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BSN 246 HESI Review Exam — A+ Graded Exam Material

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This document contains BSN 246 HESI review exam material with questions and answers aimed at preparing students for health assessment and related nursing topics. It provides focused review material to help students reinforce key concepts and prepare for HESI-style examinations.

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BSN 246




BSN 246 HESI REVIEW EXAM GRADED A+


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.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - correct answer orrect 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

, BSN 246


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?
-Straignt fracture line that is also a simple, closed fracture.
-Nondisplaced fracture line that wraps around the bone.
-A complete fracture that also punctures the skin.
-A fracture that bends or splinters part of the bone. - correct answer 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 not gone 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?
-Prepare the client for chest x-ray at the bedside.
-Review arterial blood gases after removal.
-Elevate the head of bed to 45 degrees.

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