BSNt HESIt 225t Fundamentalst oft Nursingt
(2)t Examt (Latestt 2025/t 2026t Update)t |t
Qst &t As|t Gradet A|t 100%t Correctt
(Verifiedt Answers)-t Nightingale
QUESTION
At clientt diagnosedt witht at terminalt illnesst tellst thet nurset thatt het doest nott wantt anyt
furthert treatmentt andt wantst tot got homet tot die.t Whatt actiont shouldt thet nurset take?
a.t explaint tot thet clientt thatt het cannott bet dischargedt untilt hist physiciant hast madet thet
determinationt thatt het ist stablet enought tot got home.
b.t suggestt thet clientt talkt witht at counselort ort religioust leadert tot discusst hist decision
c.t contactt thet physiciant regardingt thet client'st decision
d.t discusst thet treatmentt optionst availablet tot thet clientt andt encouraget himt tot nott givet
up.
Answer:
c.t contactt thet physiciant regardingt thet client'st decision
Rationale:
Everyt clientt hast thet rightt tot refuset caret andt treatment,t andt cant decidet tot bet
dischargedt andt returnt tot home.t Thet nurset needst tot contactt thet physiciant regardingt thet
client'st decisiont sot thatt orderst cant bet writtent andt planst createdt tot supportt thet client'st
decision.
QUESTION
At clientt witht cognitivet impairmentt duet tot Alzheimer'st diseaset ist requiringt debridementt
oft ant infectedt foott ulcert undert moderatet sedation.t Whatt actiont shouldt thet nurset take?
a.t attemptt tot contactt thet client'st husbandt tot whomt shet ist estrangedt tot signt thet consent
b.t askt thet client'st significantt othert whot ist att thet client'st bedsidet andt ist thet familyt
spokespersont tot signt thet consent
c.t callt thet oldestt daughtert whot livest outt oft townt tot obtaint at verbalt consent
,d.t contactt thet client'st friendt whot ist thet client'st medicalt powert oft attorneyt tot signt thet
consent.
Answer:
d.t contactt thet client'st friendt whot ist thet client'st medicalt powert oft attorneyt tot signt thet
consent.
Rationale:
Int thist scenario,t thet nurset shouldt contactt thet client'st friendt whot ist thet client'st medicalt
powert oft attorneyt tot signt thet consent,t ast thist persont ist thet assignedt POA.t Ift not POAt
ist officiallyt assigned,t thet nurset wouldt needt tot contactt thet client'st nextt oft kint tot obtaint
consent.t Whent contactingt thet nextt oft kin,t typicallyt thet followingt ordert oft priorityt ist
assigned:t spouse,t adultt children,t parents.
QUESTION
At clientt witht untreatedt severet obstructivet sleept apneat (OSA)t reportst feelingt fatiguedt
despitet consistentlyt gettingt 8t hourst oft sleep.t Whent reviewingt thet client'st arterialt bloodt
gast results,t thet nurset notest thatt thet PaO2t hast decreasedt andt thet PCO2t hast increasedt
overnight.t Whatt interventiont shouldt thet nurset implement?
a.t instructt clientt tot uset sternocleidomastoid,t trapeziust andt abdominalt musclest fort
breathing.
b.t obtaint prescriptiont fort 2Lt O2t pert nasalt cannula
c.t obtaint ordert fort sleept studyt andt demonstratet thet uset oft at positivet airwayt pressuret
device.
d.t providet clientt witht ant incentivet spirometer
Answer:
c.t obtaint ordert fort sleept studyt andt demonstratet thet uset oft at positivet airwayt pressuret
device.
Rationale:
Thist clientt witht untreatedt sleept apneat wouldt benefitt fromt nighttimet positivet airwayt
pressure.t Thet nurset shouldt obtaint ant ordert fort at sleept study,t demonstratet thet propert
uset oft thet positivet pressuret device,t andt providet teachingt ont thet importancet oft wearingt
thet maskt whent asleep.
,QUESTION
At femalet clientt ratest hert paint att 7t ont at paint scalet oft 0t tot 10.t 30t minutest aftert thet
nurset administerst ant analgesic,t thet clientt reportst thatt theret ist not relieft oft paint andt thatt
shet ist experiencingt not newt signst ort symptoms.t Whicht interventionst aret bestt fort thet
nurset tot implement?
a.t contactt thet physiciant fort at onet timet ordert fort anothert doset oft thet paint medication.
b.t assistt thet clientt tot changet positionst int bed
c.t coacht thet clientt throught progressivet relaxationt exercisest ort guidedt imagery.
d.t darkent thet lightst int thet roomt andt closet thet doort sot thet clientt cant rest.
Answer:
c.t coacht thet clientt throught progressivet relaxationt exercisest ort guidedt imagery.
Rationale:
Thet nextt stept wouldt bet fort thet nurset tot utilizet non-pharmacologicalt interventiont sucht
ast guidedt imageryt ort progressivet relaxationt tot helpt thet clientt relaxt andt facilitatet paint
reduction.
QUESTION
Thet adultt daughtert oft ant oldert clientt hast beent instructedt ont howt tot administert insulint
tot thet client.t Whicht observationt indicatest thatt thet nurset needst tot providet furthert
instructionst tot thet daughter?
a.t airt ist injectedt intot thet insulint vialt beforet withdrawingt thet prescribedt amount
b.t alcoholt swabt ist usedt tot cleanset thet skint beforet injecting
c.t thet areat oft thet injectiont ist nott massagedt aftert administeringt thet injection
d.t thet deltoidt musclet regiont ist selectedt ast thet sitet fort injection
Answer:
d.t thet deltoidt musclet regiont ist selectedt ast thet sitet fort injection
Rationale:
Insulint shouldt bet administeredt intot thet subQt tissuet andt nott thet muscle.
, QUESTION
Thet nurset notest thatt at clientt whot ist receivingt oxygent byt nasalt cannulat continuest tot
removet thet oxygent prongst fromt thet nares.t Whatt actiont shouldt thet nurset take?
a.t tapet thet oxygent tubingt tot thet client'st nares
b.t assesst whyt thet clientt removest thet nasalt cannula
c.t increaset thet oxygent flowt rate
d.t changet thet nasalt cannulat tot at mask
Answer:
b.t assesst whyt thet clientt removest thet nasalt cannula
Rationale:
Usingt thet nursingt process,t thet nurset wouldt firstt assesst whyt thet clientt ist removingt thet
nasalt cannulat fromt thet nares.t Nasalt prongst cant causet discomfortt int thet noset ort aroundt
thet ears.t Ift thet clientt reportst discomfort,t thet nurset cant troubleshoott basedt ont theirt
symptomst tot ensuret propert oxygent deliveryt (e.g.,t ift nasalt irritationt ist present,t thet airt
cant bet humidified,t etc.)
QUESTION
Thet nurset ist caringt fort at clientt recoveringt fromt at below-the-kneet amputationt oft thet
leftt legt 5t dayst ago.t Whicht statementst byt thet clientt shouldt thet nurset identifyt ast signst
oft ineffectivet coping?t (Selectt allt thatt apply).
a.t "It willt nott bet ablet tot independentlyt caret fort myself."
b.t "It wouldt liket tot knowt aboutt at supportt groupt fort amputees."
c.t "It feelt toot exhaustedt tot startt myt physicalt therapyt treatments."
d.t "It justt hidet myt leftt legt mostt oft thet day,t especiallyt duringt visitingt hours."
e.t "It amt feelingt paint int myt leftt legt witht movement."
Answer:
a.t "It willt nott bet ablet tot independentlyt caret fort myself."
c.t "It feelt toot exhaustedt tot startt myt physicalt therapyt treatments."
d.t "It justt hidet myt leftt legt mostt oft thet day,t especiallyt duringt visitingt hours."
(2)t Examt (Latestt 2025/t 2026t Update)t |t
Qst &t As|t Gradet A|t 100%t Correctt
(Verifiedt Answers)-t Nightingale
QUESTION
At clientt diagnosedt witht at terminalt illnesst tellst thet nurset thatt het doest nott wantt anyt
furthert treatmentt andt wantst tot got homet tot die.t Whatt actiont shouldt thet nurset take?
a.t explaint tot thet clientt thatt het cannott bet dischargedt untilt hist physiciant hast madet thet
determinationt thatt het ist stablet enought tot got home.
b.t suggestt thet clientt talkt witht at counselort ort religioust leadert tot discusst hist decision
c.t contactt thet physiciant regardingt thet client'st decision
d.t discusst thet treatmentt optionst availablet tot thet clientt andt encouraget himt tot nott givet
up.
Answer:
c.t contactt thet physiciant regardingt thet client'st decision
Rationale:
Everyt clientt hast thet rightt tot refuset caret andt treatment,t andt cant decidet tot bet
dischargedt andt returnt tot home.t Thet nurset needst tot contactt thet physiciant regardingt thet
client'st decisiont sot thatt orderst cant bet writtent andt planst createdt tot supportt thet client'st
decision.
QUESTION
At clientt witht cognitivet impairmentt duet tot Alzheimer'st diseaset ist requiringt debridementt
oft ant infectedt foott ulcert undert moderatet sedation.t Whatt actiont shouldt thet nurset take?
a.t attemptt tot contactt thet client'st husbandt tot whomt shet ist estrangedt tot signt thet consent
b.t askt thet client'st significantt othert whot ist att thet client'st bedsidet andt ist thet familyt
spokespersont tot signt thet consent
c.t callt thet oldestt daughtert whot livest outt oft townt tot obtaint at verbalt consent
,d.t contactt thet client'st friendt whot ist thet client'st medicalt powert oft attorneyt tot signt thet
consent.
Answer:
d.t contactt thet client'st friendt whot ist thet client'st medicalt powert oft attorneyt tot signt thet
consent.
Rationale:
Int thist scenario,t thet nurset shouldt contactt thet client'st friendt whot ist thet client'st medicalt
powert oft attorneyt tot signt thet consent,t ast thist persont ist thet assignedt POA.t Ift not POAt
ist officiallyt assigned,t thet nurset wouldt needt tot contactt thet client'st nextt oft kint tot obtaint
consent.t Whent contactingt thet nextt oft kin,t typicallyt thet followingt ordert oft priorityt ist
assigned:t spouse,t adultt children,t parents.
QUESTION
At clientt witht untreatedt severet obstructivet sleept apneat (OSA)t reportst feelingt fatiguedt
despitet consistentlyt gettingt 8t hourst oft sleep.t Whent reviewingt thet client'st arterialt bloodt
gast results,t thet nurset notest thatt thet PaO2t hast decreasedt andt thet PCO2t hast increasedt
overnight.t Whatt interventiont shouldt thet nurset implement?
a.t instructt clientt tot uset sternocleidomastoid,t trapeziust andt abdominalt musclest fort
breathing.
b.t obtaint prescriptiont fort 2Lt O2t pert nasalt cannula
c.t obtaint ordert fort sleept studyt andt demonstratet thet uset oft at positivet airwayt pressuret
device.
d.t providet clientt witht ant incentivet spirometer
Answer:
c.t obtaint ordert fort sleept studyt andt demonstratet thet uset oft at positivet airwayt pressuret
device.
Rationale:
Thist clientt witht untreatedt sleept apneat wouldt benefitt fromt nighttimet positivet airwayt
pressure.t Thet nurset shouldt obtaint ant ordert fort at sleept study,t demonstratet thet propert
uset oft thet positivet pressuret device,t andt providet teachingt ont thet importancet oft wearingt
thet maskt whent asleep.
,QUESTION
At femalet clientt ratest hert paint att 7t ont at paint scalet oft 0t tot 10.t 30t minutest aftert thet
nurset administerst ant analgesic,t thet clientt reportst thatt theret ist not relieft oft paint andt thatt
shet ist experiencingt not newt signst ort symptoms.t Whicht interventionst aret bestt fort thet
nurset tot implement?
a.t contactt thet physiciant fort at onet timet ordert fort anothert doset oft thet paint medication.
b.t assistt thet clientt tot changet positionst int bed
c.t coacht thet clientt throught progressivet relaxationt exercisest ort guidedt imagery.
d.t darkent thet lightst int thet roomt andt closet thet doort sot thet clientt cant rest.
Answer:
c.t coacht thet clientt throught progressivet relaxationt exercisest ort guidedt imagery.
Rationale:
Thet nextt stept wouldt bet fort thet nurset tot utilizet non-pharmacologicalt interventiont sucht
ast guidedt imageryt ort progressivet relaxationt tot helpt thet clientt relaxt andt facilitatet paint
reduction.
QUESTION
Thet adultt daughtert oft ant oldert clientt hast beent instructedt ont howt tot administert insulint
tot thet client.t Whicht observationt indicatest thatt thet nurset needst tot providet furthert
instructionst tot thet daughter?
a.t airt ist injectedt intot thet insulint vialt beforet withdrawingt thet prescribedt amount
b.t alcoholt swabt ist usedt tot cleanset thet skint beforet injecting
c.t thet areat oft thet injectiont ist nott massagedt aftert administeringt thet injection
d.t thet deltoidt musclet regiont ist selectedt ast thet sitet fort injection
Answer:
d.t thet deltoidt musclet regiont ist selectedt ast thet sitet fort injection
Rationale:
Insulint shouldt bet administeredt intot thet subQt tissuet andt nott thet muscle.
, QUESTION
Thet nurset notest thatt at clientt whot ist receivingt oxygent byt nasalt cannulat continuest tot
removet thet oxygent prongst fromt thet nares.t Whatt actiont shouldt thet nurset take?
a.t tapet thet oxygent tubingt tot thet client'st nares
b.t assesst whyt thet clientt removest thet nasalt cannula
c.t increaset thet oxygent flowt rate
d.t changet thet nasalt cannulat tot at mask
Answer:
b.t assesst whyt thet clientt removest thet nasalt cannula
Rationale:
Usingt thet nursingt process,t thet nurset wouldt firstt assesst whyt thet clientt ist removingt thet
nasalt cannulat fromt thet nares.t Nasalt prongst cant causet discomfortt int thet noset ort aroundt
thet ears.t Ift thet clientt reportst discomfort,t thet nurset cant troubleshoott basedt ont theirt
symptomst tot ensuret propert oxygent deliveryt (e.g.,t ift nasalt irritationt ist present,t thet airt
cant bet humidified,t etc.)
QUESTION
Thet nurset ist caringt fort at clientt recoveringt fromt at below-the-kneet amputationt oft thet
leftt legt 5t dayst ago.t Whicht statementst byt thet clientt shouldt thet nurset identifyt ast signst
oft ineffectivet coping?t (Selectt allt thatt apply).
a.t "It willt nott bet ablet tot independentlyt caret fort myself."
b.t "It wouldt liket tot knowt aboutt at supportt groupt fort amputees."
c.t "It feelt toot exhaustedt tot startt myt physicalt therapyt treatments."
d.t "It justt hidet myt leftt legt mostt oft thet day,t especiallyt duringt visitingt hours."
e.t "It amt feelingt paint int myt leftt legt witht movement."
Answer:
a.t "It willt nott bet ablet tot independentlyt caret fort myself."
c.t "It feelt toot exhaustedt tot startt myt physicalt therapyt treatments."
d.t "It justt hidet myt leftt legt mostt oft thet day,t especiallyt duringt visitingt hours."
