BSN 206 HALLMARK NIGHTINGALE 2025/2026
EXAM 300 ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE LATEST UPDATE
ALREADY GRADED A+ ASSURED PASS
Section 1: Foundations of Nursing Practice and the Nursing
Process (Questions 1–40)
1. A nurse is reviewing with the surgical technician how to prepare a sterile field.
Which of the following is incorrect and should not be included in the review?
A. Place the drape so the top half of the drape is over the top half of the work
surface
B. Sterile objects may be handled with sterile gloves
C. The sterile field should be kept above waist level
D. The outer 1-inch border of the sterile field is considered contaminated
Correct Answer: A
Rationale: The drape should be placed so the top half of the drape is over the top
half of the work surface is incorrect. The drape should be placed so it hangs over
the edge of the work surface to prevent contamination.
2. A nurse is preparing to set up a sterile field for a patient who is going to have a
sterile dressing change. Which of the following assessment measures would be
unnecessary at this time?
A. The nurse asks the patient if he has ambulated in the hall today
B. The nurse assesses the patient's level of pain
C. The nurse reviews the provider's order for the dressing change
D. The nurse verifies the patient's identity
Correct Answer: A
Rationale: Asking whether the patient has ambulated in the hall today is
unnecessary for setting up a sterile field for a dressing change. The nurse should
focus on assessments relevant to the procedure.
,3. One evaluation measure of creating and maintaining a sterile field involves
monitoring the patient for developing signs and symptoms of localized or systemic
infection. Which of the following is cause for concern?
A. Temperature of 98.6°F (37°C)
B. Temperature of 102.5°F (39.2°C)
C. Heart rate of 80/min
D. Blood pressure of 120/80 mm Hg
Correct Answer: B
Rationale: A temperature of 102.5°F (39.2°C) indicates fever and is cause for
concern as it may indicate systemic infection.
4. A nurse is preparing a medication for subcutaneous administration. As the nurse
recaps the needle using the scoop method, the nurse accidentally touches the table
with the uncovered needle. What is the nurse's best action?
A. Discard the needle and replace with a new one before administration
B. Wipe the needle with an alcohol swab and proceed
C. Administer the medication as scheduled
D. Recap the needle and proceed with administration
Correct Answer: A
Rationale: The needle is contaminated after touching the table. The nurse must
discard the needle and replace it with a new one to prevent infection.
5. The nurse is adding a dry sterile gauze dressing to the sterile field. The dressing
bounces on the surface and lands on the outer 1-inch border of the sterile field.
What action is appropriate at this time?
A. The nurse opens another sterile gauze dressing and adds it to the sterile field,
but does not use the first one
B. The nurse uses the dressing since it is still on the sterile field
C. The nurse shakes the dressing off and uses it
D. The nurse discards the entire sterile field and starts over
Correct Answer: A
Rationale: The outer 1-inch border of the sterile field is considered contaminated.
The nurse should open another sterile gauze dressing and add it to the sterile field
but not use the first one.
6. The nurse is applying sterile gloves. Which series of steps would require
correction?
,A. Hold gloved hands at sides of body, below waist level, until beginning the
sterile procedure
B. Open the outer wrapper of the sterile gloves
C. Slide the first glove onto the dominant hand
D. Slide the fingers of the gloved hand under the cuff of the second glove
Correct Answer: A
Rationale: Holding gloved hands below waist level is incorrect. Sterile gloved
hands must be kept above waist level and within the nurse's field of vision at all
times.
7. Which of the following is a correct description of glove removal?
A. You grasp the outside of one cuff with the other gloved hand and pull the glove
off, turning it inside out, and place it in gloved hand
B. You pull the gloves off by the fingers
C. You remove both gloves simultaneously
D. You wash your gloved hands before removal
Correct Answer: A
Rationale: The correct technique involves grasping the outside of one cuff with the
other gloved hand, pulling the glove off inside out, and placing it in the gloved
hand.
8. A novice nurse is preparing to insert an indwelling urinary catheter. Which
action best demonstrates adherence to the first step of the nursing process?
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
D. Document the procedure immediately after insertion
Correct Answer: C
Rationale: The first step of the nursing process is assessment. Reviewing the
provider's order and verifying client identity demonstrates assessment before the
procedure.
9. 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?
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."
D. "Falling is unlikely here, so try not to think about it."
Correct Answer: C
Rationale: Asking the client to elaborate on their fears demonstrates therapeutic
communication and encourages the client to express concerns.
10. The nurse is performing a morning assessment and notes the client to be
experiencing dyspnea. Which client assessment findings would most indicate this
respiratory condition? (Select all that apply.)
A. Occasional productive cough
B. Temperature 100.1°F
C. Pulse oximetry 89%
D. Respirations 26 & shallow
E. Patient in orthopneic position
Correct Answer: C, D, E
Rationale: Dyspnea is characterized by difficulty breathing. Objective signs
include hypoxia (SpO2 < 92%), tachypnea (rapid respirations), shallow breathing,
and orthopnea (difficulty breathing when lying flat).
11. A nurse notes a client has abnormal vital signs. What action by the nurse is
best?
A. Notify the provider immediately
B. Compare with prior readings
C. Document the findings
D. Retake the vital signs in 15 minutes
Correct Answer: B
Rationale: When abnormal vital signs are noted, the nurse should first compare
them with the patient's baseline and prior readings to determine if this is a
significant change.
12. Which of the following is the most effective way to prevent the spread of
infection in a healthcare setting?
A. Wearing gloves for all patient contact
B. Performing hand hygiene before and after patient contact
C. Isolating all patients with infections
D. Administering prophylactic antibiotics to all patients
EXAM 300 ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE LATEST UPDATE
ALREADY GRADED A+ ASSURED PASS
Section 1: Foundations of Nursing Practice and the Nursing
Process (Questions 1–40)
1. A nurse is reviewing with the surgical technician how to prepare a sterile field.
Which of the following is incorrect and should not be included in the review?
A. Place the drape so the top half of the drape is over the top half of the work
surface
B. Sterile objects may be handled with sterile gloves
C. The sterile field should be kept above waist level
D. The outer 1-inch border of the sterile field is considered contaminated
Correct Answer: A
Rationale: The drape should be placed so the top half of the drape is over the top
half of the work surface is incorrect. The drape should be placed so it hangs over
the edge of the work surface to prevent contamination.
2. A nurse is preparing to set up a sterile field for a patient who is going to have a
sterile dressing change. Which of the following assessment measures would be
unnecessary at this time?
A. The nurse asks the patient if he has ambulated in the hall today
B. The nurse assesses the patient's level of pain
C. The nurse reviews the provider's order for the dressing change
D. The nurse verifies the patient's identity
Correct Answer: A
Rationale: Asking whether the patient has ambulated in the hall today is
unnecessary for setting up a sterile field for a dressing change. The nurse should
focus on assessments relevant to the procedure.
,3. One evaluation measure of creating and maintaining a sterile field involves
monitoring the patient for developing signs and symptoms of localized or systemic
infection. Which of the following is cause for concern?
A. Temperature of 98.6°F (37°C)
B. Temperature of 102.5°F (39.2°C)
C. Heart rate of 80/min
D. Blood pressure of 120/80 mm Hg
Correct Answer: B
Rationale: A temperature of 102.5°F (39.2°C) indicates fever and is cause for
concern as it may indicate systemic infection.
4. A nurse is preparing a medication for subcutaneous administration. As the nurse
recaps the needle using the scoop method, the nurse accidentally touches the table
with the uncovered needle. What is the nurse's best action?
A. Discard the needle and replace with a new one before administration
B. Wipe the needle with an alcohol swab and proceed
C. Administer the medication as scheduled
D. Recap the needle and proceed with administration
Correct Answer: A
Rationale: The needle is contaminated after touching the table. The nurse must
discard the needle and replace it with a new one to prevent infection.
5. The nurse is adding a dry sterile gauze dressing to the sterile field. The dressing
bounces on the surface and lands on the outer 1-inch border of the sterile field.
What action is appropriate at this time?
A. The nurse opens another sterile gauze dressing and adds it to the sterile field,
but does not use the first one
B. The nurse uses the dressing since it is still on the sterile field
C. The nurse shakes the dressing off and uses it
D. The nurse discards the entire sterile field and starts over
Correct Answer: A
Rationale: The outer 1-inch border of the sterile field is considered contaminated.
The nurse should open another sterile gauze dressing and add it to the sterile field
but not use the first one.
6. The nurse is applying sterile gloves. Which series of steps would require
correction?
,A. Hold gloved hands at sides of body, below waist level, until beginning the
sterile procedure
B. Open the outer wrapper of the sterile gloves
C. Slide the first glove onto the dominant hand
D. Slide the fingers of the gloved hand under the cuff of the second glove
Correct Answer: A
Rationale: Holding gloved hands below waist level is incorrect. Sterile gloved
hands must be kept above waist level and within the nurse's field of vision at all
times.
7. Which of the following is a correct description of glove removal?
A. You grasp the outside of one cuff with the other gloved hand and pull the glove
off, turning it inside out, and place it in gloved hand
B. You pull the gloves off by the fingers
C. You remove both gloves simultaneously
D. You wash your gloved hands before removal
Correct Answer: A
Rationale: The correct technique involves grasping the outside of one cuff with the
other gloved hand, pulling the glove off inside out, and placing it in the gloved
hand.
8. A novice nurse is preparing to insert an indwelling urinary catheter. Which
action best demonstrates adherence to the first step of the nursing process?
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
D. Document the procedure immediately after insertion
Correct Answer: C
Rationale: The first step of the nursing process is assessment. Reviewing the
provider's order and verifying client identity demonstrates assessment before the
procedure.
9. 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?
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."
D. "Falling is unlikely here, so try not to think about it."
Correct Answer: C
Rationale: Asking the client to elaborate on their fears demonstrates therapeutic
communication and encourages the client to express concerns.
10. The nurse is performing a morning assessment and notes the client to be
experiencing dyspnea. Which client assessment findings would most indicate this
respiratory condition? (Select all that apply.)
A. Occasional productive cough
B. Temperature 100.1°F
C. Pulse oximetry 89%
D. Respirations 26 & shallow
E. Patient in orthopneic position
Correct Answer: C, D, E
Rationale: Dyspnea is characterized by difficulty breathing. Objective signs
include hypoxia (SpO2 < 92%), tachypnea (rapid respirations), shallow breathing,
and orthopnea (difficulty breathing when lying flat).
11. A nurse notes a client has abnormal vital signs. What action by the nurse is
best?
A. Notify the provider immediately
B. Compare with prior readings
C. Document the findings
D. Retake the vital signs in 15 minutes
Correct Answer: B
Rationale: When abnormal vital signs are noted, the nurse should first compare
them with the patient's baseline and prior readings to determine if this is a
significant change.
12. Which of the following is the most effective way to prevent the spread of
infection in a healthcare setting?
A. Wearing gloves for all patient contact
B. Performing hand hygiene before and after patient contact
C. Isolating all patients with infections
D. Administering prophylactic antibiotics to all patients
