BSN 246 CERTIFICATION EVALUATION
2026 EXAM QUESTIONS AND SOLUTIONS
◉ Common complications of immobility include.
Answer: - stiff joints (early warning of contractures and atrophy)
- osteoporosis, decreased flexibility
- DVT, PE
- orthostatic hypotension
- atelectasis and pneumonia
- retention, UTIs, kidney stones
- pressure ulcers
- depression, anxiety, cognitive decline
◉ Early signs of hypovolemic shock.
Answer: - lethargy, AMS
- tachycardia,
- cool, clammy, pale or mottled skin
tachypneic
decreased urine output (oliguria)
, - delayed cap refill
Blood pressure doesn't decrease until later stages
◉ asthma treated with Beta 2 receptor expected response.
Answer: rapid resolution of wheezing
improved pulse ox
◉ esophageal varices.
Answer: abnormally dilated veins in lower esophagus. Caused by
portal hypertension most common cause is liver cirrhosis. high risk
of rupturing.
- usually asymptotic until they rupture-
signs of bleeding
- hematemesis, melena (black tarry stools), anemia, hypovolemic
shock
◉ nursing intervention most important for esophageal varices.
Answer: monitoring infusing IV fluids and replacement blood
products- patient at risk of fluid volume deficit and hypovolemic
shock if varices rupture
important maintain hemodynamic stability
2026 EXAM QUESTIONS AND SOLUTIONS
◉ Common complications of immobility include.
Answer: - stiff joints (early warning of contractures and atrophy)
- osteoporosis, decreased flexibility
- DVT, PE
- orthostatic hypotension
- atelectasis and pneumonia
- retention, UTIs, kidney stones
- pressure ulcers
- depression, anxiety, cognitive decline
◉ Early signs of hypovolemic shock.
Answer: - lethargy, AMS
- tachycardia,
- cool, clammy, pale or mottled skin
tachypneic
decreased urine output (oliguria)
, - delayed cap refill
Blood pressure doesn't decrease until later stages
◉ asthma treated with Beta 2 receptor expected response.
Answer: rapid resolution of wheezing
improved pulse ox
◉ esophageal varices.
Answer: abnormally dilated veins in lower esophagus. Caused by
portal hypertension most common cause is liver cirrhosis. high risk
of rupturing.
- usually asymptotic until they rupture-
signs of bleeding
- hematemesis, melena (black tarry stools), anemia, hypovolemic
shock
◉ nursing intervention most important for esophageal varices.
Answer: monitoring infusing IV fluids and replacement blood
products- patient at risk of fluid volume deficit and hypovolemic
shock if varices rupture
important maintain hemodynamic stability
