BSN 206 Foundations of Nursing Fundamentals Hallmark Post Test ISB (Latest Update 2025 / 2026) Questions & Answers | 100% Correct | Grade A - Nightingale

BSN 206 Foundations of Nursing Fundamentals Hallmark Post Test ISB (Latest Update 2025 / 2026) Questions & Answers | 100% Correct | Grade A - Nightingale 2.5 to 5 cm (1 to 2 inches) - ANSWER-The distance a catheter may be advanced after urine appears. .A change in the type and amount of draining from a surgical drain - ANSWER-may indicate internal hemorrhage .A decreased BP and increased Pulse - ANSWER-may indicate internal hemorrhage .Acceptable use of antiseptic hand rub - ANSWER-After adjusting a nasal cannula on a PT. .Acceptable use of antiseptic hand rub - ANSWER-After moving PT's belonging on the bedside table. .Acceptable use of antiseptic hand rub - ANSWER-After removing gloves after changing a wound dressing. .Actions after patient fall - ANSWER-Call for assistance, assess for injury, notify the health care provider, assess the situation for precipitous factors, fill out an agency occurrence or sentinel event report. .Actions indicating further instruction needed during dressing change - ANSWER-Packs wound tightly, Leaves contact or primary dressing dripping moist. .Adding sterile items - ANSWER-The nurse adds sterile items to the sterile field by placing them on the field at an angle and never allowing the wrapper to touch the field. .After moving a PT up in bed - ANSWER-A step in hand hygiene. .Age as a risk factor - ANSWER-Age is a factor that places a patient at risk for being a susceptible host. .Amount of soap used in hand washing - ANSWER-1 teaspoon (5 mL) of soap. .An adult PT complains of cramping during the administration of an enema - ANSWER-The patient experiences abdominal cramps while receiving an enema. .An elevated WBC - ANSWER-may indicate internal hemorrhage .Antipyretic - ANSWER-A medication administered to reduce fever. .Antiseptic solution - ANSWER-A solution used to clean the area before catheter insertion. .Antiseptic solution - ANSWER-A solution used to reduce the risk of infection by killing or inhibiting the growth of pathogens. .Apical pulse - ANSWER-The pulse measured at the apex of the heart, often assessed in patients receiving cardiac drugs. .Artificial nails policy - ANSWER-Artificial nails should be no longer than 0.625 cm (1/4 inch). .Aspirate the syringe plunger - ANSWER-To gently pull back on the syringe plunger to draw fluid into the syringe. .Assess physiologic factors for fast breathing - ANSWER-An appropriate nursing intervention for a patient with a high respiratory rate. .Assessing pulse on ulnar side of wrist - ANSWER-A potential reason for difficulty in palpating a radial pulse. .Assessment parameters for oral suction - ANSWER-Evidence of emesis in the mouth indicates the need for oral suction. .Assessment parameters for oral suction - ANSWER-Gagging indicates the need for oral suction. .Assessment parameters for oral suction - ANSWER-Gurgling and adventitious lung sounds indicate the need for oral suction. .Assessment parameters for oral suction - ANSWER-Persistent coughing that fails to clear the airway indicates the need for oral suction. .Assessment parameters for oral suction - ANSWER-Unusual restlessness indicates the need for oral suction. .Assessment parameters for oral suction - ANSWER-Weakness and lethargy accompanied by drooling indicates the need for oral suction. .Auscultate - ANSWER-To listen to the internal sounds of the body, typically using a stethoscope. .Avoid wearing gloves - ANSWER-unless absolutely necessary and only for short periods .Balloon port - ANSWER-The part of an indwelling catheter used to inflate or deflate the balloon. .Bed alarm activation - ANSWER-Activate the bed alarm when the PT is in bed. .Before applying gloves to insert an IV - ANSWER-A step in hand hygiene. .Before assessing a PT's vital signs - ANSWER-A step in hand hygiene. .Bladder irrigation purpose - ANSWER-To instill medication, kill bacteria, prevent clots, treat pain, and apply pressure to prevent bleeding at the operative site. .Bladder scan - ANSWER-A procedure that can be delegated to nursing assistive personnel to assess bladder volume. .Bladder scan - ANSWER-A procedure to measure postvoid residual (PVR) urine volume in a patient. .Blood pressure reading - ANSWER-A measurement of the force of blood against the walls of the arteries. .Blue probe electronic thermometer - ANSWER-An electronic thermometer with a blue probe used for oral temperature measurement.