BSN 266 HESI V2 (Nightingale college)
EXAM:PRACTICE QUESTIONS AND ANSWERS
LATEST 2025
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Nursing Quiz - 1 CAPSTONE EXAM 3 Medical Surgical Nursing Exam 1 NUR211
Teacher 46 terms Teacher 89 terms Teacher 120 terms Teacher
peter_kiamba Preview Dr_Eric_karimi2 Preview scarmkadinali78 Preview Ma
Terms in this set (54) Hide definitions
While caring for a client with full thickness burns covering Neutrophil count- The patient is experiencing infection, so a nurse should review
40% of the body, the nurse observes purulent drainage the neutrophil count before contacting the HCP.
from the wounds. Before reporting the finding, what is
the best lab value to evaluate?
An older woman who experienced a cerebrovascular Demonstrate the use of visual scanning during meals to the client and family.
accident (CVA) has difficulty with visual perception and
she only eats half of the food on her meal tray. Her family
expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
Best position for respiratory distress? High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac workload.
, A patient with peripheral artery disease has marked High risk for injury
peripheral neuropath. An appropriate nursing diagnosis
for the patient is
Type 2 diabetes patient discharge teaching patient and Check feet every day for cuts or injuries.
family
Plan of care for patient with skin lesions of lower Institute Contact precautions for staff and visitors
extremities with possible MRSA. SATA Send wound drainage for culture and sensitivity
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given Hematemesis- - Contact HCP if blood is visible in body fluids such as
low-dose aspirin. The medication is related to which hematemesis.
problem and HCP should be notified?
For a patient with SLE exacerbation what is the most Elevated blood urea nitrogen (BUN)
important to report which assessment finding?
Before selecting a medication to administer, which action Rate of pain on a scale from 0-10.
should the nurse implement in the post-op patient who
reports incisional pain and has 2 PRN analgesia available
in MAR?
Patient had bariatric surgery 2 months ago who Keep patient NPO- Patient should be kept NPO until procedure is successfully
developed post-op strictures who is experiencing nausea completed. The patient should not take anything by mouth.
and vomiting and anorexia who is admitted for fluid
resuscitation. Which intervention should the nurse
implement?
Acute Kidney Injury due to aminoglycoside antibiotic Vital sign changes and ECGs- Priority parameters are vital sign changes related to
moved from oliguric phase to the diuretic phase. Which hypovolemia and ECG changes due to serum electrolyte loss, which can be life
parameters are most important to monitor? threatening.
Patient has a calcium oxalate renal stone. Which food are Nuts, chocolate, dark greens, and spinach.
you going to teach the patient to avoid?
A patient had a cholecystectomy 2 days ago, the patient Pancreatitis- complications include pancreatitis that may manifest with upper left
is febrile, abdominal pain radiating to the back and has quadrant or mid-epigastric pain which radiates to the back and accompanied by
had 3 episodes of vomiting in the last 8 hours. The patient nausea, vomiting, and fever.
is exhibiting symptoms for which condition?
EXAM:PRACTICE QUESTIONS AND ANSWERS
LATEST 2025
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Nursing Quiz - 1 CAPSTONE EXAM 3 Medical Surgical Nursing Exam 1 NUR211
Teacher 46 terms Teacher 89 terms Teacher 120 terms Teacher
peter_kiamba Preview Dr_Eric_karimi2 Preview scarmkadinali78 Preview Ma
Terms in this set (54) Hide definitions
While caring for a client with full thickness burns covering Neutrophil count- The patient is experiencing infection, so a nurse should review
40% of the body, the nurse observes purulent drainage the neutrophil count before contacting the HCP.
from the wounds. Before reporting the finding, what is
the best lab value to evaluate?
An older woman who experienced a cerebrovascular Demonstrate the use of visual scanning during meals to the client and family.
accident (CVA) has difficulty with visual perception and
she only eats half of the food on her meal tray. Her family
expresses concern about her nutritional status. How
should the nurse respond to the family's concern?
Best position for respiratory distress? High Fowler's Position- High fowlers helps to decrease venous return, which
decreases fluid volume in the heart that results in decreased cardiac workload.
, A patient with peripheral artery disease has marked High risk for injury
peripheral neuropath. An appropriate nursing diagnosis
for the patient is
Type 2 diabetes patient discharge teaching patient and Check feet every day for cuts or injuries.
family
Plan of care for patient with skin lesions of lower Institute Contact precautions for staff and visitors
extremities with possible MRSA. SATA Send wound drainage for culture and sensitivity
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given Hematemesis- - Contact HCP if blood is visible in body fluids such as
low-dose aspirin. The medication is related to which hematemesis.
problem and HCP should be notified?
For a patient with SLE exacerbation what is the most Elevated blood urea nitrogen (BUN)
important to report which assessment finding?
Before selecting a medication to administer, which action Rate of pain on a scale from 0-10.
should the nurse implement in the post-op patient who
reports incisional pain and has 2 PRN analgesia available
in MAR?
Patient had bariatric surgery 2 months ago who Keep patient NPO- Patient should be kept NPO until procedure is successfully
developed post-op strictures who is experiencing nausea completed. The patient should not take anything by mouth.
and vomiting and anorexia who is admitted for fluid
resuscitation. Which intervention should the nurse
implement?
Acute Kidney Injury due to aminoglycoside antibiotic Vital sign changes and ECGs- Priority parameters are vital sign changes related to
moved from oliguric phase to the diuretic phase. Which hypovolemia and ECG changes due to serum electrolyte loss, which can be life
parameters are most important to monitor? threatening.
Patient has a calcium oxalate renal stone. Which food are Nuts, chocolate, dark greens, and spinach.
you going to teach the patient to avoid?
A patient had a cholecystectomy 2 days ago, the patient Pancreatitis- complications include pancreatitis that may manifest with upper left
is febrile, abdominal pain radiating to the back and has quadrant or mid-epigastric pain which radiates to the back and accompanied by
had 3 episodes of vomiting in the last 8 hours. The patient nausea, vomiting, and fever.
is exhibiting symptoms for which condition?
