EXIT HESI BSN 366 COMPREHENSIVE
FINAL EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A patient with Chronic Kidney Disease (CKD) is receiving Epoetin alfa. Which laboratory
result indicates the medication is achieving the desired therapeutic effect?
A. Platelet count of 150,000/mm³
B. Hematocrit of 33%
C. White blood cell count of 6,000/mm³
D. Blood Urea Nitrogen (BUN) of 20 mg/dL
Answer: B
Conceptual Explanation: Epoetin alfa is a synthetic form of erythropoietin used to
stimulate red blood cell production in patients with CKD. An increase in hematocrit or
hemoglobin indicates effectiveness.
2. A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the
water-seal chamber. Which action should the nurse take first?
A. Increase the suction pressure
B. Document this as a normal finding
,C. Check for a leak in the system
D. Milk the tubing to ensure patency
Answer: C
Conceptual Explanation: Continuous bubbling in the water-seal chamber indicates an air
leak in the system. Intermittent bubbling is normal in a patient with a pneumothorax, but
continuous bubbling requires immediate troubleshooting for leaks.
3. Which clinical manifestation should the nurse expect to observe in a client experiencing an
Addisonian Crisis?
A. Hyperglycemia and polyuria
B. Hypertension and bradycardia
C. Severe hypotension and tachycardia
D. Weight gain and moon face
Answer: C
Conceptual Explanation: Addisonian crisis is a life-threatening deficiency of cortisol and
aldosterone, leading to vascular collapse (hypotension), electrolyte imbalances, and shock.
4. A client is admitted with a diagnosis of Pheochromocytoma. Which assessment finding is
most characteristic of this condition?
A. Hypotension
B. Profuse diaphoresis
, C. Bradycardia
D. Hypoglycemia
Answer: B
Conceptual Explanation: Pheochromocytoma is a catecholamine-secreting tumor. Classic
symptoms include the ‘5 Ps’: Pressure (HTN), Palpitations, Perspiration (diaphoresis), Pain
(headache), and Pallor.
5. The nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia. Which
finding would necessitate immediate discontinuation of the infusion?
A. Presence of 1+ deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. A feeling of warmth and flushing
Answer: B
Conceptual Explanation: Magnesium toxicity causes CNS depression, evidenced by
respiratory depression (<12 bpm), loss of deep tendon reflexes, and decreased urinary
output. Flushing is a common side effect, not toxicity.
6. A client with schizophrenia is prescribed Clozapine. Which laboratory value is the priority
for the nurse to monitor?
A. Serum sodium
FINAL EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A patient with Chronic Kidney Disease (CKD) is receiving Epoetin alfa. Which laboratory
result indicates the medication is achieving the desired therapeutic effect?
A. Platelet count of 150,000/mm³
B. Hematocrit of 33%
C. White blood cell count of 6,000/mm³
D. Blood Urea Nitrogen (BUN) of 20 mg/dL
Answer: B
Conceptual Explanation: Epoetin alfa is a synthetic form of erythropoietin used to
stimulate red blood cell production in patients with CKD. An increase in hematocrit or
hemoglobin indicates effectiveness.
2. A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the
water-seal chamber. Which action should the nurse take first?
A. Increase the suction pressure
B. Document this as a normal finding
,C. Check for a leak in the system
D. Milk the tubing to ensure patency
Answer: C
Conceptual Explanation: Continuous bubbling in the water-seal chamber indicates an air
leak in the system. Intermittent bubbling is normal in a patient with a pneumothorax, but
continuous bubbling requires immediate troubleshooting for leaks.
3. Which clinical manifestation should the nurse expect to observe in a client experiencing an
Addisonian Crisis?
A. Hyperglycemia and polyuria
B. Hypertension and bradycardia
C. Severe hypotension and tachycardia
D. Weight gain and moon face
Answer: C
Conceptual Explanation: Addisonian crisis is a life-threatening deficiency of cortisol and
aldosterone, leading to vascular collapse (hypotension), electrolyte imbalances, and shock.
4. A client is admitted with a diagnosis of Pheochromocytoma. Which assessment finding is
most characteristic of this condition?
A. Hypotension
B. Profuse diaphoresis
, C. Bradycardia
D. Hypoglycemia
Answer: B
Conceptual Explanation: Pheochromocytoma is a catecholamine-secreting tumor. Classic
symptoms include the ‘5 Ps’: Pressure (HTN), Palpitations, Perspiration (diaphoresis), Pain
(headache), and Pallor.
5. The nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia. Which
finding would necessitate immediate discontinuation of the infusion?
A. Presence of 1+ deep tendon reflexes
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. A feeling of warmth and flushing
Answer: B
Conceptual Explanation: Magnesium toxicity causes CNS depression, evidenced by
respiratory depression (<12 bpm), loss of deep tendon reflexes, and decreased urinary
output. Flushing is a common side effect, not toxicity.
6. A client with schizophrenia is prescribed Clozapine. Which laboratory value is the priority
for the nurse to monitor?
A. Serum sodium
