Hallmark BSN 205 Exam Study Guide Latest 2026 Updated Questions
and Verified 100% Solutions (2026/2027) Grade: A+|Status:
Guaranteed Pass
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 - Answers -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 - Answers -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. - Answers -D. To check the skin for irritation or
breakdown.
1|Page
,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. - Answers -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. - Answers -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. - Answers -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. - Answers -true
2|Page
,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 - Answers -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 - Answers -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? -
Answers -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? - Answers -The
patient is showing signs of postopperative infection
3|Page
, The nurse is caring for a patient after major abdominal surgery. Which of the following
demonstrates correct understanding of wound dehiscence? - Answers -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: - Answers -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: - Answers -Wound dehiscence.
The patient asks the nurse what the purpose is for his Hemovac drain. What is the nurse's best
response? - Answers -To provide suction to remove and collect drainage from your wound to
help it heal."
When should wound drainage be cultured? - Answers -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: - Answers -empties the Hemovac
drain, replaces the plug, and records the amount of drainage.
4|Page
and Verified 100% Solutions (2026/2027) Grade: A+|Status:
Guaranteed Pass
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 - Answers -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 - Answers -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. - Answers -D. To check the skin for irritation or
breakdown.
1|Page
,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. - Answers -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. - Answers -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. - Answers -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. - Answers -true
2|Page
,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 - Answers -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 - Answers -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? -
Answers -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? - Answers -The
patient is showing signs of postopperative infection
3|Page
, The nurse is caring for a patient after major abdominal surgery. Which of the following
demonstrates correct understanding of wound dehiscence? - Answers -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: - Answers -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: - Answers -Wound dehiscence.
The patient asks the nurse what the purpose is for his Hemovac drain. What is the nurse's best
response? - Answers -To provide suction to remove and collect drainage from your wound to
help it heal."
When should wound drainage be cultured? - Answers -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: - Answers -empties the Hemovac
drain, replaces the plug, and records the amount of drainage.
4|Page
