BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025 / 2026) Questions with Verified Answers | 100% Correct | Grade A - Nightingale

BSN 206 Foundations of Nursing Fundamentals Hallmark Exam (Latest Update 2025 / 2026) Questions with Verified Answers | 100% Correct | Grade A - Nightingale A 15-year-old male patient is hypothermic. Which temperature reflects hypothermia? 99° F (37.2°C). 95° F (35°C). 110° F (43.3°C). 101° F (38.3°C). - ANSWER-95F (35C) .A 40-year-old male patient has been admitted for abdominal surgery. He has no history of prostate problems. The health care provider has ordered that the patient be catheterized. Which of the following would be an appropriate-size catheter for this patient? 8 French, 3-mL balloon 12 French, 5-mL balloon 16 French, 5-mL balloon 16 French, 30-mL balloon - ANSWER-16 French, 5-ml balloon .A 53-year-old patient is being treated for hypertension and a history of thrombophlebitis (blood clots). She comes to the clinic complaining, "I have to get up all night to go to the bathroom, and I think my urine looks orange!" What is the nurse's best response? "It sounds like you may have a urinary tract infection." "Your high blood pressure is adversely affecting your kidneys." "Have you tried to restrict your fluid intake?" "What medications are you taking and when?" - ANSWER-What medication are you taking and when? .A 68-year-old female patient is admitted for knee replacement surgery with an expected hospital stay of 2 weeks. She has no known allergies. The health care provider has ordered an indwelling catheter to be inserted preoperatively. Which catheter should the nurse choose? 14 French, 5-mL balloon, latex catheter. 18 French, 5-mL balloon, latex catheter. 8 French, 3-mL balloon, latex catheter. 16 French, 30-mL balloon, silicon catheter. - ANSWER-14 French, 5-ml balloon, latex catheter .A 73-year-old patient was admitted with severe respiratory distress secondary to pneumonia. She has a long history of smoking, which she recently stopped. On arrival she was placed on continuous pulse oximetry, and an endotracheal tube was inserted for mechanical ventilation. She is heavily sedated. She is receiving an intravenous infusion at 100 mL per hour. Intravenous fluids may affect this patient's respiratory status. True False - ANSWER-True .A 73-year-old patient was admitted with severe respiratory distress secondary to pneumonia. She has a long history of smoking, which she recently stopped. On arrival she was placed on continuous pulse oximetry, and an endotracheal tube was inserted for mechanical ventilation. She is heavily sedated. This patient is at risk for airway occlusion. True False - ANSWER-True .A 73-year-old patient was admitted with severe respiratory distress secondary to pneumonia. She has a long history of smoking, which she recently stopped. On arrival she was placed on continuous pulse oximetry, and an endotracheal tube was inserted for mechanical ventilation. She is heavily sedated. This patient's risk factors for respiratory problems include history of smoking, her illness, and her age. True False - ANSWER-True .A contaminated or traumatic wound may show signs of infection within 24 hours. A surgical wound infection usually develops postoperatively within 14 days. True False - ANSWER-False .A discussion is taking place on the unit regarding the application of lubricant to the suction catheter before passing it through the nasal passage. Which statement is accurate? "Water-soluble lubricant should be used because oil based lubricants increase the risk for aspiration and pneumonia." "If the patient's fluid status is sufficient, lubricating the catheter is unnecessary." "Petroleum jelly can be used to lubricate the catheter as long as the patient is not on oxygen via nasal cannula." "Applying water-soluble lubricant to the suction catheter ensures that it is working properly prior to oropharyngeal or nasotracheal suctioning." - ANSWER-Water-soluble lubricant should be used because oil based lubricants increase the risk for aspiration and pneumonia .A family member calls the nurse to ask for advice regarding their mother who has developed a "bedsore" on her right heel. The family member describes the pressure injury as "a blister that has now popped and you can see redness." Based on this description, at what stage would the nurse classify this pressure injury? Stage 1. Stage 2. Stage 3. Stage 4. - ANSWER-Stage 2 .A health care provider has ordered an indwelling catheter to be inserted for bedside drainage. Which of the following is NOT an expected indication for catheterization with an indwelling catheter? Preoperative status. To determine urinary retention. To obtain accurate urinary output in a critically ill patient. To allow a pressure ulcer on the coccyx to heal in a patient with urinary incontinence. - ANSWER-To determine urinary retention .A healthy 30-year-old male arrives at the clinic for a physical. The nurse is responsible for collecting his vital signs. Which of these can be delegated to NAP? (Select all that apply.) Respiration. BP. Pulse. Temperature. Pulse oximetry. - ANSWER-Respiration BP Pulse Temperature Pulse Oximetry