BSN 206 Nursing Fundamentals Exam Questions and
Answers
2-mL syringe - ANSWER-A small syringe used to aspirate fluid from the balloon port of
an indwelling catheter.
.Acceptable use of antiseptic hand rub - ANSWER-A. After adjusting a nasal cannula
on a PT, B. After removing gloves after changing a wound dressing, D. After moving
PT's belonging on the bedside table
.Actions after a patient falls - ANSWER-Call for assistance, assess for injury, notify the
health care provider, assess the situation for precipitous factors, fill out an agency
occurrence or sentinel event report.
.Actions indicating need for further instruction in dressing change - ANSWER-Actions
by the patient's wife that suggest she needs more training, such as packing the
wound tightly, leaving the primary dressing dripping moist, or improperly removing
the old dressing.
.Activate the bed alarm - ANSWER-When the PT is in bed.
.Adding sterile items to the field - ANSWER-The nurse adds sterile items to the sterile
field by placing them on the field at an angle and never allowing the wrapper to
touch the field.
,.Administer IV fluids - ANSWER-To reverse fluid imbalance.
.Alcohol-based hand rubs - ANSWER-Avoid use of alcohol-based hand rubs.
.Alterations in patient care for latex allergy - ANSWER-The patient reports an allergy
to latex.
.An adult PT complains of cramping during the administration of an enema. -
ANSWER-What could be a possible cause?
.An elderly PT was recently admitted to a medical unit with severe fluid and
electrolyte imbalance - ANSWER-Practical precautions include using a security
camera to monitor the PT while in bed.
.Antipyretic - ANSWER-A medication used to reduce fever.
.Antiseptic solution - ANSWER-A solution used to reduce the risk of infection by
killing or inhibiting the growth of pathogens.
.Anxiety during testing - ANSWER-Can increase both the rate and depth of
respiration.
.Apical pulse - ANSWER-The pulse measured at the apex of the heart, particularly in
patients receiving cardiac drugs.
,.Artificial nails - ANSWER-Nurse D wears artificial nails.
.Artificial nails - ANSWER-Should be no longer than 0.625 cm (1/4 inch).
.Assessment for oral suction - ANSWER-Evidence of emesis in the mouth indicates the
need for oral suction.
.Assessment for oral suction - ANSWER-Gagging indicates the need for oral suction.
.Assessment for oral suction - ANSWER-Gurgling and adventitious lung sounds
indicate the need for oral suction.
.Assessment for oral suction - ANSWER-Persistent coughing that fails to clear airway
indicates the need for oral suction.
.Assessment for oral suction - ANSWER-Unusual restlessness indicates the need for
oral suction.
.Assessment for oral suction - ANSWER-Weakness and lethargy accompanied by
drooling indicate the need for oral suction.
.Auscultate the BP - ANSWER-The act of listening to the sounds of the body, typically
using a stethoscope.
, .Avoid wearing gloves - ANSWER-Avoid wearing gloves unless absolutely necessary
and only for short periods.
.Bladder irrigation - ANSWER-A procedure used to instill medication into the bladder,
kill bacteria, prevent clots or sediment from blocking urinary drainage, treat pain
after urological surgery, and apply pressure to prevent bleeding at the operative site.
.Bladder of the cuff - ANSWER-The inflatable part of a blood pressure cuff that
constricts the arm to measure blood pressure.
.Bladder scan - ANSWER-A non-invasive procedure to assess the volume of urine in
the bladder.
.Bladder Scan Procedure - ANSWER-A method to determine postvoid residual (PVR)
by measuring the volume of urine left in the bladder after the patient voids.
.Blood pressure measurement - ANSWER-A vital sign assessment that can be
performed by nursing assistants.
.Blue probe electronic thermometer - ANSWER-An electronic thermometer designed
for oral use.
.Bolus IV fluids - ANSWER-Intravenous fluids administered in a large volume over a
short period.
.Break in sterile technique - ANSWER-An event that compromises the sterility of a
Answers
2-mL syringe - ANSWER-A small syringe used to aspirate fluid from the balloon port of
an indwelling catheter.
.Acceptable use of antiseptic hand rub - ANSWER-A. After adjusting a nasal cannula
on a PT, B. After removing gloves after changing a wound dressing, D. After moving
PT's belonging on the bedside table
.Actions after a patient falls - ANSWER-Call for assistance, assess for injury, notify the
health care provider, assess the situation for precipitous factors, fill out an agency
occurrence or sentinel event report.
.Actions indicating need for further instruction in dressing change - ANSWER-Actions
by the patient's wife that suggest she needs more training, such as packing the
wound tightly, leaving the primary dressing dripping moist, or improperly removing
the old dressing.
.Activate the bed alarm - ANSWER-When the PT is in bed.
.Adding sterile items to the field - ANSWER-The nurse adds sterile items to the sterile
field by placing them on the field at an angle and never allowing the wrapper to
touch the field.
,.Administer IV fluids - ANSWER-To reverse fluid imbalance.
.Alcohol-based hand rubs - ANSWER-Avoid use of alcohol-based hand rubs.
.Alterations in patient care for latex allergy - ANSWER-The patient reports an allergy
to latex.
.An adult PT complains of cramping during the administration of an enema. -
ANSWER-What could be a possible cause?
.An elderly PT was recently admitted to a medical unit with severe fluid and
electrolyte imbalance - ANSWER-Practical precautions include using a security
camera to monitor the PT while in bed.
.Antipyretic - ANSWER-A medication used to reduce fever.
.Antiseptic solution - ANSWER-A solution used to reduce the risk of infection by
killing or inhibiting the growth of pathogens.
.Anxiety during testing - ANSWER-Can increase both the rate and depth of
respiration.
.Apical pulse - ANSWER-The pulse measured at the apex of the heart, particularly in
patients receiving cardiac drugs.
,.Artificial nails - ANSWER-Nurse D wears artificial nails.
.Artificial nails - ANSWER-Should be no longer than 0.625 cm (1/4 inch).
.Assessment for oral suction - ANSWER-Evidence of emesis in the mouth indicates the
need for oral suction.
.Assessment for oral suction - ANSWER-Gagging indicates the need for oral suction.
.Assessment for oral suction - ANSWER-Gurgling and adventitious lung sounds
indicate the need for oral suction.
.Assessment for oral suction - ANSWER-Persistent coughing that fails to clear airway
indicates the need for oral suction.
.Assessment for oral suction - ANSWER-Unusual restlessness indicates the need for
oral suction.
.Assessment for oral suction - ANSWER-Weakness and lethargy accompanied by
drooling indicate the need for oral suction.
.Auscultate the BP - ANSWER-The act of listening to the sounds of the body, typically
using a stethoscope.
, .Avoid wearing gloves - ANSWER-Avoid wearing gloves unless absolutely necessary
and only for short periods.
.Bladder irrigation - ANSWER-A procedure used to instill medication into the bladder,
kill bacteria, prevent clots or sediment from blocking urinary drainage, treat pain
after urological surgery, and apply pressure to prevent bleeding at the operative site.
.Bladder of the cuff - ANSWER-The inflatable part of a blood pressure cuff that
constricts the arm to measure blood pressure.
.Bladder scan - ANSWER-A non-invasive procedure to assess the volume of urine in
the bladder.
.Bladder Scan Procedure - ANSWER-A method to determine postvoid residual (PVR)
by measuring the volume of urine left in the bladder after the patient voids.
.Blood pressure measurement - ANSWER-A vital sign assessment that can be
performed by nursing assistants.
.Blue probe electronic thermometer - ANSWER-An electronic thermometer designed
for oral use.
.Bolus IV fluids - ANSWER-Intravenous fluids administered in a large volume over a
short period.
.Break in sterile technique - ANSWER-An event that compromises the sterility of a
