BSN Fundamentals of Nursing 2

Question 1

A nurse is preparing to perform a sterile dressing change. Which action would contaminate the sterile field?

Accepted Answer

Reaching across the sterile field to retrieve an item on the opposite side

Answer

Reaching across a sterile field contaminates it because the nurse's arm passes over the field, which is not considered sterile.

Question 2

When performing a head-to-toe assessment, the nurse auscultates bowel sounds and hears high-pitched, gurgling sounds every 5–15 seconds. How should the nurse document this finding?

Accepted Answer

Normal bowel sounds

Answer

Normal bowel sounds occur every 5–30 seconds and are described as high-pitched, gurgling sounds.

Question 3

A patient's urinary output over 8 hours is 200 mL. The nurse recognizes this as:

Accepted Answer

Oliguria

Answer

Oliguria is defined as urine output less than 30 mL/hour; 200 mL over 8 hours equals 25 mL/hour, which is oliguria.

Question 4

Which position is most appropriate for a patient experiencing dyspnea?

Accepted Answer

High Fowler's (90°)

Answer

High Fowler's position maximizes diaphragmatic excursion and lung expansion, relieving dyspnea.

Question 5

The nurse is about to administer a medication and the patient states, 'That pill looks different than usual.' What is the nurse's priority action?

Accepted Answer

Hold the medication and verify the order

Answer

Patient statements about medication appearance are a safety cue; the nurse must hold and verify before administering.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Fundamentals of Nursing 2