BSN 205 Hallmark Exam Questions And
Correct Answers, With Complete Verified
Solution
Question 1 of 5
Which instruction to nursing assistive personnel (NAP) reflects the nurse's
correct understanding of the NAP's role in caring for a patient receiving
intravenous (IV) fluids by gravity drip?
Assess the IV site frequently for signs of inflammation.
Be sure not to obscure the insertion site with the dressing.
Let me know when you notice that the IV bag contains less than 100 mL.
Tell the patient to notify me if the IV site is painful, swollen, or red.
Let me know when you notice that the IV bag contains less than 100 mL.
Question 2 of 5
The provider has ordered that a patient be 1000 mL of IV normal saline to run over
12 hours. What is the first step in the calculation of the rate of infusion?
Calculate the hourly volume of normal saline the patient should receive.
Determine the drop factor of the tubing that will be used for the infusion.
Calculate the drops per minute at which the tubing will be regulated.
Determine the drops per mL that the tubing will deliver.
Calculate the hourly volume of normal saline the patient should receive.
Question 3 of 5
The provider orders that a patient be given 1000 mL of IV normal saline to run
over 10 hours. The drop factor of the selected tubing is 15. What is the correct
rate of infusion in drops per minute?25 drops/minute30 drops/minute35
drops/minute40 drops/minute
25 drops/minute
Question 4 of 5
The nurse receives an order to infuse 1000 mL of D5W at 125 mL continuously.
Which of the following actions by the nurse indicates correct interpretation of this
order?Infusing D5W 1000 mL for 8 hours and then discontinuing the
infusionInfusing D5W at a rate of 125 mL/hr for 24 hours and then discontinuing
the infusionInfusing D5W at a rate of 125 mL/hr until the health care provider
changes the orderCalling the health care provider to clarify the order
Infusing D5W at a rate of 125 mL/hr until the health care provider changes the order
Question 5 of 5
Which action by the nurse helps to ensure patient safety when administering IV
fluids by gravity to very young children?
Using microdrip tubing for the infusion
Using macrodrip tubing for the infusion
Using a volume-control device for the infusion
Not infusing more than 25 mL/hour of IV fluids
Using a volume-control device for the infusion
, Question 1 of 4
The nurse is completing a patient's shift assessment and notes that the patient is
lethargic, but restless and agitated. Which nursing diagnosis should the nurse
include to the plan of care based on this data?
Acute Confusion
Decreased Cardiac Output
Impaired Gas Exchange
Fatigue
Acute Confusion
Lethargy, agitation, and restlessness are characteristic of this nursing diagnosis.
Question 2 of 4
Mr. Abdul states, "I can't catch my breath." The nurse observes that his breathing
is labored, his respirations are slow and deep, and his oxygen saturation level is
90%. Based on these assessment findings, which nursing diagnosis does the
nurse include in Mr. Abdul's plan of care?
Impaired Gas Exchange
Decreased Cardiac Output
Acute Confusion
Imbalanced Nutrition
Impaired Gas Exchange
The patient's presentation and the nurse's observation are evidence for including this
nursing diagnosis into Mr. Abdul's plan of care.
Question 3 of 4
Match each nursing diagnosis with the appropriate cluster of assessment data
about Mr. Abdul.
Dyspnea, labored breathing, PaCO2 = 60
Impaired Gas Exchange
Restless, anxiety, unsure about current events
Acute Confusion
Unable to fix meals and take medication
Self-Care Deficit
Question 4 of 4
Order the nursing diagnoses for Mr. Abdul's plan of care from highest priority to
lowest priority.
Impaired Gas Exchange
Risk for Injury
Acute Confusion
Self-Care Deficit
Question 1 of 4
Which NOC outcome is appropriate for Mr. Abdul's nursing diagnosis of Acute
Confusion?
Select all that apply.
Cognition
Distorted Thought Self-Control
Information Processing
Correct Answers, With Complete Verified
Solution
Question 1 of 5
Which instruction to nursing assistive personnel (NAP) reflects the nurse's
correct understanding of the NAP's role in caring for a patient receiving
intravenous (IV) fluids by gravity drip?
Assess the IV site frequently for signs of inflammation.
Be sure not to obscure the insertion site with the dressing.
Let me know when you notice that the IV bag contains less than 100 mL.
Tell the patient to notify me if the IV site is painful, swollen, or red.
Let me know when you notice that the IV bag contains less than 100 mL.
Question 2 of 5
The provider has ordered that a patient be 1000 mL of IV normal saline to run over
12 hours. What is the first step in the calculation of the rate of infusion?
Calculate the hourly volume of normal saline the patient should receive.
Determine the drop factor of the tubing that will be used for the infusion.
Calculate the drops per minute at which the tubing will be regulated.
Determine the drops per mL that the tubing will deliver.
Calculate the hourly volume of normal saline the patient should receive.
Question 3 of 5
The provider orders that a patient be given 1000 mL of IV normal saline to run
over 10 hours. The drop factor of the selected tubing is 15. What is the correct
rate of infusion in drops per minute?25 drops/minute30 drops/minute35
drops/minute40 drops/minute
25 drops/minute
Question 4 of 5
The nurse receives an order to infuse 1000 mL of D5W at 125 mL continuously.
Which of the following actions by the nurse indicates correct interpretation of this
order?Infusing D5W 1000 mL for 8 hours and then discontinuing the
infusionInfusing D5W at a rate of 125 mL/hr for 24 hours and then discontinuing
the infusionInfusing D5W at a rate of 125 mL/hr until the health care provider
changes the orderCalling the health care provider to clarify the order
Infusing D5W at a rate of 125 mL/hr until the health care provider changes the order
Question 5 of 5
Which action by the nurse helps to ensure patient safety when administering IV
fluids by gravity to very young children?
Using microdrip tubing for the infusion
Using macrodrip tubing for the infusion
Using a volume-control device for the infusion
Not infusing more than 25 mL/hour of IV fluids
Using a volume-control device for the infusion
, Question 1 of 4
The nurse is completing a patient's shift assessment and notes that the patient is
lethargic, but restless and agitated. Which nursing diagnosis should the nurse
include to the plan of care based on this data?
Acute Confusion
Decreased Cardiac Output
Impaired Gas Exchange
Fatigue
Acute Confusion
Lethargy, agitation, and restlessness are characteristic of this nursing diagnosis.
Question 2 of 4
Mr. Abdul states, "I can't catch my breath." The nurse observes that his breathing
is labored, his respirations are slow and deep, and his oxygen saturation level is
90%. Based on these assessment findings, which nursing diagnosis does the
nurse include in Mr. Abdul's plan of care?
Impaired Gas Exchange
Decreased Cardiac Output
Acute Confusion
Imbalanced Nutrition
Impaired Gas Exchange
The patient's presentation and the nurse's observation are evidence for including this
nursing diagnosis into Mr. Abdul's plan of care.
Question 3 of 4
Match each nursing diagnosis with the appropriate cluster of assessment data
about Mr. Abdul.
Dyspnea, labored breathing, PaCO2 = 60
Impaired Gas Exchange
Restless, anxiety, unsure about current events
Acute Confusion
Unable to fix meals and take medication
Self-Care Deficit
Question 4 of 4
Order the nursing diagnoses for Mr. Abdul's plan of care from highest priority to
lowest priority.
Impaired Gas Exchange
Risk for Injury
Acute Confusion
Self-Care Deficit
Question 1 of 4
Which NOC outcome is appropriate for Mr. Abdul's nursing diagnosis of Acute
Confusion?
Select all that apply.
Cognition
Distorted Thought Self-Control
Information Processing
