BSN 206 Hallmark EXAM 2026-2027 LATEST
UPDATED VERSION QUESTIONS AND ANSWERS
Why does the nurse remove the patient's elastic stockings at least once per shift?
1. To air out the stockings and allow sweat to evaporate.
2. To permit the skin to breathe.
3. To wash the legs with a disposable bath product.
4. To check the skin for irritation or breakdown. - answer>>To check the skin for irritation or
breakdown.
Why might the nurse choose not to apply a pair of prescribed elastic stockings to a patient's legs?
1. The patient will have a scheduled bath in a few hours.
2. The patient has become fully ambulatory.
3. The patient's skin is irritated.
4. The patient says they are too tight. - answer>>3. The patient's skin is irritated.
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?
1. Inspect the patient's skin for color variations.
2. Explain that moisturizer may cause excessive skin softening, which can lead to skin breakdown.
3. Ask the patient if he or she is allergic to the moisturizer.
4. Instruct NAP to use a small amount of cornstarch or powder. - answer>>Instruct NAP to use a small
amount of cornstarch or powder.
Which patient is most at risk of developing permanently impaired mobility?
1. A 55-year-old woman with mental illness who had become malnourished
2. An 11-year-old boy who sustained a fractured pelvis during a fall from his tree house
3. A 72-year-old woman hospitalized for anemia associated with diabetic nephropathy (kidney disease)
4. A 79-year-old man recovering from surgery to release a contracture of the connective tissue in his
hand - answer>>3. A 72-year-old woman hospitalized for anemia associated with diabetic nephropathy
(kidney disease)
The nurse notes that a patient's left elbow is resistant to extension and flexion while performing range
of motion exercises. What is the appropriate nursing action?
1. Move the joint through the full range of motion exercises.
2. Omit all the range of motion exercises until the health care provider is notified.
3. Inform the health care provider that the patient is uncooperative with exercising.
4. Perform range of motion to the left elbow until resistance is met. - answer>>Perform range of motion
to the left elbow until resistance is met.
,The nurse is performing passive shoulder and elbow exercises for a patient who is recovering from
surgery to remove a soft-tissue tumor in her upper arm. Why does the nurse cup one hand around the
patient's elbow and support the forearm and wrist during the ROM exercises?
1. To assess the patient's muscle tension
2. To listen for crepitus in the joint
3. To keep the arm above the level of the heart
4. To ensure stability while exercising the joint - answer>>4. To ensure stability while exercising the joint
Which of the following are basic guidelines when assisting a patient with passive range of motion?
1. Exercises should be continued until the point of fatigue and pain.
2. Each joint is exercised to the point of resistance but not pain.
3. Exercises should be done frequently to lessen pain for the patient.
4. Exercises should be performed without the support to each joint. - answer>>Each joint is exercised to
the point of resistance but not pain.
Why would the nurse ask a physical therapist to perform passive ROM exercises for a patient with lower
extremity injuries sustained in a motor vehicle crash?
1. The patient has orthopedic trauma.
2. The patient is an older adult or has a chronic condition.
3. The patient has pain exacerbated by exercise.
4. The patient is reluctant to perform the exercises because he is worried about reinjury. - answer>>The
patient has orthopedic trauma.
When preparing to safely transfer a patient from a bed to a wheelchair using a transfer belt, the nurse
would do what first?
1. Assess the patient's physiological capacity to transfer.
2. Coordinate extra help.
3. Assess the patient's vital signs.
4. Determine whether to transfer the patient to a wheelchair or chair. - answer>>1. Assess the patient's
physiological capacity to transfer.
Which instruction would the nurse give a patient who is able to assist with transfer from a bed to a
wheelchair using a transfer belt?
1. Please tell me how I can best help you get up off the bed and stand up.
2. Please push down onto the mattress with both hands and stand when I count to three.
3. When I count to three, please rock yourself into a standing position.
4. Please hold on to my waist while I help you stand. - answer>>Please push down onto the mattress
with both hands and stand when I count to three.
A patient lying supine in bed is being transferred to a wheelchair using a transfer belt. Which action
would the nurse perform just before moving the patient to the side of the bed?
1. Raise the head of the bed 30 degrees.
, 2. Position the chair so that the patient will move toward his or her stronger side.
3. Place the transfer belt over the patient's clothing.
4. Help the patient put on skid-resistant footwear. - answer>>1. Raise the head of the bed 30 degrees.
The nurse is preparing to transfer a patient with left-sided weakness from the bed to a wheelchair using
a transfer belt. Which position would the nurse instruct the patient to assume?
1. Place your stronger leg forward and your weaker leg toward the back.
2. Extend both of your legs and feet.
3. Place both feet together on the floor.
4. Place your weaker foot forward and your stronger leg toward the back. - answer>>1. Place your
stronger leg forward and your weaker leg toward the back.
A patient has been transferred to a wheelchair with a transfer belt. What is one action the nurse would
take to position the patient safely in the chair?
1. Ask the patient to rate his or her pain level.
2. Lower the foot rests, and place the patient's feet on them.
3. Remove the wheelchair leg rests.
4. Remove the transfer belt. - answer>>Lower the foot rests, and place the patient's feet on them.
A nursing instructor is reviewing medical asepsis with a group of nursing students. Which comment, if
made by a student, indicates that further teaching is needed?
1. "Performing hand hygiene is an example of breaking the transmission link in the chain of infection."
2. "Reducing the number of organisms and preventing their transfer is the goal of medical asepsis."
3. "Health care-associated infections are most likely to develop in the urinary and respiratory tract."
4. "Alcohol-based hand rubs should be used often when caring for clients with Clostridium difficile." -
answer>>"Alcohol-based hand rubs should be used often when caring for clients with Clostridium
difficile."
The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis:
1. uses sterile attire to protect the client.
2. is confined to the client's room.
3. uses sterile equipment before contact with the client.
4. kills all organisms. - answer>>2. is confined to the client's room.
When removing a used facemask, the nurse correctly:
1. lowers it below his chin to use the next time he enters that client's room.
2. unties the bottom ties first, then the top, and disposes of the mask without touching it.
3. discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time.
4. removes the mask first before removing any other PPE. - answer>>unties the bottom ties first, then
the top, and disposes of the mask without touching it.
The nurse is caring for a client who is comatose. When preforming oral hygiene, which interval is most
appropriate?
UPDATED VERSION QUESTIONS AND ANSWERS
Why does the nurse remove the patient's elastic stockings at least once per shift?
1. To air out the stockings and allow sweat to evaporate.
2. To permit the skin to breathe.
3. To wash the legs with a disposable bath product.
4. To check the skin for irritation or breakdown. - answer>>To check the skin for irritation or
breakdown.
Why might the nurse choose not to apply a pair of prescribed elastic stockings to a patient's legs?
1. The patient will have a scheduled bath in a few hours.
2. The patient has become fully ambulatory.
3. The patient's skin is irritated.
4. The patient says they are too tight. - answer>>3. The patient's skin is irritated.
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?
1. Inspect the patient's skin for color variations.
2. Explain that moisturizer may cause excessive skin softening, which can lead to skin breakdown.
3. Ask the patient if he or she is allergic to the moisturizer.
4. Instruct NAP to use a small amount of cornstarch or powder. - answer>>Instruct NAP to use a small
amount of cornstarch or powder.
Which patient is most at risk of developing permanently impaired mobility?
1. A 55-year-old woman with mental illness who had become malnourished
2. An 11-year-old boy who sustained a fractured pelvis during a fall from his tree house
3. A 72-year-old woman hospitalized for anemia associated with diabetic nephropathy (kidney disease)
4. A 79-year-old man recovering from surgery to release a contracture of the connective tissue in his
hand - answer>>3. A 72-year-old woman hospitalized for anemia associated with diabetic nephropathy
(kidney disease)
The nurse notes that a patient's left elbow is resistant to extension and flexion while performing range
of motion exercises. What is the appropriate nursing action?
1. Move the joint through the full range of motion exercises.
2. Omit all the range of motion exercises until the health care provider is notified.
3. Inform the health care provider that the patient is uncooperative with exercising.
4. Perform range of motion to the left elbow until resistance is met. - answer>>Perform range of motion
to the left elbow until resistance is met.
,The nurse is performing passive shoulder and elbow exercises for a patient who is recovering from
surgery to remove a soft-tissue tumor in her upper arm. Why does the nurse cup one hand around the
patient's elbow and support the forearm and wrist during the ROM exercises?
1. To assess the patient's muscle tension
2. To listen for crepitus in the joint
3. To keep the arm above the level of the heart
4. To ensure stability while exercising the joint - answer>>4. To ensure stability while exercising the joint
Which of the following are basic guidelines when assisting a patient with passive range of motion?
1. Exercises should be continued until the point of fatigue and pain.
2. Each joint is exercised to the point of resistance but not pain.
3. Exercises should be done frequently to lessen pain for the patient.
4. Exercises should be performed without the support to each joint. - answer>>Each joint is exercised to
the point of resistance but not pain.
Why would the nurse ask a physical therapist to perform passive ROM exercises for a patient with lower
extremity injuries sustained in a motor vehicle crash?
1. The patient has orthopedic trauma.
2. The patient is an older adult or has a chronic condition.
3. The patient has pain exacerbated by exercise.
4. The patient is reluctant to perform the exercises because he is worried about reinjury. - answer>>The
patient has orthopedic trauma.
When preparing to safely transfer a patient from a bed to a wheelchair using a transfer belt, the nurse
would do what first?
1. Assess the patient's physiological capacity to transfer.
2. Coordinate extra help.
3. Assess the patient's vital signs.
4. Determine whether to transfer the patient to a wheelchair or chair. - answer>>1. Assess the patient's
physiological capacity to transfer.
Which instruction would the nurse give a patient who is able to assist with transfer from a bed to a
wheelchair using a transfer belt?
1. Please tell me how I can best help you get up off the bed and stand up.
2. Please push down onto the mattress with both hands and stand when I count to three.
3. When I count to three, please rock yourself into a standing position.
4. Please hold on to my waist while I help you stand. - answer>>Please push down onto the mattress
with both hands and stand when I count to three.
A patient lying supine in bed is being transferred to a wheelchair using a transfer belt. Which action
would the nurse perform just before moving the patient to the side of the bed?
1. Raise the head of the bed 30 degrees.
, 2. Position the chair so that the patient will move toward his or her stronger side.
3. Place the transfer belt over the patient's clothing.
4. Help the patient put on skid-resistant footwear. - answer>>1. Raise the head of the bed 30 degrees.
The nurse is preparing to transfer a patient with left-sided weakness from the bed to a wheelchair using
a transfer belt. Which position would the nurse instruct the patient to assume?
1. Place your stronger leg forward and your weaker leg toward the back.
2. Extend both of your legs and feet.
3. Place both feet together on the floor.
4. Place your weaker foot forward and your stronger leg toward the back. - answer>>1. Place your
stronger leg forward and your weaker leg toward the back.
A patient has been transferred to a wheelchair with a transfer belt. What is one action the nurse would
take to position the patient safely in the chair?
1. Ask the patient to rate his or her pain level.
2. Lower the foot rests, and place the patient's feet on them.
3. Remove the wheelchair leg rests.
4. Remove the transfer belt. - answer>>Lower the foot rests, and place the patient's feet on them.
A nursing instructor is reviewing medical asepsis with a group of nursing students. Which comment, if
made by a student, indicates that further teaching is needed?
1. "Performing hand hygiene is an example of breaking the transmission link in the chain of infection."
2. "Reducing the number of organisms and preventing their transfer is the goal of medical asepsis."
3. "Health care-associated infections are most likely to develop in the urinary and respiratory tract."
4. "Alcohol-based hand rubs should be used often when caring for clients with Clostridium difficile." -
answer>>"Alcohol-based hand rubs should be used often when caring for clients with Clostridium
difficile."
The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis:
1. uses sterile attire to protect the client.
2. is confined to the client's room.
3. uses sterile equipment before contact with the client.
4. kills all organisms. - answer>>2. is confined to the client's room.
When removing a used facemask, the nurse correctly:
1. lowers it below his chin to use the next time he enters that client's room.
2. unties the bottom ties first, then the top, and disposes of the mask without touching it.
3. discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time.
4. removes the mask first before removing any other PPE. - answer>>unties the bottom ties first, then
the top, and disposes of the mask without touching it.
The nurse is caring for a client who is comatose. When preforming oral hygiene, which interval is most
appropriate?
