BSN206 Final Exam Actual Exam Style V1
| BSN 206 Foundations of Nursing
Fundamentals Exam | Nightingale
Hallmark ISB
1. A nurse is assessing a patient’s pain level. The patient states, ‘My leg feels like it is
burning.’ Which type of data is this?
A. Objective data
B. Subjective data
C. Secondary data
D. Inferred data
Answer: B
Rationale: Subjective data consists of information provided by the patient that cannot be
measured by the nurse. This includes feelings, perceptions, and descriptions of symptoms
like burning sensations. The nurse must document these statements using the patient’s
own words whenever possible.
2. When performing hand hygiene with an alcohol-based hand rub, which action should the
nurse take?
A. Dry hands with a paper towel after 10 seconds.
B. Rinse hands with warm water after rubbing.
,C. Rub hands together until they are dry.
D. Apply a small pea-sized amount only to the palms.
Answer: C
Rationale: Alcohol-based hand rubs are effective only if the product is allowed to dry
completely on the skin. The nurse should apply enough product to cover all surfaces of the
hands and rub them together vigorously. This process usually takes about 20 to 30 seconds
to ensure proper disinfection.
3. A nurse is preparing to administer an intramuscular injection. Which of the following is the
most important ‘right’ of medication administration to check first?
A. Right Room
B. Right Patient
C. Right Provider
D. Right Documentation
Answer: B
Rationale: Identifying the right patient is the critical first step in preventing medication
errors. The nurse should use at least two patient identifiers, such as name and date of birth,
before proceeding. This ensures that the medication is delivered to the individual for whom
it was specifically prescribed.
, 4. Which of the following describes the ethical principle of autonomy?
A. The right of patients to make their own healthcare decisions.
B. The obligation to tell the truth at all times.
C. The duty to do no harm to the patient.
D. The fair distribution of healthcare resources.
Answer: A
Rationale: Autonomy refers to the patient’s right to self-determination and independent
decision-making. Nurses support this principle by providing necessary information for
informed consent. Respecting autonomy means honoring a patient’s choice even if it differs
from the provider’s recommendation.
5. A nurse is caring for a patient on droplet precautions. Which PPE is essential when entering
the room?
A. N95 respirator
B. Surgical mask
C. Gown and gloves only
D. Shoe covers
Answer: B
Rationale: Droplet precautions are used for pathogens transmitted by large-particle
droplets that travel short distances. A surgical mask is the primary requirement for
| BSN 206 Foundations of Nursing
Fundamentals Exam | Nightingale
Hallmark ISB
1. A nurse is assessing a patient’s pain level. The patient states, ‘My leg feels like it is
burning.’ Which type of data is this?
A. Objective data
B. Subjective data
C. Secondary data
D. Inferred data
Answer: B
Rationale: Subjective data consists of information provided by the patient that cannot be
measured by the nurse. This includes feelings, perceptions, and descriptions of symptoms
like burning sensations. The nurse must document these statements using the patient’s
own words whenever possible.
2. When performing hand hygiene with an alcohol-based hand rub, which action should the
nurse take?
A. Dry hands with a paper towel after 10 seconds.
B. Rinse hands with warm water after rubbing.
,C. Rub hands together until they are dry.
D. Apply a small pea-sized amount only to the palms.
Answer: C
Rationale: Alcohol-based hand rubs are effective only if the product is allowed to dry
completely on the skin. The nurse should apply enough product to cover all surfaces of the
hands and rub them together vigorously. This process usually takes about 20 to 30 seconds
to ensure proper disinfection.
3. A nurse is preparing to administer an intramuscular injection. Which of the following is the
most important ‘right’ of medication administration to check first?
A. Right Room
B. Right Patient
C. Right Provider
D. Right Documentation
Answer: B
Rationale: Identifying the right patient is the critical first step in preventing medication
errors. The nurse should use at least two patient identifiers, such as name and date of birth,
before proceeding. This ensures that the medication is delivered to the individual for whom
it was specifically prescribed.
, 4. Which of the following describes the ethical principle of autonomy?
A. The right of patients to make their own healthcare decisions.
B. The obligation to tell the truth at all times.
C. The duty to do no harm to the patient.
D. The fair distribution of healthcare resources.
Answer: A
Rationale: Autonomy refers to the patient’s right to self-determination and independent
decision-making. Nurses support this principle by providing necessary information for
informed consent. Respecting autonomy means honoring a patient’s choice even if it differs
from the provider’s recommendation.
5. A nurse is caring for a patient on droplet precautions. Which PPE is essential when entering
the room?
A. N95 respirator
B. Surgical mask
C. Gown and gloves only
D. Shoe covers
Answer: B
Rationale: Droplet precautions are used for pathogens transmitted by large-particle
droplets that travel short distances. A surgical mask is the primary requirement for
