BSN ISB Modules (Hallmark Exam
Prep) EXAM QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||<<NEWEST
VERSION>>
Restlessness and anxiety are indications of hypoxia.
Confusion, disorientation, and altered consciousness are indications of hypoxia.
Increases in pulse, respiration, and blood pressure are indications of hypoxia.
Having difficulty breathing and looking blue are indications of hypoxia.
Infection and fever are indications of hypoxia.
Bronchitis and chronic obstructive pulmonary disease are indications of hypoxia. -
ANSWER ✓ Restlessness and anxiety are indications of hypoxia.
Confusion, disorientation, and altered consciousness are indications of hypoxia.
Increases in pulse, respiration, and blood pressure are indications of hypoxia.
Having difficulty breathing and looking blue are indications of hypoxia.
An elderly woman is hospitalized with pneumonia and anemia and has a history of
heart failure. She is weak and has a poor cough effort. Her current vital signs are
temperature 100.2 °F (37.9 °C), pulse 114, respiration 26, blood pressure 106/58.
She has oxygen ordered at 2 liters by nasal cannula. Her oxygen saturation
measures 88% when on room air, 93% with supplemental oxygen. She develops
shortness of breath on any activity and eats little because it is difficult for her to eat
and breathe at the same time. Which of the following are risk factors for this
patient developing hypoxia? (Select all that apply.)
Anemia.
Tachycardia.
Increased secretions with weak cough.
Impaired cardiac function.
,Shortness of breath.
Pneumonia. - ANSWER ✓ Anemia.
Increased secretions with weak cough.
Impaired cardiac function.
Pneumonia.
Which of the following patients would have the greatest potential for an alteration
in respiration?
A 15-year-old boy with a migraine headache.
A 44-year-old woman with anemia.
A 19-year-old woman with diarrhea.
A 32-year-old man with an earache. - ANSWER ✓ A 44-year-old woman with
anemia.
Which of the following, if exhibited by the patient, is a late sign of hypoxia?
Restlessness.
Anxiety.
Eupnea.
Cyanosis. - ANSWER ✓ Cyanosis.
Which of the following would lead to an increase in oxygen demand?
A fever.
Sleep.
Taking a narcotic.
Postural drainage. - ANSWER ✓ A fever.
What nursing intervention is appropriate for the patient with a large amount of
sputum?
Perform nasotracheal suctioning every hour.
Encourage the patient to cough every hour while awake.
Place the patient on fluid restriction.
Avoid all milk products. - ANSWER ✓ Encourage the patient to cough every hour
while awake.
The nurse is caring for a patient who underwent major abdominal surgery 24
hours ago. The 72-year-old male patient is weak and lethargic because of large
doses of medication for pain control. After noting audible gurgling on inspiration
and expiration, the nurse completes a respiratory assessment. Which assessment
parameters indicate the need for oral suction? (Select all that apply.)
,Unusual restlessness.
Gagging.
Gurgling and adventitious lung sounds.
Evidence of emesis in the mouth.
Persistent coughing that fails to clear airway.
Persistent complaints of pain.
Weakness and lethargy accompanied by drooling. - ANSWER ✓ Unusual
restlessness.
Gagging.
Gurgling and adventitious lung sounds.
Evidence of emesis in the mouth.
Persistent coughing that fails to clear airway.
Weakness and lethargy accompanied by drooling.
The nurse is performing routine assessments of the patients on the unit. The nurse
notes audible gurgling on inspiration and expiration of the stable postoperative
patient. Which of the following tasks can be delegated to competent NAP?
Performing oral suctioning.
Assessing the adequacy of respiratory functioning.
Evaluating the outcome of oral suctioning.
Performing nasotracheal suctioning. - ANSWER ✓ Performing oral suctioning.
The nurse is preparing to perform oropharyngeal suctioning. Which of the
following steps in the sequence is incorrect? - ANSWER ✓ Assist the patient into
a supine position. Prepare supplies. Turn the suction unit on and set the suction
control gauge to high. Connect the suction tubing to the suction machine and to the
Yankauer suction catheter.
The nurse is teaching the spouse of a patient how to perform oral suctioning for
when they return home. Which of the following statements, if made by the spouse,
indicates further instruction is needed? - ANSWER ✓ "Because oral secretions are
thick, suction settings should always be set on high."
Which of the following patients is most likely to experience some difficulty with
effective coughing?
The elderly patient who had outpatient foot surgery.
, The middle-age man who is postoperative for knee arthroplasty.
The patient who is postoperative for abdominal surgery.
The patient who preoperatively practiced cascade coughing. - ANSWER ✓ The
patient who is postoperative for abdominal surgery.
Which of the following patients should be assessed for a worsening clinical
situation?
The chronic obstructive pulmonary disease (COPD) patient whose pulse oximetry
remains the same after oropharyngeal suctioning.
The patient with absence of adventitious lung sounds on inspiration and expiration.
The patient who demonstrates less drooling after being suctioned.
The patient with presence of blood in the secretions. - ANSWER ✓ The patient
with presence of blood in the secretions.
Which of the following patients may likely require oropharyngeal suctioning?
(Select all that apply.)
A patient who had maxillofacial surgery.
A patient who had trauma to the mouth.
A patient with impaired swallowing from neurological injury.
A patient who has been diagnosed with lung cancer.
A patient with an artificial airway who requires oral hygiene.
A patient who has a nasogastric feeding tube. - ANSWER ✓ A patient who had
maxillofacial surgery.
A patient who had trauma to the mouth.
A patient with impaired swallowing from neurological injury.
A patient with an artificial airway who requires oral hygiene.
Which of the following should NOT be delegated to nursing assistive personnel
(NAP)?
Oropharyngeal suctioning.
Nasotracheal suctioning.
Pulse oximetry.
Oral care. - ANSWER ✓ Nasotracheal suctioning.
The nurse desires to suction the patient's left main-stem bronchus. In what position
should the patient be placed?
Keep the patient's head in a neutral position and rotate the catheter counter-
clockwise on insertion.
Prep) EXAM QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||<<NEWEST
VERSION>>
Restlessness and anxiety are indications of hypoxia.
Confusion, disorientation, and altered consciousness are indications of hypoxia.
Increases in pulse, respiration, and blood pressure are indications of hypoxia.
Having difficulty breathing and looking blue are indications of hypoxia.
Infection and fever are indications of hypoxia.
Bronchitis and chronic obstructive pulmonary disease are indications of hypoxia. -
ANSWER ✓ Restlessness and anxiety are indications of hypoxia.
Confusion, disorientation, and altered consciousness are indications of hypoxia.
Increases in pulse, respiration, and blood pressure are indications of hypoxia.
Having difficulty breathing and looking blue are indications of hypoxia.
An elderly woman is hospitalized with pneumonia and anemia and has a history of
heart failure. She is weak and has a poor cough effort. Her current vital signs are
temperature 100.2 °F (37.9 °C), pulse 114, respiration 26, blood pressure 106/58.
She has oxygen ordered at 2 liters by nasal cannula. Her oxygen saturation
measures 88% when on room air, 93% with supplemental oxygen. She develops
shortness of breath on any activity and eats little because it is difficult for her to eat
and breathe at the same time. Which of the following are risk factors for this
patient developing hypoxia? (Select all that apply.)
Anemia.
Tachycardia.
Increased secretions with weak cough.
Impaired cardiac function.
,Shortness of breath.
Pneumonia. - ANSWER ✓ Anemia.
Increased secretions with weak cough.
Impaired cardiac function.
Pneumonia.
Which of the following patients would have the greatest potential for an alteration
in respiration?
A 15-year-old boy with a migraine headache.
A 44-year-old woman with anemia.
A 19-year-old woman with diarrhea.
A 32-year-old man with an earache. - ANSWER ✓ A 44-year-old woman with
anemia.
Which of the following, if exhibited by the patient, is a late sign of hypoxia?
Restlessness.
Anxiety.
Eupnea.
Cyanosis. - ANSWER ✓ Cyanosis.
Which of the following would lead to an increase in oxygen demand?
A fever.
Sleep.
Taking a narcotic.
Postural drainage. - ANSWER ✓ A fever.
What nursing intervention is appropriate for the patient with a large amount of
sputum?
Perform nasotracheal suctioning every hour.
Encourage the patient to cough every hour while awake.
Place the patient on fluid restriction.
Avoid all milk products. - ANSWER ✓ Encourage the patient to cough every hour
while awake.
The nurse is caring for a patient who underwent major abdominal surgery 24
hours ago. The 72-year-old male patient is weak and lethargic because of large
doses of medication for pain control. After noting audible gurgling on inspiration
and expiration, the nurse completes a respiratory assessment. Which assessment
parameters indicate the need for oral suction? (Select all that apply.)
,Unusual restlessness.
Gagging.
Gurgling and adventitious lung sounds.
Evidence of emesis in the mouth.
Persistent coughing that fails to clear airway.
Persistent complaints of pain.
Weakness and lethargy accompanied by drooling. - ANSWER ✓ Unusual
restlessness.
Gagging.
Gurgling and adventitious lung sounds.
Evidence of emesis in the mouth.
Persistent coughing that fails to clear airway.
Weakness and lethargy accompanied by drooling.
The nurse is performing routine assessments of the patients on the unit. The nurse
notes audible gurgling on inspiration and expiration of the stable postoperative
patient. Which of the following tasks can be delegated to competent NAP?
Performing oral suctioning.
Assessing the adequacy of respiratory functioning.
Evaluating the outcome of oral suctioning.
Performing nasotracheal suctioning. - ANSWER ✓ Performing oral suctioning.
The nurse is preparing to perform oropharyngeal suctioning. Which of the
following steps in the sequence is incorrect? - ANSWER ✓ Assist the patient into
a supine position. Prepare supplies. Turn the suction unit on and set the suction
control gauge to high. Connect the suction tubing to the suction machine and to the
Yankauer suction catheter.
The nurse is teaching the spouse of a patient how to perform oral suctioning for
when they return home. Which of the following statements, if made by the spouse,
indicates further instruction is needed? - ANSWER ✓ "Because oral secretions are
thick, suction settings should always be set on high."
Which of the following patients is most likely to experience some difficulty with
effective coughing?
The elderly patient who had outpatient foot surgery.
, The middle-age man who is postoperative for knee arthroplasty.
The patient who is postoperative for abdominal surgery.
The patient who preoperatively practiced cascade coughing. - ANSWER ✓ The
patient who is postoperative for abdominal surgery.
Which of the following patients should be assessed for a worsening clinical
situation?
The chronic obstructive pulmonary disease (COPD) patient whose pulse oximetry
remains the same after oropharyngeal suctioning.
The patient with absence of adventitious lung sounds on inspiration and expiration.
The patient who demonstrates less drooling after being suctioned.
The patient with presence of blood in the secretions. - ANSWER ✓ The patient
with presence of blood in the secretions.
Which of the following patients may likely require oropharyngeal suctioning?
(Select all that apply.)
A patient who had maxillofacial surgery.
A patient who had trauma to the mouth.
A patient with impaired swallowing from neurological injury.
A patient who has been diagnosed with lung cancer.
A patient with an artificial airway who requires oral hygiene.
A patient who has a nasogastric feeding tube. - ANSWER ✓ A patient who had
maxillofacial surgery.
A patient who had trauma to the mouth.
A patient with impaired swallowing from neurological injury.
A patient with an artificial airway who requires oral hygiene.
Which of the following should NOT be delegated to nursing assistive personnel
(NAP)?
Oropharyngeal suctioning.
Nasotracheal suctioning.
Pulse oximetry.
Oral care. - ANSWER ✓ Nasotracheal suctioning.
The nurse desires to suction the patient's left main-stem bronchus. In what position
should the patient be placed?
Keep the patient's head in a neutral position and rotate the catheter counter-
clockwise on insertion.
