. Nodules
B. Bogginess
C. Symmetry
D. BOTH A AND B - ✔✔A. Nodules
B. Bogginess
✔✔What does a goniometer measure? - ✔✔Angles of extension and flexion
✔✔The nurse is helping a patient with hemiparesis take a few steps. A gait belt has
been applied. The patient is using a cane. Where should the nurse stand in relation to
the patient? - ✔✔On the patient's weak side
✔✔The nurse is preparing to initiate ambulation with a patient who is recovering from a
stroke. What information will help the nurse determine how far to walk? - ✔✔Ask the
patient how far she would like to go.
✔✔The nurse has applied a gait belt to a postoperative patient to facilitate ambulation.
Within a few feet of the bed, the patient begins to complain of dizziness and leans
heavily on the nurse. What would be the nurse's initial response? - ✔✔Slowly lower the
patient to the floor.
✔✔The nurse is preparing to delegate the ambulation of a patient with the use of a gait
belt to nursing assistive personnel (NAP). Which statement made by NAP requires the
nurse to follow up? - ✔✔"I will use the under-axillae technique to help him up to a
standing position."
✔✔The nurse is ambulating a patient with a gait belt when he says he feels sick to his
stomach. What would the nurse do? - ✔✔Return the patient to the bed or chair
(whichever is closer).
✔✔When preparing to move a patient in bed, what will the nurse do first? - ✔✔Assess
the patient's ability to help with moving.
