BSN 205 Hallmark Exam With Correct
Answers
Question v1 vof v5
Which vinstruction vto vnursing vassistive vpersonnel v(NAP) vreflects vthe vnurse's vcorrect
vunderstanding vof vthe vNAP's vrole vin vcaring vfor va vpatient vreceiving vintravenous v(IV)
vfluids vby vgravity vdrip?
Assess vthe vIV vsite vfrequently vfor vsigns vof vinflammation.
Be vsure vnot vto vobscure vthe vinsertion vsite vwith vthe vdressing.
Let vme vknow vwhen vyou vnotice vthat vthe vIV vbag vcontains vless vthan v100 vmL.
Tell vthe vpatient vto vnotify vme vif vthe vIV vsite vis vpainful, vswollen, vor vred. v-
vCORRECT✅✅Let vme vknow vwhen vyou vnotice vthat vthe vIV vbag vcontains vless vthan
v100 vmL.
Question v2 vof v5
The vprovider vhas vordered vthat va vpatient vbe v1000 vmL vof vIV vnormal vsaline vto vrun
vover v12 vhours. vWhat vis vthe vfirst vstep vin vthe vcalculation vof vthe vrate vof vinfusion?
Calculate vthe vhourly vvolume vof vnormal vsaline vthe vpatient vshould vreceive.
Determine vthe vdrop vfactor vof vthe vtubing vthat vwill vbe vused vfor vthe vinfusion.
Calculate vthe vdrops vper vminute vat vwhich vthe vtubing vwill vbe vregulated.
Determine vthe vdrops vper vmL vthat vthe vtubing vwill vdeliver. v-
vCORRECT✅✅Calculate vthe vhourly vvolume vof vnormal vsaline vthe vpatient vshould
vreceive.
Question v3 vof v5
The vprovider vorders vthat va vpatient vbe vgiven v1000 vmL vof vIV vnormal vsaline vto vrun
vover v10 vhours. vThe vdrop vfactor vof vthe vselected vtubing vis v15. vWhat vis vthe vcorrect
vrate vof vinfusion vin vdrops vper vminute?25 vdrops/minute30 vdrops/minute35
vdrops/minute40 vdrops/minute v- vCORRECT✅✅25 vdrops/minute
Question v4 vof v5
The vnurse vreceives van vorder vto vinfuse v1000 vmL vof vD5W vat v125 vmL vcontinuously.
vWhich vof vthe vfollowing vactions vby vthe vnurse vindicates vcorrect vinterpretation vof vthis
vorder?Infusing vD5W v1000 vmL vfor v8 vhours vand vthen vdiscontinuing vthe
vinfusionInfusing vD5W vat va vrate vof v125 vmL/hr vfor v24 vhours vand vthen vdiscontinuing
vthe vinfusionInfusing vD5W vat va vrate vof v125 vmL/hr vuntil vthe vhealth vcare vprovider
vchanges vthe vorderCalling vthe vhealth vcare vprovider vto vclarify vthe vorder v-
vCORRECT✅✅Infusing vD5W vat va vrate vof v125 vmL/hr vuntil vthe vhealth vcare
vprovider vchanges vthe vorder
Question v5 vof v5
, Which vaction vby vthe vnurse vhelps vto vensure vpatient vsafety vwhen vadministering vIV
vfluids vby vgravity vto vvery vyoung vchildren?
Using vmicrodrip vtubing vfor vthe vinfusion
Using vmacrodrip vtubing vfor vthe vinfusion
Using va vvolume-control vdevice vfor vthe vinfusion
Not vinfusing vmore vthan v25 vmL/hour vof vIV vfluids v- vCORRECT✅✅Using va vvolume-
control vdevice vfor vthe vinfusion
Question v1 vof v4
The vnurse vis vcompleting va vpatient's vshift vassessment vand vnotes vthat vthe vpatient vis
vlethargic, vbut vrestless vand vagitated. vWhich vnursing vdiagnosis vshould vthe vnurse
vinclude vto vthe vplan vof vcare vbased von vthis vdata?
Acute vConfusion
Decreased vCardiac vOutput
Impaired vGas vExchange
Fatigue v- vCORRECT✅✅Acute vConfusion
Lethargy, vagitation, vand vrestlessness vare vcharacteristic vof vthis vnursing vdiagnosis.
Question v2 vof v4
Mr. vAbdul vstates, v"I vcan't vcatch vmy vbreath." vThe vnurse vobserves vthat vhis
vbreathing vis vlabored, vhis vrespirations vare vslow vand vdeep, vand vhis voxygen
vsaturation vlevel vis v90%. vBased von vthese vassessment vfindings, vwhich vnursing
vdiagnosis vdoes vthe vnurse vinclude vin vMr. vAbdul's vplan vof vcare?
Impaired vGas vExchange
Decreased vCardiac vOutput
Acute vConfusion
Imbalanced vNutrition v- vCORRECT✅✅Impaired vGas vExchange
The vpatient's vpresentation vand vthe vnurse's vobservation vare vevidence vfor vincluding
vthis vnursing vdiagnosis vinto vMr. vAbdul's vplan vof vcare.
Question v3 vof v4
Match veach vnursing vdiagnosis vwith vthe vappropriate vcluster vof vassessment vdata
vabout vMr. vAbdul.
Dyspnea, vlabored vbreathing, vPaCO2 v= v60
Impaired vGas vExchange
Restless, vanxiety, vunsure vabout vcurrent vevents
Acute vConfusion
Unable vto vfix vmeals vand vtake vmedication
Self-Care vDeficit v- vCORRECT✅✅
Question v4 vof v4
Order vthe vnursing vdiagnoses vfor vMr. vAbdul's vplan vof vcare vfrom vhighest vpriority vto
vlowest vpriority.
Impaired vGas vExchange v
Risk vfor vInjury v
Acute vConfusion v
Answers
Question v1 vof v5
Which vinstruction vto vnursing vassistive vpersonnel v(NAP) vreflects vthe vnurse's vcorrect
vunderstanding vof vthe vNAP's vrole vin vcaring vfor va vpatient vreceiving vintravenous v(IV)
vfluids vby vgravity vdrip?
Assess vthe vIV vsite vfrequently vfor vsigns vof vinflammation.
Be vsure vnot vto vobscure vthe vinsertion vsite vwith vthe vdressing.
Let vme vknow vwhen vyou vnotice vthat vthe vIV vbag vcontains vless vthan v100 vmL.
Tell vthe vpatient vto vnotify vme vif vthe vIV vsite vis vpainful, vswollen, vor vred. v-
vCORRECT✅✅Let vme vknow vwhen vyou vnotice vthat vthe vIV vbag vcontains vless vthan
v100 vmL.
Question v2 vof v5
The vprovider vhas vordered vthat va vpatient vbe v1000 vmL vof vIV vnormal vsaline vto vrun
vover v12 vhours. vWhat vis vthe vfirst vstep vin vthe vcalculation vof vthe vrate vof vinfusion?
Calculate vthe vhourly vvolume vof vnormal vsaline vthe vpatient vshould vreceive.
Determine vthe vdrop vfactor vof vthe vtubing vthat vwill vbe vused vfor vthe vinfusion.
Calculate vthe vdrops vper vminute vat vwhich vthe vtubing vwill vbe vregulated.
Determine vthe vdrops vper vmL vthat vthe vtubing vwill vdeliver. v-
vCORRECT✅✅Calculate vthe vhourly vvolume vof vnormal vsaline vthe vpatient vshould
vreceive.
Question v3 vof v5
The vprovider vorders vthat va vpatient vbe vgiven v1000 vmL vof vIV vnormal vsaline vto vrun
vover v10 vhours. vThe vdrop vfactor vof vthe vselected vtubing vis v15. vWhat vis vthe vcorrect
vrate vof vinfusion vin vdrops vper vminute?25 vdrops/minute30 vdrops/minute35
vdrops/minute40 vdrops/minute v- vCORRECT✅✅25 vdrops/minute
Question v4 vof v5
The vnurse vreceives van vorder vto vinfuse v1000 vmL vof vD5W vat v125 vmL vcontinuously.
vWhich vof vthe vfollowing vactions vby vthe vnurse vindicates vcorrect vinterpretation vof vthis
vorder?Infusing vD5W v1000 vmL vfor v8 vhours vand vthen vdiscontinuing vthe
vinfusionInfusing vD5W vat va vrate vof v125 vmL/hr vfor v24 vhours vand vthen vdiscontinuing
vthe vinfusionInfusing vD5W vat va vrate vof v125 vmL/hr vuntil vthe vhealth vcare vprovider
vchanges vthe vorderCalling vthe vhealth vcare vprovider vto vclarify vthe vorder v-
vCORRECT✅✅Infusing vD5W vat va vrate vof v125 vmL/hr vuntil vthe vhealth vcare
vprovider vchanges vthe vorder
Question v5 vof v5
, Which vaction vby vthe vnurse vhelps vto vensure vpatient vsafety vwhen vadministering vIV
vfluids vby vgravity vto vvery vyoung vchildren?
Using vmicrodrip vtubing vfor vthe vinfusion
Using vmacrodrip vtubing vfor vthe vinfusion
Using va vvolume-control vdevice vfor vthe vinfusion
Not vinfusing vmore vthan v25 vmL/hour vof vIV vfluids v- vCORRECT✅✅Using va vvolume-
control vdevice vfor vthe vinfusion
Question v1 vof v4
The vnurse vis vcompleting va vpatient's vshift vassessment vand vnotes vthat vthe vpatient vis
vlethargic, vbut vrestless vand vagitated. vWhich vnursing vdiagnosis vshould vthe vnurse
vinclude vto vthe vplan vof vcare vbased von vthis vdata?
Acute vConfusion
Decreased vCardiac vOutput
Impaired vGas vExchange
Fatigue v- vCORRECT✅✅Acute vConfusion
Lethargy, vagitation, vand vrestlessness vare vcharacteristic vof vthis vnursing vdiagnosis.
Question v2 vof v4
Mr. vAbdul vstates, v"I vcan't vcatch vmy vbreath." vThe vnurse vobserves vthat vhis
vbreathing vis vlabored, vhis vrespirations vare vslow vand vdeep, vand vhis voxygen
vsaturation vlevel vis v90%. vBased von vthese vassessment vfindings, vwhich vnursing
vdiagnosis vdoes vthe vnurse vinclude vin vMr. vAbdul's vplan vof vcare?
Impaired vGas vExchange
Decreased vCardiac vOutput
Acute vConfusion
Imbalanced vNutrition v- vCORRECT✅✅Impaired vGas vExchange
The vpatient's vpresentation vand vthe vnurse's vobservation vare vevidence vfor vincluding
vthis vnursing vdiagnosis vinto vMr. vAbdul's vplan vof vcare.
Question v3 vof v4
Match veach vnursing vdiagnosis vwith vthe vappropriate vcluster vof vassessment vdata
vabout vMr. vAbdul.
Dyspnea, vlabored vbreathing, vPaCO2 v= v60
Impaired vGas vExchange
Restless, vanxiety, vunsure vabout vcurrent vevents
Acute vConfusion
Unable vto vfix vmeals vand vtake vmedication
Self-Care vDeficit v- vCORRECT✅✅
Question v4 vof v4
Order vthe vnursing vdiagnoses vfor vMr. vAbdul's vplan vof vcare vfrom vhighest vpriority vto
vlowest vpriority.
Impaired vGas vExchange v
Risk vfor vInjury v
Acute vConfusion v
