HALLMARK FINAL EXAM BSN
BSN 206 NIGHTINGALE
COLLEGE EXAM 2025 LATEST
NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
Aldrete scoring system factors
,Factors that must be assessed in the Aldrete scoring system include activity, circulation, level
of consciousness, O2 saturation, and respiration.
position for semiconscious patient
The nurse correctly places a semiconscious patient in the lateral position.
diminished breath sounds documentation
The nurse should document 'diminished breath sounds in both lower lobes' for an
unconscious patient with diminished breath sounds bilaterally.
action for low temperature
When assessing an oral temperature of 94° F in an unconscious patient, the nurse should
cover the patient with a warm blanket.
contraindicated intervention for ICP
Coughing every 2 hours would be contraindicated for a patient who has had a repair of a
cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP).
signs of pulmonary embolus
Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are signs of a
pulmonary embolus.
important action before ambulation
The most important action for the nurse to take prior to ambulating the postsurgical patient
for the first time is to raise the head of the bed.
early postoperative observation to report
The early postoperative observation that should be reported immediately is 'Coffee ground'
emesis.
initial intervention for evisceration
The initial nursing intervention when a wound eviscerates is to apply a warm, moist normal
saline sterile dressing.
priority intervention during surgery
The priority intervention by the circulating nurse when the patient exhibits tachycardia,
diaphoresis, and rising body temperature is to alert the anesthesiologist and surgeon
immediately.
situation delaying surgery
Surgery might be delayed if the patient is still taking anticoagulants.
procedural sedation anesthesia
, Procedural sedation anesthesia uses both intravenous (IV) sedation and regional anesthesia.
general anesthetic stage after neuromuscular blocking agents
The patient is in the emergence stage of general anesthesia after being given medication to
reverse neuromuscular blocking agents.
epoetin alfa effect before surgery
A patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery
will likely not require a blood transfusion during surgery.
abnormal finding to report
The most important abnormal finding for an 82-year-old pre-surgical patient to report
immediately is a temperature of 99.8° F.
monitoring after atropine administration
The nurse should carefully monitor an Asian patient who received atropine for tachycardia.
Corticosteroids
Steroid hormones used for inflammation control.
Aspartate Aminotransferase (AST)
Liver enzyme indicating potential liver damage.
Bilirubin
Substance produced from the breakdown of red blood cells.
postsurgical assessments
The nurse in the PACU performs postsurgical assessments on the newly admitted patient
every 15 minutes.
increase peristalsis
The most effective way to increase a patient's peristalsis after nephrectomy is Ambulation.
first assessment after ORIF
The first assessment to make after a patient is transferred from the operating room to the
recovery room is to check airway for patency.
discharge instructions for hernia repair
The nurse should provide care of the wound site and any dressings, when the patient may
operate a motor vehicle, signs and symptoms to report to the physician, and actions and side
effects of any medications.
BSN 206 NIGHTINGALE
COLLEGE EXAM 2025 LATEST
NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
Aldrete scoring system factors
,Factors that must be assessed in the Aldrete scoring system include activity, circulation, level
of consciousness, O2 saturation, and respiration.
position for semiconscious patient
The nurse correctly places a semiconscious patient in the lateral position.
diminished breath sounds documentation
The nurse should document 'diminished breath sounds in both lower lobes' for an
unconscious patient with diminished breath sounds bilaterally.
action for low temperature
When assessing an oral temperature of 94° F in an unconscious patient, the nurse should
cover the patient with a warm blanket.
contraindicated intervention for ICP
Coughing every 2 hours would be contraindicated for a patient who has had a repair of a
cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP).
signs of pulmonary embolus
Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are signs of a
pulmonary embolus.
important action before ambulation
The most important action for the nurse to take prior to ambulating the postsurgical patient
for the first time is to raise the head of the bed.
early postoperative observation to report
The early postoperative observation that should be reported immediately is 'Coffee ground'
emesis.
initial intervention for evisceration
The initial nursing intervention when a wound eviscerates is to apply a warm, moist normal
saline sterile dressing.
priority intervention during surgery
The priority intervention by the circulating nurse when the patient exhibits tachycardia,
diaphoresis, and rising body temperature is to alert the anesthesiologist and surgeon
immediately.
situation delaying surgery
Surgery might be delayed if the patient is still taking anticoagulants.
procedural sedation anesthesia
, Procedural sedation anesthesia uses both intravenous (IV) sedation and regional anesthesia.
general anesthetic stage after neuromuscular blocking agents
The patient is in the emergence stage of general anesthesia after being given medication to
reverse neuromuscular blocking agents.
epoetin alfa effect before surgery
A patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery
will likely not require a blood transfusion during surgery.
abnormal finding to report
The most important abnormal finding for an 82-year-old pre-surgical patient to report
immediately is a temperature of 99.8° F.
monitoring after atropine administration
The nurse should carefully monitor an Asian patient who received atropine for tachycardia.
Corticosteroids
Steroid hormones used for inflammation control.
Aspartate Aminotransferase (AST)
Liver enzyme indicating potential liver damage.
Bilirubin
Substance produced from the breakdown of red blood cells.
postsurgical assessments
The nurse in the PACU performs postsurgical assessments on the newly admitted patient
every 15 minutes.
increase peristalsis
The most effective way to increase a patient's peristalsis after nephrectomy is Ambulation.
first assessment after ORIF
The first assessment to make after a patient is transferred from the operating room to the
recovery room is to check airway for patency.
discharge instructions for hernia repair
The nurse should provide care of the wound site and any dressings, when the patient may
operate a motor vehicle, signs and symptoms to report to the physician, and actions and side
effects of any medications.
