HOSMERIT
BSN 246 HESI REVIEW EXAM WITH 100%
VERIFIED QUESTIONS AND
CORRECT SOLUTIONS
The registered nurse (RN) recognizes which client group is at the greatest risk for developing
a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
a.Older males.
b.School-age female.
c.Older females.
d. Adolescent males.
➹➹: Correct Answer:
1. Older females.
2. School-age female.
3. Older males.
4. Adolescent males.
Rationale
Hypoestrogenism and alkalotic urine are other age-related factors put older women at the
highest risk for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher
prevalence to taking baths instead of showers, but these risks can be controlled in this
population as well as hypoestrogenism and alkalotic urine. Older men are at risk due to
,possible obstruction of the bladder due to benign prostatic hypertrophy (BPH). Adolescent
males (12 to 19 years) are the lowest at risk for a UTI.
All individuals regardless of gender and/or age are at risk if the following conditions exist:
vesicoureteral reflux, neuromuscular conditions, like Parkinson's disease, previous brain
attacks, or the use of anticholinergic medications can all cause incomplete bladder emptying
which can create bacterial overgrowth. Fecal and urinary incontinence contributes to poor
perineal hygiene and bacterial growth.
A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the
family that he has an incomplete fracture of the humerus. The family ask the RN what this
means. Which type of fracture should the RN explain from these findings?
a. Straignt fracture line that is also a simple, closed fracture.
b. Nondisplaced fracture line that wraps around the bone.
c. A complete fracture that also punctures the skin.
d. A fracture that bends or splinters part of the bone.
➹➹: A fracture that bends or splinters part of the bone.
Rationale
, An incomplete fracture occurs when part of the bone is splintered (broken) and it has notgone
completely through the thickness of the bone.
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a
chest tube. Which intervention has the highest priority and should be anticipated by the RN
after the removal of the chest tube?
a. Prepare the client for chest x-ray at the bedside.
b. Review arterial blood gases after removal.
c. Elevate the head of bed to 45 degrees.
d. Assist with disassembling the drainage system.
➹➹: Prepare the client for chest x-ray at the bedside.
Rationale
A chest x-ray should be performed immediately after the removal of a chest tube to ensure
lung expansion has been maintained after its removal.
The registered nurse (RN) did not note that a prescription dose was recently changed and did
not note the updated medication administration record (MAR). After giving the client the
original dose, the RN reports the medication error to the nurse manager. What consequences
will the RN experience due to this error in medication administration?
BSN 246 HESI REVIEW EXAM WITH 100%
VERIFIED QUESTIONS AND
CORRECT SOLUTIONS
The registered nurse (RN) recognizes which client group is at the greatest risk for developing
a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
a.Older males.
b.School-age female.
c.Older females.
d. Adolescent males.
➹➹: Correct Answer:
1. Older females.
2. School-age female.
3. Older males.
4. Adolescent males.
Rationale
Hypoestrogenism and alkalotic urine are other age-related factors put older women at the
highest risk for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher
prevalence to taking baths instead of showers, but these risks can be controlled in this
population as well as hypoestrogenism and alkalotic urine. Older men are at risk due to
,possible obstruction of the bladder due to benign prostatic hypertrophy (BPH). Adolescent
males (12 to 19 years) are the lowest at risk for a UTI.
All individuals regardless of gender and/or age are at risk if the following conditions exist:
vesicoureteral reflux, neuromuscular conditions, like Parkinson's disease, previous brain
attacks, or the use of anticholinergic medications can all cause incomplete bladder emptying
which can create bacterial overgrowth. Fecal and urinary incontinence contributes to poor
perineal hygiene and bacterial growth.
A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the
family that he has an incomplete fracture of the humerus. The family ask the RN what this
means. Which type of fracture should the RN explain from these findings?
a. Straignt fracture line that is also a simple, closed fracture.
b. Nondisplaced fracture line that wraps around the bone.
c. A complete fracture that also punctures the skin.
d. A fracture that bends or splinters part of the bone.
➹➹: A fracture that bends or splinters part of the bone.
Rationale
, An incomplete fracture occurs when part of the bone is splintered (broken) and it has notgone
completely through the thickness of the bone.
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a
chest tube. Which intervention has the highest priority and should be anticipated by the RN
after the removal of the chest tube?
a. Prepare the client for chest x-ray at the bedside.
b. Review arterial blood gases after removal.
c. Elevate the head of bed to 45 degrees.
d. Assist with disassembling the drainage system.
➹➹: Prepare the client for chest x-ray at the bedside.
Rationale
A chest x-ray should be performed immediately after the removal of a chest tube to ensure
lung expansion has been maintained after its removal.
The registered nurse (RN) did not note that a prescription dose was recently changed and did
not note the updated medication administration record (MAR). After giving the client the
original dose, the RN reports the medication error to the nurse manager. What consequences
will the RN experience due to this error in medication administration?
