1
BSN 206 Hallmark Exam Actual Exam
2026/2027 | Foundations of Nursing
Fundamentals | Nightingale | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 72-year-old client recovering from hip-replacement surgery tells the
nurse, “I’m afraid I’ll fall if I try to walk.” Which initial response by the nurse best
supports therapeutic communication?
Options:
A. “You’ll be fine—just take your time.”
B. “Don’t worry; the physical therapist will handle everything.”
C. “Tell me more about what worries you when you think about walking.” -
CORRECT
D. “Falling is unlikely here, so try not to think about it.”
ANSWER: C
Q002: A novice nurse is preparing to insert an indwelling urinary catheter. Which
action best demonstrates adherence to the first step of the nursing process?
Options:
A. Collect a sterile catheter kit and drape
B. Ask the client to void before the procedure
C. Review the provider’s order and verify client identity - CORRECT
D. Document the procedure immediately after insertion
, 2
ANSWER: C
Q003: A client’s morning fasting blood glucose is 320 mg/dL. Which nursing
action should be performed first?
Options:
A. Administer prescribed rapid-acting insulin - CORRECT
B. Offer the client breakfast
C. Encourage oral fluids only
D. Wait two hours and recheck glucose
ANSWER: A
Q004: The nurse notes a pulsating mass while palpating the abdomen of a 68-year-
old client. Which immediate action is appropriate?
Options:
A. Continue abdominal assessment
B. Notify the provider immediately - CORRECT
C. Place the client in Trendelenburg position
D. Document as a normal finding
ANSWER: B
Q005: When calculating a drug dose, the nurse determines that 2.3 mL of a cardiac
medication is required. Which rounding practice is safest?
Options:
A. Round to 2.0 mL for convenience
B. Round to 2.5 mL for convenience
C. Administer 2.3 mL as calculated - CORRECT
D. Round to nearest whole number regardless of drug type
ANSWER: C
, 3
Q006: A client is receiving contact precautions for MRSA. Which piece of
equipment can remain in the room without special disinfection between uses?
Options:
A. Setthoscope with disposable diaphragm cover - CORRECT
B. Shared electronic tablet
C. Portable ultrasound machine
D. Communal blood-pressure cuff
ANSWER: A
Q007: A postoperative client suddenly reports shortness of breath and chest pain.
Which priority assessment should the nurse perform?
Options:
A. Auscultate lung sounds and check oxygen saturation - CORRECT
B. Obtain a full set of vital signs in 15 minutes
C. Offer the client a warm blanket
D. Encourage deep breathing and coughing only
ANSWER: A
Q008: A nurse is documenting a client’s pain rating. Which entry best follows legal
and professional standards?
Options:
A. “Client seems comfortable.”
B. “Pain level acceptable.”
C. “Client rates pain 4/10 at 1400, describes as ‘aching.’” - CORRECT
D. “Pain improved after medication.”
ANSWER: C
, 4
Q009: A confused older adult attempts to climb out of bed. Which restraint-free
intervention is most appropriate?
Options:
A. Apply bilateral wrist restraints
B. Raise all four bed rails and dim lights
C. Provide a low bed with floor mats and hourly rounding - CORRECT
D. Sedate the client with prescribed PRN medication
ANSWER: C
Q010: A client’s oxygen saturation drops from 94 % to 88 % after ambulation.
Which action should the nurse take first?
Options:
A. Encourage the client to continue walking
B. Apply oxygen per protocol and assess respiratory effort - CORRECT
C. Document the finding and recheck in one hour
D. Lower the head of the bed
ANSWER: B
Q011: A nurse prepares to administer 40 mEq of potassium chloride IV. Which
infusion practice is safest?
Options:
A. Give IV push over 5 minutes
B. Dilute in 100 mL and infuse over 1 hour via central line - CORRECT
C. Add to 50 mL D5W and give as a bolus
D. Infuse undiluted through a peripheral IV
ANSWER: B
BSN 206 Hallmark Exam Actual Exam
2026/2027 | Foundations of Nursing
Fundamentals | Nightingale | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 72-year-old client recovering from hip-replacement surgery tells the
nurse, “I’m afraid I’ll fall if I try to walk.” Which initial response by the nurse best
supports therapeutic communication?
Options:
A. “You’ll be fine—just take your time.”
B. “Don’t worry; the physical therapist will handle everything.”
C. “Tell me more about what worries you when you think about walking.” -
CORRECT
D. “Falling is unlikely here, so try not to think about it.”
ANSWER: C
Q002: A novice nurse is preparing to insert an indwelling urinary catheter. Which
action best demonstrates adherence to the first step of the nursing process?
Options:
A. Collect a sterile catheter kit and drape
B. Ask the client to void before the procedure
C. Review the provider’s order and verify client identity - CORRECT
D. Document the procedure immediately after insertion
, 2
ANSWER: C
Q003: A client’s morning fasting blood glucose is 320 mg/dL. Which nursing
action should be performed first?
Options:
A. Administer prescribed rapid-acting insulin - CORRECT
B. Offer the client breakfast
C. Encourage oral fluids only
D. Wait two hours and recheck glucose
ANSWER: A
Q004: The nurse notes a pulsating mass while palpating the abdomen of a 68-year-
old client. Which immediate action is appropriate?
Options:
A. Continue abdominal assessment
B. Notify the provider immediately - CORRECT
C. Place the client in Trendelenburg position
D. Document as a normal finding
ANSWER: B
Q005: When calculating a drug dose, the nurse determines that 2.3 mL of a cardiac
medication is required. Which rounding practice is safest?
Options:
A. Round to 2.0 mL for convenience
B. Round to 2.5 mL for convenience
C. Administer 2.3 mL as calculated - CORRECT
D. Round to nearest whole number regardless of drug type
ANSWER: C
, 3
Q006: A client is receiving contact precautions for MRSA. Which piece of
equipment can remain in the room without special disinfection between uses?
Options:
A. Setthoscope with disposable diaphragm cover - CORRECT
B. Shared electronic tablet
C. Portable ultrasound machine
D. Communal blood-pressure cuff
ANSWER: A
Q007: A postoperative client suddenly reports shortness of breath and chest pain.
Which priority assessment should the nurse perform?
Options:
A. Auscultate lung sounds and check oxygen saturation - CORRECT
B. Obtain a full set of vital signs in 15 minutes
C. Offer the client a warm blanket
D. Encourage deep breathing and coughing only
ANSWER: A
Q008: A nurse is documenting a client’s pain rating. Which entry best follows legal
and professional standards?
Options:
A. “Client seems comfortable.”
B. “Pain level acceptable.”
C. “Client rates pain 4/10 at 1400, describes as ‘aching.’” - CORRECT
D. “Pain improved after medication.”
ANSWER: C
, 4
Q009: A confused older adult attempts to climb out of bed. Which restraint-free
intervention is most appropriate?
Options:
A. Apply bilateral wrist restraints
B. Raise all four bed rails and dim lights
C. Provide a low bed with floor mats and hourly rounding - CORRECT
D. Sedate the client with prescribed PRN medication
ANSWER: C
Q010: A client’s oxygen saturation drops from 94 % to 88 % after ambulation.
Which action should the nurse take first?
Options:
A. Encourage the client to continue walking
B. Apply oxygen per protocol and assess respiratory effort - CORRECT
C. Document the finding and recheck in one hour
D. Lower the head of the bed
ANSWER: B
Q011: A nurse prepares to administer 40 mEq of potassium chloride IV. Which
infusion practice is safest?
Options:
A. Give IV push over 5 minutes
B. Dilute in 100 mL and infuse over 1 hour via central line - CORRECT
C. Add to 50 mL D5W and give as a bolus
D. Infuse undiluted through a peripheral IV
ANSWER: B
