BSN 205 Hallmark Exam Questions with
100% Correct Answers | Latest Version
2024 | Verified
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
Memory
Adherence Behavior - ✔✔Cognition
Distorted Thought Self-Control
Information Processing
Memory
100% Correct Answers | Latest Version
2024 | Verified
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
Memory
Adherence Behavior - ✔✔Cognition
Distorted Thought Self-Control
Information Processing
Memory
