Page 1 of 229
BSN 206 HALLMARK EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED AND VERIFIED
SOLUTIONS GRADED A+
The nurse is catheterizing a female patient and obtains a clear
amber urine return. As the nurse begins to inflate the balloon, the
patient complains of pain and resistance is felt. What is the nurse's
best action?
A. Allow fluid to flow back into syringe and advance the catheter a
little more before attempting to reinflate
B. Have the patient take slow deep breaths, inhaling through the
nose and exhaling through the mouth
C. Lift penis to position perpendicular to patient's body, and apply
light traction - ANSWER>>A. Allow fluid to flow back into syringe
and advance the catheter a little more before attempting to
reinflate.
,Page 2 of 229
The nurse is reviewing urinary catheter care with a newly hired
nursing assistive personnel (NAP). Which statement made by the
NAP indicates further instruction is needed?
A. "Urinary catheter care is a clean procedure; sterile gloves are
unnecessary."
B. "The bedside drainage bag should only be emptied when it is
full."
C. "The securement device that anchors the catheter should be
reapplied."
D. "Catheter care can be delegated to nursing assistive personnel." -
ANSWER>>B. "The bedside drainage bag should only be emptied
when it is full."
Which of the following indicates a reason for notifying the health
care provider to get an order for removal of an indwelling catheter?
A. The patient states, "My bladder feels so full, it is starting to hurt!"
B. The catheter has been in place for 3 days
C. The patient's urine appears cloudy with a foul odor
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D. The patient is drinking less than 1500 mL of fluids daily -
ANSWER>>C. The patient's urine appears cloudy with a foul odor.
Identify the indicators of a UTI: (Select all that apply.)
A. Fever
B. Urinary drainage
C. Complaints of pain with urination (dysuria)
D. Hypothermia
E. Lower abdominal pain
F. Cloudiness of urine - ANSWER>>A. Fever
C. Complaints of pain with urination (dysuria)
A. Lower abdominal pain
B. Cloudiness of urine
What would the nurse do first when preparing to begin oxygen
therapy for a patient?
A. Ensure that suction equipment is present in the room
, Page 4 of 229
B. Review the medical prescription for delivery method and flow
rate
C. Place a No Smoking sign outside of the hospital room
D. Educate the NAP about the oxygen orders - ANSWER>>B.
Review the medical prescription for delivery method and flow
rate
When preparing the patient's environment for safe oxygen therapy,
which intervention is a priority to minimize the patient's risk for
injury?
A. Ensure that the patient receives the prescribed amount of
oxygen via the appropriate method
B. Place appropriate signage to alert staff and visitors to the
presence of oxygen in the patient's room
C. Inspect all electrical equipment in the patient's room for the
presence of safety-check tags
D. Instruct nursing assistive personnel (NAP) to immediately
correct or report safety hazards - ANSWER>>C. Inspect all
electrical equipment in the patient's room for the presence of
BSN 206 HALLMARK EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED AND VERIFIED
SOLUTIONS GRADED A+
The nurse is catheterizing a female patient and obtains a clear
amber urine return. As the nurse begins to inflate the balloon, the
patient complains of pain and resistance is felt. What is the nurse's
best action?
A. Allow fluid to flow back into syringe and advance the catheter a
little more before attempting to reinflate
B. Have the patient take slow deep breaths, inhaling through the
nose and exhaling through the mouth
C. Lift penis to position perpendicular to patient's body, and apply
light traction - ANSWER>>A. Allow fluid to flow back into syringe
and advance the catheter a little more before attempting to
reinflate.
,Page 2 of 229
The nurse is reviewing urinary catheter care with a newly hired
nursing assistive personnel (NAP). Which statement made by the
NAP indicates further instruction is needed?
A. "Urinary catheter care is a clean procedure; sterile gloves are
unnecessary."
B. "The bedside drainage bag should only be emptied when it is
full."
C. "The securement device that anchors the catheter should be
reapplied."
D. "Catheter care can be delegated to nursing assistive personnel." -
ANSWER>>B. "The bedside drainage bag should only be emptied
when it is full."
Which of the following indicates a reason for notifying the health
care provider to get an order for removal of an indwelling catheter?
A. The patient states, "My bladder feels so full, it is starting to hurt!"
B. The catheter has been in place for 3 days
C. The patient's urine appears cloudy with a foul odor
,Page 3 of 229
D. The patient is drinking less than 1500 mL of fluids daily -
ANSWER>>C. The patient's urine appears cloudy with a foul odor.
Identify the indicators of a UTI: (Select all that apply.)
A. Fever
B. Urinary drainage
C. Complaints of pain with urination (dysuria)
D. Hypothermia
E. Lower abdominal pain
F. Cloudiness of urine - ANSWER>>A. Fever
C. Complaints of pain with urination (dysuria)
A. Lower abdominal pain
B. Cloudiness of urine
What would the nurse do first when preparing to begin oxygen
therapy for a patient?
A. Ensure that suction equipment is present in the room
, Page 4 of 229
B. Review the medical prescription for delivery method and flow
rate
C. Place a No Smoking sign outside of the hospital room
D. Educate the NAP about the oxygen orders - ANSWER>>B.
Review the medical prescription for delivery method and flow
rate
When preparing the patient's environment for safe oxygen therapy,
which intervention is a priority to minimize the patient's risk for
injury?
A. Ensure that the patient receives the prescribed amount of
oxygen via the appropriate method
B. Place appropriate signage to alert staff and visitors to the
presence of oxygen in the patient's room
C. Inspect all electrical equipment in the patient's room for the
presence of safety-check tags
D. Instruct nursing assistive personnel (NAP) to immediately
correct or report safety hazards - ANSWER>>C. Inspect all
electrical equipment in the patient's room for the presence of
