Hallmark Final Exam BSN-205 Study Guide Latest 2026
Updated Questions and Verified 100% Solutions (2026/2027)
Grade: A+|Status: Guaranteed Pass
A patient with lung cancer received radiation therapy to reduce the size of the tumor prior to a
lobectomy (surgical removal of part of the lung). The patient is now being seen on home health
services for packing of an abnormal passage between the patient's chest cavity and an opening
on the patient's back. The nurse is aware the patient is at increased risk for: - Answers -fluid and
electrolyte imbalance
The nurse is instructing a patient on how to change a transparent dressing. Which statement, if
made by the nurse, requires correction? - Answers -You will want to remove your gloves to
prevent the transparent dressing from sticking to them. Remove the paper backing of the
transparent dressing and firmly stretch it over the wound to prevent wrinkling."
The nurse is performing a dressing change on a patient who is postoperative from a laparotomy.
The patient coughs and the nurse sees a few loops of intestine uncoiling from the wound. What
is the nurse's best action at this time? - Answers -Apply sterile saline-soaked towels to the area
Which of the following may indicate an increased risk for wound dehiscence? - Answers -There
is an increase in serosanguineous drainage from the wound
Which of the following patients is at greatest risk for developing a wound infection? - Answers -
A diabetic obese patient who smokes.
1|Page
,The nurse is caring for a patient with a Jackson-Pratt drain. Which of the following indicates
correct understanding? - Answers --The nurse instructs the NAP to empty the drain every 8-12
hours or when it is 2/3 full and document the amount as output on the intake and output
record
-The nurse ensures the drainage device appears deflated after it is emptied.
A nurse is applying a wound V.A.C. dressing independently for the first time. What action, if
made by the nurse, indicates that further instruction is needed in performing this procedure? -
Answers -The nurse cuts the foam approximately one-half inch smaller than the size of the
wound and gently places the foam in the wound, avoiding any tunneled and undermined areas.
ou are reviewing the signs, symptoms, and prevention of hypoxia with the family of a patient
who requires frequent suctioning at home. Choose the information that you should cover.
(Select all that apply.)
A.Restlessness and anxiety are indications of hypoxia.
B.Confusion, disorientation, and altered consciousness are indications of hypoxia.
C.Increases in pulse, respiration, and blood pressure are indications of hypoxia.
d.Having difficulty breathing and looking blue are indications of hypoxia.
e.Infection and fever are indications of hypoxia.
f.Bronchitis and chronic obstructive pulmonary disease are indications of hypoxia. - Answers -
abcdf
An elderly woman is hospitalized with pneumonia and anemia and has a history of heart failure.
She is weak and has a poor cough effort. Her current vital signs are temperature 100.2 °F (37.9
°C), pulse 114, respiration 26, blood pressure 106/58. She has oxygen ordered at 2 liters by
nasal cannula. Her oxygen saturation measures 88% when on room air, 93% with supplemental
2|Page
,oxygen. She develops shortness of breath on any activity and eats little because it is difficult for
her to eat and breathe at the same time. Which of the following are risk factors for this patient
developing hypoxia? (Select all that apply.)Group of answer choices
a.Anemia.
b.Tachycardia.
c.Increased secretions with weak cough.
d.Impaired cardiac function.
e.Shortness of breath.
f.Pneumonia. - Answers -acdf
Which of the following patients would have the greatest potential for an alteration in
respiration?Group of answer choices
A 15-year-old boy with a migraine headache.
A 44-year-old woman with anemia.
A 19-year-old woman with diarrhea.
A 32-year-old man with an earache. - Answers -A 44-year-old woman with anemia.
Which of the following, if exhibited by the patient, is a late sign of hypoxia?Group of answer
choices
Restlessness.
Anxiety.
Eupnea.
Cyanosis. - Answers -cyanosis
3|Page
, Which of the following would lead to an increase in oxygen demand?Group of answer choices
A fever.
Sleep.
Taking a narcotic.
Postural drainage. - Answers -a fever
What nursing intervention is appropriate for the patient with a large amount of sputum?Group
of answer choices
Perform nasotracheal suctioning every hour.
Encourage the patient to cough every hour while awake.
Place the patient on fluid restriction.
Avoid all milk products. - Answers -Encourage the patient to cough every hour while awake.
The nurse is caring for a patient who underwent major abdominal surgery 24 hours ago. The 72-
year-old male patient is weak and lethargic because of large doses of medication for pain
control. After noting audible gurgling on inspiration and expiration, the nurse completes a
respiratory assessment. Which assessment parameters indicate the need for oral suction?
(Select all that apply.)
Group of answer choicesa.
Unusual restlessness.
b.Gagging.
c.Gurgling and adventitious lung sounds.
d.Evidence of emesis in the mouth.
4|Page
Updated Questions and Verified 100% Solutions (2026/2027)
Grade: A+|Status: Guaranteed Pass
A patient with lung cancer received radiation therapy to reduce the size of the tumor prior to a
lobectomy (surgical removal of part of the lung). The patient is now being seen on home health
services for packing of an abnormal passage between the patient's chest cavity and an opening
on the patient's back. The nurse is aware the patient is at increased risk for: - Answers -fluid and
electrolyte imbalance
The nurse is instructing a patient on how to change a transparent dressing. Which statement, if
made by the nurse, requires correction? - Answers -You will want to remove your gloves to
prevent the transparent dressing from sticking to them. Remove the paper backing of the
transparent dressing and firmly stretch it over the wound to prevent wrinkling."
The nurse is performing a dressing change on a patient who is postoperative from a laparotomy.
The patient coughs and the nurse sees a few loops of intestine uncoiling from the wound. What
is the nurse's best action at this time? - Answers -Apply sterile saline-soaked towels to the area
Which of the following may indicate an increased risk for wound dehiscence? - Answers -There
is an increase in serosanguineous drainage from the wound
Which of the following patients is at greatest risk for developing a wound infection? - Answers -
A diabetic obese patient who smokes.
1|Page
,The nurse is caring for a patient with a Jackson-Pratt drain. Which of the following indicates
correct understanding? - Answers --The nurse instructs the NAP to empty the drain every 8-12
hours or when it is 2/3 full and document the amount as output on the intake and output
record
-The nurse ensures the drainage device appears deflated after it is emptied.
A nurse is applying a wound V.A.C. dressing independently for the first time. What action, if
made by the nurse, indicates that further instruction is needed in performing this procedure? -
Answers -The nurse cuts the foam approximately one-half inch smaller than the size of the
wound and gently places the foam in the wound, avoiding any tunneled and undermined areas.
ou are reviewing the signs, symptoms, and prevention of hypoxia with the family of a patient
who requires frequent suctioning at home. Choose the information that you should cover.
(Select all that apply.)
A.Restlessness and anxiety are indications of hypoxia.
B.Confusion, disorientation, and altered consciousness are indications of hypoxia.
C.Increases in pulse, respiration, and blood pressure are indications of hypoxia.
d.Having difficulty breathing and looking blue are indications of hypoxia.
e.Infection and fever are indications of hypoxia.
f.Bronchitis and chronic obstructive pulmonary disease are indications of hypoxia. - Answers -
abcdf
An elderly woman is hospitalized with pneumonia and anemia and has a history of heart failure.
She is weak and has a poor cough effort. Her current vital signs are temperature 100.2 °F (37.9
°C), pulse 114, respiration 26, blood pressure 106/58. She has oxygen ordered at 2 liters by
nasal cannula. Her oxygen saturation measures 88% when on room air, 93% with supplemental
2|Page
,oxygen. She develops shortness of breath on any activity and eats little because it is difficult for
her to eat and breathe at the same time. Which of the following are risk factors for this patient
developing hypoxia? (Select all that apply.)Group of answer choices
a.Anemia.
b.Tachycardia.
c.Increased secretions with weak cough.
d.Impaired cardiac function.
e.Shortness of breath.
f.Pneumonia. - Answers -acdf
Which of the following patients would have the greatest potential for an alteration in
respiration?Group of answer choices
A 15-year-old boy with a migraine headache.
A 44-year-old woman with anemia.
A 19-year-old woman with diarrhea.
A 32-year-old man with an earache. - Answers -A 44-year-old woman with anemia.
Which of the following, if exhibited by the patient, is a late sign of hypoxia?Group of answer
choices
Restlessness.
Anxiety.
Eupnea.
Cyanosis. - Answers -cyanosis
3|Page
, Which of the following would lead to an increase in oxygen demand?Group of answer choices
A fever.
Sleep.
Taking a narcotic.
Postural drainage. - Answers -a fever
What nursing intervention is appropriate for the patient with a large amount of sputum?Group
of answer choices
Perform nasotracheal suctioning every hour.
Encourage the patient to cough every hour while awake.
Place the patient on fluid restriction.
Avoid all milk products. - Answers -Encourage the patient to cough every hour while awake.
The nurse is caring for a patient who underwent major abdominal surgery 24 hours ago. The 72-
year-old male patient is weak and lethargic because of large doses of medication for pain
control. After noting audible gurgling on inspiration and expiration, the nurse completes a
respiratory assessment. Which assessment parameters indicate the need for oral suction?
(Select all that apply.)
Group of answer choicesa.
Unusual restlessness.
b.Gagging.
c.Gurgling and adventitious lung sounds.
d.Evidence of emesis in the mouth.
4|Page
