Page 1 of 16
31 May 2026
BSN 246 Latest PREP EXAM with 100 Questions
and Correct Answers/ BSN 246 Exam COVERING
RECENT AND MOST TESTED QUESTIONS
The nurse is examining a patients lower leg and notices a draining ulceration. Which of these
actions is most appropriate in this situation?
a. Wash hands and contact the physician
b. Continue to examine the ulceration and then wash hands
c. Wash hands, put gloves on, and continue with the examination of the ulceration
d. Wash hands, proceed with the rest of the physical examination and then continue with the
examination of the ulceration - correct answer-C
During the examination, it is often appropriate to offer some brief teaching about the patient's
body or the examiner's findings. Which of these statements made by the nurse is most
appropriate?
a) Your atrial dysrhythmias are under control
b. You have pitting edema and midvaricosities
c. Your pulse is 80 bpm. This is within the normal range
d. I am using the stethoscope to listen for any crackles, wheezes, or rubs - correct answer-C
During an examination, a patient has just successfully completed the finger-to-nose and the rapid-
alternating movements tests and is able to run each heel down the opposite chin. The nurse will
conclude that the patients ____ function is in tact
a. occipital
b. cerebral
c. temporal
d. cerebellar - correct answer-d
A 5-year old child is in the clinic for a check up. The nurse would expect him to:
a. have to be held on the held on the mothers lap
b. be able to sit on the examination table
c. be able to stand on the floor for the exam
, Page 2 of 16
31 May 2026
d. be able to remain alone in the examination room - correct answer-a
When the nurse performs the confrontation test, the nurse has assessed:
a. extraocular eye muscles (EOM)
b. pupils (PERRLA)
c. near vision
d. visual fields - correct answer-d
Which of these statements is true regarding the complete physical assessment?
a. the male genitalia should be examined in the supine position
b. the patient should be in the sitting position for examination of the head and neck
c. the vital signs, height, and weight should be obtained at the end of the examination
d. to promote consistency between patients, the examiners should not vary the order of the
assessment - correct answer-b
Which of these statements is true regarding the recording of data from the history and physical
examination?
a. use long, descriptive sentences to document findings
b. record the data as soon as possible after the interview and physical examination
c. if the information is not documented, then it can be assumed that it was done as a standard of
care
d. the examiners should avoid taking notes during the examination because of the possibility of
decreasing rapport with the patient - correct answer-b
Which one of these is included in the general appearance assessment?
a. height
b. weight
c. skin color
d. vital signs - correct answer-c
A male patient is admitted for observation after being hit on the head with a baseball bat. Six hours
after admission the client attempts to crawl out of bed and asks the nurse why there are so many
, Page 3 of 16
31 May 2026
bugs in his bed. His vital signs are stable and the pulse oximeter readings is 98% on room air. Which
interventions should the nurse perform first?
a. administer oxygen per nasal cannula at 2L/min
b. plan to check his vital signs again in 30 min
c. notify the healthcare provider of the change in mental status
d. ask the client why he thinks there are bugs in the bed - correct answer-c
A client with hemiparesis needs assistance transferring from the bed to the wheelchair. The nurse
assists the client to a sitting position off the side of the bed. Which action should the nurse
implement next?
a. flex the hips and the knee and align the knees with the client's knees for safety
b. allow the client to sit on the side of the bed for a few minutes before transferring
c. place the client's weight-bearing or strong leg forward and the weak leg back
d. grasp the transfer belt at the client's sides to provide movement of the client - correct answer-c
A woman brings her husband to the clinic for an examination. She is particularly worried because
after a recent fall, he seems to have lost a great deal of his memory of recent events. Which
statement reflects the nurse's best course of action?
a. the nurse should plan to perform a complete mental status examination
b. the nurse should refer him to a psychometrician
c. the nurse should plan to integrate the mental status examination into the history and physical
examination
d. the nurse should reassure his wife that memory loss after a physical shock is normal and will
subside soon - correct answer-a
A 19-year old woman comes to the clinic at the insistence of her brother. She is wearing black
combat boots and a black lace nightgown over the top of her clothes. Her hair is dyed pink with
black streaks throughout. She has several pierced holes in her nares and ears and is wearing an
earring through her eyebrow and black heavy makeup. The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - correct
answer-d
31 May 2026
BSN 246 Latest PREP EXAM with 100 Questions
and Correct Answers/ BSN 246 Exam COVERING
RECENT AND MOST TESTED QUESTIONS
The nurse is examining a patients lower leg and notices a draining ulceration. Which of these
actions is most appropriate in this situation?
a. Wash hands and contact the physician
b. Continue to examine the ulceration and then wash hands
c. Wash hands, put gloves on, and continue with the examination of the ulceration
d. Wash hands, proceed with the rest of the physical examination and then continue with the
examination of the ulceration - correct answer-C
During the examination, it is often appropriate to offer some brief teaching about the patient's
body or the examiner's findings. Which of these statements made by the nurse is most
appropriate?
a) Your atrial dysrhythmias are under control
b. You have pitting edema and midvaricosities
c. Your pulse is 80 bpm. This is within the normal range
d. I am using the stethoscope to listen for any crackles, wheezes, or rubs - correct answer-C
During an examination, a patient has just successfully completed the finger-to-nose and the rapid-
alternating movements tests and is able to run each heel down the opposite chin. The nurse will
conclude that the patients ____ function is in tact
a. occipital
b. cerebral
c. temporal
d. cerebellar - correct answer-d
A 5-year old child is in the clinic for a check up. The nurse would expect him to:
a. have to be held on the held on the mothers lap
b. be able to sit on the examination table
c. be able to stand on the floor for the exam
, Page 2 of 16
31 May 2026
d. be able to remain alone in the examination room - correct answer-a
When the nurse performs the confrontation test, the nurse has assessed:
a. extraocular eye muscles (EOM)
b. pupils (PERRLA)
c. near vision
d. visual fields - correct answer-d
Which of these statements is true regarding the complete physical assessment?
a. the male genitalia should be examined in the supine position
b. the patient should be in the sitting position for examination of the head and neck
c. the vital signs, height, and weight should be obtained at the end of the examination
d. to promote consistency between patients, the examiners should not vary the order of the
assessment - correct answer-b
Which of these statements is true regarding the recording of data from the history and physical
examination?
a. use long, descriptive sentences to document findings
b. record the data as soon as possible after the interview and physical examination
c. if the information is not documented, then it can be assumed that it was done as a standard of
care
d. the examiners should avoid taking notes during the examination because of the possibility of
decreasing rapport with the patient - correct answer-b
Which one of these is included in the general appearance assessment?
a. height
b. weight
c. skin color
d. vital signs - correct answer-c
A male patient is admitted for observation after being hit on the head with a baseball bat. Six hours
after admission the client attempts to crawl out of bed and asks the nurse why there are so many
, Page 3 of 16
31 May 2026
bugs in his bed. His vital signs are stable and the pulse oximeter readings is 98% on room air. Which
interventions should the nurse perform first?
a. administer oxygen per nasal cannula at 2L/min
b. plan to check his vital signs again in 30 min
c. notify the healthcare provider of the change in mental status
d. ask the client why he thinks there are bugs in the bed - correct answer-c
A client with hemiparesis needs assistance transferring from the bed to the wheelchair. The nurse
assists the client to a sitting position off the side of the bed. Which action should the nurse
implement next?
a. flex the hips and the knee and align the knees with the client's knees for safety
b. allow the client to sit on the side of the bed for a few minutes before transferring
c. place the client's weight-bearing or strong leg forward and the weak leg back
d. grasp the transfer belt at the client's sides to provide movement of the client - correct answer-c
A woman brings her husband to the clinic for an examination. She is particularly worried because
after a recent fall, he seems to have lost a great deal of his memory of recent events. Which
statement reflects the nurse's best course of action?
a. the nurse should plan to perform a complete mental status examination
b. the nurse should refer him to a psychometrician
c. the nurse should plan to integrate the mental status examination into the history and physical
examination
d. the nurse should reassure his wife that memory loss after a physical shock is normal and will
subside soon - correct answer-a
A 19-year old woman comes to the clinic at the insistence of her brother. She is wearing black
combat boots and a black lace nightgown over the top of her clothes. Her hair is dyed pink with
black streaks throughout. She has several pierced holes in her nares and ears and is wearing an
earring through her eyebrow and black heavy makeup. The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - correct
answer-d
