RN Exit: BSN366 / BSN 366 (Latest
) HESI Exam | Questions
& Answers 100% Correct -
Nightingale
Question:
What instrument should the nurse use to determine the presence of deep
tendon reflexes?
1. Goniometer.
2. Wood's lamp.
3. Reflex hammer.
4. Transilluminator.
Answer:
3. Reflex hammer.
Deep tendon reflexes are assessed using a reflex hammer. A goniometer is
used to assess the degree of joint flexion and extension. A Wood's lamp
determines the presence of fungi. Transilluminator is a light source that
helps detect the presence of fluid in the sinus cavities.
,Question:
An adult male with a history of heart failure tells the nurse that his lower
extremities and feet swell when he sits at his computer all day. Which
response is best for the nurse to provide?
1. Limit the amount of table salt that you add to your meals.
2. Take a daily vitamin with minerals to correct imbalances.
3. Get up and walk around frequently during the day.
4. Elevate your feet every night to reduce swelling.
Answer:
3. Get up and walk around frequently during the day.
Edema and swelling in the lower extremities results from gravitational
pooling of blood and are common after extended periods of standing or
sitting. Walking is a common recommendation to stimulate circulation,
venous return, and to reduce swelling. Although limiting salt intake is a
common heart-healthy life-style modification, the client's sedentary hours
predispose to venous stasis and distal swelling. Recommending a daily
vitamin with minerals is not a common remedy for the client's complaint.
Elevating the feet at night may be helpful, but the best information is to
consider the cause and get up and move around.
,Question:
A healthcare provider tells the nurse that a certain medication will be
prescribed for a client. After the prescription is written, the nurse notes
that the provider has prescribed another medication that sounds similar to
the medication that the provider and nurse originally discussed. What
action should the nurse implement?
1. Write the correct prescription as a verbal order received from the
healthcare provider.
2. Correct the misspelled medication in the written prescription and initial
the change.
3. Consult with the pharmacist to determine the best medication for the
client.
4. Contact the healthcare provider to clarify the prescription intended for
the client.
Answer:
4. Contact the healthcare provider to clarify the prescription intended for
the client.
Since the nurse received contradictory information, the provider should be
contacted to clarify the intended prescription otherwise it may result in a
medication error. The nurse does not have the authority to alter
prescriptions. The pharmacist cannot determine the best medication for a
client.
, Question:
A client with terminal pancreatic cancer is receiving hospice care at home
and reports increasing shortness of breath and associated anxiety. Which
prescription should the nurse implement first?
1. Prednisone (Deltasone) 10 mg PO.
2. Albuterol (Proventil) 0.5% solution per nebulizer.
3. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
4. Oxygen 2 to 6 liters per minute using a nasal cannula.
Answer:
3. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
Comfort and pain management using an effective analgesic-sedative such
as morphine, is the most important standard of care therapy in hospice
home care to ensure comfort and enhance the quality of life for a client
with a life expectancy of less than six months, as in this case. Adjunct
therapy that promotes a sense of well-being, including prednisone, and
provides adequate oxygenation work to supplement morphine in easing a
client's discomfort, associated shortness of breath, and anxiety during a
terminal illness.
) HESI Exam | Questions
& Answers 100% Correct -
Nightingale
Question:
What instrument should the nurse use to determine the presence of deep
tendon reflexes?
1. Goniometer.
2. Wood's lamp.
3. Reflex hammer.
4. Transilluminator.
Answer:
3. Reflex hammer.
Deep tendon reflexes are assessed using a reflex hammer. A goniometer is
used to assess the degree of joint flexion and extension. A Wood's lamp
determines the presence of fungi. Transilluminator is a light source that
helps detect the presence of fluid in the sinus cavities.
,Question:
An adult male with a history of heart failure tells the nurse that his lower
extremities and feet swell when he sits at his computer all day. Which
response is best for the nurse to provide?
1. Limit the amount of table salt that you add to your meals.
2. Take a daily vitamin with minerals to correct imbalances.
3. Get up and walk around frequently during the day.
4. Elevate your feet every night to reduce swelling.
Answer:
3. Get up and walk around frequently during the day.
Edema and swelling in the lower extremities results from gravitational
pooling of blood and are common after extended periods of standing or
sitting. Walking is a common recommendation to stimulate circulation,
venous return, and to reduce swelling. Although limiting salt intake is a
common heart-healthy life-style modification, the client's sedentary hours
predispose to venous stasis and distal swelling. Recommending a daily
vitamin with minerals is not a common remedy for the client's complaint.
Elevating the feet at night may be helpful, but the best information is to
consider the cause and get up and move around.
,Question:
A healthcare provider tells the nurse that a certain medication will be
prescribed for a client. After the prescription is written, the nurse notes
that the provider has prescribed another medication that sounds similar to
the medication that the provider and nurse originally discussed. What
action should the nurse implement?
1. Write the correct prescription as a verbal order received from the
healthcare provider.
2. Correct the misspelled medication in the written prescription and initial
the change.
3. Consult with the pharmacist to determine the best medication for the
client.
4. Contact the healthcare provider to clarify the prescription intended for
the client.
Answer:
4. Contact the healthcare provider to clarify the prescription intended for
the client.
Since the nurse received contradictory information, the provider should be
contacted to clarify the intended prescription otherwise it may result in a
medication error. The nurse does not have the authority to alter
prescriptions. The pharmacist cannot determine the best medication for a
client.
, Question:
A client with terminal pancreatic cancer is receiving hospice care at home
and reports increasing shortness of breath and associated anxiety. Which
prescription should the nurse implement first?
1. Prednisone (Deltasone) 10 mg PO.
2. Albuterol (Proventil) 0.5% solution per nebulizer.
3. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
4. Oxygen 2 to 6 liters per minute using a nasal cannula.
Answer:
3. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
Comfort and pain management using an effective analgesic-sedative such
as morphine, is the most important standard of care therapy in hospice
home care to ensure comfort and enhance the quality of life for a client
with a life expectancy of less than six months, as in this case. Adjunct
therapy that promotes a sense of well-being, including prednisone, and
provides adequate oxygenation work to supplement morphine in easing a
client's discomfort, associated shortness of breath, and anxiety during a
terminal illness.
