BSN 206 Hallmark Exam Actual Exam 2026/2027
| Foundations of Nursing Fundamentals |
Nightingale | Questions with Verified Answers |
100% Correct | Pass Guaranteed.
Topic Distribution Table
Table
Module/Topic Area Question Numbers Count
Nursing Process & Critical Thinking (ADPIE) Q1, Q14, Q15, Q16, Q17 5
Patient Safety & Quality Q2, Q18, Q19, Q20, Q21 5
Infection Prevention & Control Q3, Q22, Q23, Q24 4
Vital Signs Assessment Q25, Q26, Q27, Q28 4
Health Assessment & Physical Examination Q29, Q30, Q31 3
Hygiene & Personal Care Q32, Q33, Q34 3
Mobility & Immobility Q4, Q35, Q36, Q37 4
Nutrition & Hydration Q38, Q39, Q40 3
Elimination Q41, Q42, Q43 3
Oxygenation & Respiratory Care Q5, Q44, Q45, Q46 4
, Module/Topic Area Question Numbers Count
Wound Care & Skin Integrity Q47, Q48, Q49 3
Comfort & Pain Management Q50, Q51, Q52 3
Sleep & Rest Q53, Q54 2
Cultural Competence & Spirituality Q55, Q56 2
Legal & Ethical Foundations Q6, Q57, Q58, Q59 4
Communication & Documentation Q7, Q60, Q8 (SATA) 3
Patient Education & Health Promotion Q9, Q10 (SATA), Q11 (SATA) 3
Comprehensive Patient Care Scenario Q1–Q3 3
Mini-Case Study: Prioritization/Delegation Q4–Q5 2
Dosage Calculations Q12–Q13 2
Select All That Apply (SATA) Q8–Q11, Q6 (SATA) 5
TOTAL 60
Comprehensive Patient Care Scenario
Scenario: Mrs. Eleanor Vance, 78 years old, was admitted to the medical-surgical unit following
a fall at home resulting in a right hip fracture. She underwent open reduction internal fixation
(ORIF) 24 hours ago. Her medical history includes hypertension, type 2 diabetes mellitus, and
mild cognitive impairment. Current vital signs: BP 142/88 mmHg, HR 92 bpm, RR 18/min, SpO₂
, 94% on 2L NC, temperature 37.2°C (99.0°F). She is receiving IV morphine 2 mg q4h PRN for pain,
sliding scale insulin, and IV antibiotics. She is on bed rest with a sequential compression device
(SCD) on the left leg. She is alert but anxious and asks frequent questions about when she can
go home.
Q1: The nurse is conducting the initial postoperative assessment on Mrs. Vance using the
nursing process. Which assessment finding requires the nurse to take immediate action?
A. Patient reports pain level of 4/10 at the surgical site
B. Capillary refill in the right toes is 4 seconds
C. Patient states she is anxious about her recovery
D. Blood glucose reading is 186 mg/dL
Correct Answer: B
Rationale: A capillary refill greater than 3 seconds indicates compromised circulation to the
extremity, which is a critical postoperative complication following ORIF that could signal
neurovascular compromise. While pain, anxiety, and elevated glucose require intervention,
compromised circulation poses an immediate threat to tissue viability and limb preservation
and must be addressed first per Maslow's hierarchy and patient safety priorities. [CORRECT]
Q2: Based on the National Patient Safety Goals, which intervention is the highest priority for
Mrs. Vance during her hospitalization?
A. Encourage the patient to use her call light before attempting to ambulate
B. Verify patient identification using two identifiers before medication administration
C. Place a high-risk fall identifier on the patient's door and wristband
D. Perform a comprehensive pain assessment every 4 hours
Correct Answer: C
Rationale: Mrs. Vance has multiple fall risk factors including advanced age, postoperative status,
cognitive impairment, and opioid use. The Joint Commission's National Patient Safety Goals
emphasize fall prevention as a critical safety initiative. While all options are appropriate nursing
actions, fall prevention is the highest priority given her history of a fall-related admission and
current risk profile. [CORRECT]
Q3: On postoperative day 2, Mrs. Vance develops a fever of 38.5°C (101.3°F) with purulent
drainage at the surgical incision site. The healthcare provider orders a wound culture. Which
action by the nurse demonstrates correct aseptic technique?
| Foundations of Nursing Fundamentals |
Nightingale | Questions with Verified Answers |
100% Correct | Pass Guaranteed.
Topic Distribution Table
Table
Module/Topic Area Question Numbers Count
Nursing Process & Critical Thinking (ADPIE) Q1, Q14, Q15, Q16, Q17 5
Patient Safety & Quality Q2, Q18, Q19, Q20, Q21 5
Infection Prevention & Control Q3, Q22, Q23, Q24 4
Vital Signs Assessment Q25, Q26, Q27, Q28 4
Health Assessment & Physical Examination Q29, Q30, Q31 3
Hygiene & Personal Care Q32, Q33, Q34 3
Mobility & Immobility Q4, Q35, Q36, Q37 4
Nutrition & Hydration Q38, Q39, Q40 3
Elimination Q41, Q42, Q43 3
Oxygenation & Respiratory Care Q5, Q44, Q45, Q46 4
, Module/Topic Area Question Numbers Count
Wound Care & Skin Integrity Q47, Q48, Q49 3
Comfort & Pain Management Q50, Q51, Q52 3
Sleep & Rest Q53, Q54 2
Cultural Competence & Spirituality Q55, Q56 2
Legal & Ethical Foundations Q6, Q57, Q58, Q59 4
Communication & Documentation Q7, Q60, Q8 (SATA) 3
Patient Education & Health Promotion Q9, Q10 (SATA), Q11 (SATA) 3
Comprehensive Patient Care Scenario Q1–Q3 3
Mini-Case Study: Prioritization/Delegation Q4–Q5 2
Dosage Calculations Q12–Q13 2
Select All That Apply (SATA) Q8–Q11, Q6 (SATA) 5
TOTAL 60
Comprehensive Patient Care Scenario
Scenario: Mrs. Eleanor Vance, 78 years old, was admitted to the medical-surgical unit following
a fall at home resulting in a right hip fracture. She underwent open reduction internal fixation
(ORIF) 24 hours ago. Her medical history includes hypertension, type 2 diabetes mellitus, and
mild cognitive impairment. Current vital signs: BP 142/88 mmHg, HR 92 bpm, RR 18/min, SpO₂
, 94% on 2L NC, temperature 37.2°C (99.0°F). She is receiving IV morphine 2 mg q4h PRN for pain,
sliding scale insulin, and IV antibiotics. She is on bed rest with a sequential compression device
(SCD) on the left leg. She is alert but anxious and asks frequent questions about when she can
go home.
Q1: The nurse is conducting the initial postoperative assessment on Mrs. Vance using the
nursing process. Which assessment finding requires the nurse to take immediate action?
A. Patient reports pain level of 4/10 at the surgical site
B. Capillary refill in the right toes is 4 seconds
C. Patient states she is anxious about her recovery
D. Blood glucose reading is 186 mg/dL
Correct Answer: B
Rationale: A capillary refill greater than 3 seconds indicates compromised circulation to the
extremity, which is a critical postoperative complication following ORIF that could signal
neurovascular compromise. While pain, anxiety, and elevated glucose require intervention,
compromised circulation poses an immediate threat to tissue viability and limb preservation
and must be addressed first per Maslow's hierarchy and patient safety priorities. [CORRECT]
Q2: Based on the National Patient Safety Goals, which intervention is the highest priority for
Mrs. Vance during her hospitalization?
A. Encourage the patient to use her call light before attempting to ambulate
B. Verify patient identification using two identifiers before medication administration
C. Place a high-risk fall identifier on the patient's door and wristband
D. Perform a comprehensive pain assessment every 4 hours
Correct Answer: C
Rationale: Mrs. Vance has multiple fall risk factors including advanced age, postoperative status,
cognitive impairment, and opioid use. The Joint Commission's National Patient Safety Goals
emphasize fall prevention as a critical safety initiative. While all options are appropriate nursing
actions, fall prevention is the highest priority given her history of a fall-related admission and
current risk profile. [CORRECT]
Q3: On postoperative day 2, Mrs. Vance develops a fever of 38.5°C (101.3°F) with purulent
drainage at the surgical incision site. The healthcare provider orders a wound culture. Which
action by the nurse demonstrates correct aseptic technique?
