BSN 246 ACTUAL EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉ Which action should the registered nurse (RN) implement to
complete an assessment for a client while using an interpreter?
-Ask closed-ended questions with the assistance of the interpreter.
-Maintain eye contact with the client while listening to the
translation.
-Instruct interpreter to answer questions from interpreter's point of
view.
-Protect the client's privacy by asking a limited number of questions.
Answer: Maintain eye contact with the client while listening to the
translation.
Rationale
When completing an assessment, the RN should maintain eye
contact with the client to gather additional information from the
client's nonverbal cues.
◉ The registered nurse (RN) is assessing common complications
related to a client's recent diagnosis, systemic lupus erythematosus
(SLE). Which symptom should the RN instruct the client to report
immediately?
, -Fever related to infection.
-Weight loss and anorexia.
-Depressed mood.
-Break in tissue integrity.
Answer: Fever related to infection.
Rationale
Secondary infections are a major concern with SLE clients due to the
use of corticosteroids and chemotherapeutic agents, which
suppresses the immune system, so reporting fever and infections
should be reported immediately.
◉ While caring for a client who has esophageal varices, which
nursing intervention is most important for the registered nurse (RN)
to implement?
-Monitor infusing IV fluids and any replacement blood products.
-Prepare for esophagogastroduodenoscopy (EGD).
-Maintain the client on strict bedrest.
-Insert a nasogastric tube (NGT) for intermittent suction.
Answer: Monitor infusing IV fluids and any replacement blood
products.
Rationale
Maintaining hemodynamic stability in a client with esophageal
varicescan precipitatea life-threatening crisis if esophageal varies
leak or rupture and can result in hemorrhage. The priority is
QUESTIONS AND CORRECT ANSWERS
◉ Which action should the registered nurse (RN) implement to
complete an assessment for a client while using an interpreter?
-Ask closed-ended questions with the assistance of the interpreter.
-Maintain eye contact with the client while listening to the
translation.
-Instruct interpreter to answer questions from interpreter's point of
view.
-Protect the client's privacy by asking a limited number of questions.
Answer: Maintain eye contact with the client while listening to the
translation.
Rationale
When completing an assessment, the RN should maintain eye
contact with the client to gather additional information from the
client's nonverbal cues.
◉ The registered nurse (RN) is assessing common complications
related to a client's recent diagnosis, systemic lupus erythematosus
(SLE). Which symptom should the RN instruct the client to report
immediately?
, -Fever related to infection.
-Weight loss and anorexia.
-Depressed mood.
-Break in tissue integrity.
Answer: Fever related to infection.
Rationale
Secondary infections are a major concern with SLE clients due to the
use of corticosteroids and chemotherapeutic agents, which
suppresses the immune system, so reporting fever and infections
should be reported immediately.
◉ While caring for a client who has esophageal varices, which
nursing intervention is most important for the registered nurse (RN)
to implement?
-Monitor infusing IV fluids and any replacement blood products.
-Prepare for esophagogastroduodenoscopy (EGD).
-Maintain the client on strict bedrest.
-Insert a nasogastric tube (NGT) for intermittent suction.
Answer: Monitor infusing IV fluids and any replacement blood
products.
Rationale
Maintaining hemodynamic stability in a client with esophageal
varicescan precipitatea life-threatening crisis if esophageal varies
leak or rupture and can result in hemorrhage. The priority is
