BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
As the nurse prepares the equipment to be used to start an IV on a 4-year-old boy
in the treatment room, he cries continuously. What intervention should the nurse
implement?
Take the child back to his room.
Recruit others to restrain the child.
Ask the mother to be present to soothe the child.
Show the child how to manipulate the equipment.
Ask the mother to be present to soothe the child.
Rationale
A 4-year-old typically has a vivid imagination and lacks concrete thinking abilities.
The mother's assistance (C) can provide a stabilizing presence to help soothe the
preschooler, who may perceive the invasive procedure as mutilating. To preserve
the child's sense of security associated with the hospital room, it is best to
perform difficult or painful procedures in another area (A). (B) may be necessary
to prevent injury if the child is unable to cooperate with the mother's coaxing. (D)
is best done before going to the treatment room when the child feels less
threatened.
,BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
In evaluating client care, which action should the nurse take first?
Determine if the expected outcomes of care were achieved.
Review the rationales used as the basis of nursing actions.
Document the care plan goals that were successfully met.
Prioritize interventions to be added to the client's plan of care.
Submit
Determine if the expected outcomes of care were achieved.
Rationale
In evaluating care, the nurse should first determine if the expected outcomes of
the plan of care were achieved.
,BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
How should the nurse handle linens that are soiled with incontinent feces?
Put the soiled linens in an isolation bag, then place it in the dirty linen hamper.
Place an isolation hamper in the client's room and discard the linens in it.
Place the soiled linens in a pillow case and deposit them in the dirty linen hamper.
Ask the housekeeping staff to pick up the soiled linen from the dirty utility room.
Place the soiled linens in a pillow case and deposit them in the dirty linen hamper.
Rationale
, BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
The nurse should be careful to keep the soiled linens from contaminating the
fresh linens, and should handle the soiled linens like any other dirty linen (C). (A,
B, and D) are not indicated.
What action should the nurse implement when adding sterile liquids to a sterile
field?
Use an outdated sterile liquid if the bottle is sealed and has not been opened.
Consider the sterile field contaminated if it becomes wet during the procedure.
Remove the container cap and lay it with the inside facing down on the sterile
field.
Hold the container high and pour the solution into a receptacle at the back of the
sterile field.
Consider the sterile field contaminated if it becomes wet during the procedure.
Rationale
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
As the nurse prepares the equipment to be used to start an IV on a 4-year-old boy
in the treatment room, he cries continuously. What intervention should the nurse
implement?
Take the child back to his room.
Recruit others to restrain the child.
Ask the mother to be present to soothe the child.
Show the child how to manipulate the equipment.
Ask the mother to be present to soothe the child.
Rationale
A 4-year-old typically has a vivid imagination and lacks concrete thinking abilities.
The mother's assistance (C) can provide a stabilizing presence to help soothe the
preschooler, who may perceive the invasive procedure as mutilating. To preserve
the child's sense of security associated with the hospital room, it is best to
perform difficult or painful procedures in another area (A). (B) may be necessary
to prevent injury if the child is unable to cooperate with the mother's coaxing. (D)
is best done before going to the treatment room when the child feels less
threatened.
,BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
In evaluating client care, which action should the nurse take first?
Determine if the expected outcomes of care were achieved.
Review the rationales used as the basis of nursing actions.
Document the care plan goals that were successfully met.
Prioritize interventions to be added to the client's plan of care.
Submit
Determine if the expected outcomes of care were achieved.
Rationale
In evaluating care, the nurse should first determine if the expected outcomes of
the plan of care were achieved.
,BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
How should the nurse handle linens that are soiled with incontinent feces?
Put the soiled linens in an isolation bag, then place it in the dirty linen hamper.
Place an isolation hamper in the client's room and discard the linens in it.
Place the soiled linens in a pillow case and deposit them in the dirty linen hamper.
Ask the housekeeping staff to pick up the soiled linen from the dirty utility room.
Place the soiled linens in a pillow case and deposit them in the dirty linen hamper.
Rationale
, BSN 225 HESI EXAM 2| 90 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
SURE SUCCESS NEWEST!!!!
The nurse should be careful to keep the soiled linens from contaminating the
fresh linens, and should handle the soiled linens like any other dirty linen (C). (A,
B, and D) are not indicated.
What action should the nurse implement when adding sterile liquids to a sterile
field?
Use an outdated sterile liquid if the bottle is sealed and has not been opened.
Consider the sterile field contaminated if it becomes wet during the procedure.
Remove the container cap and lay it with the inside facing down on the sterile
field.
Hold the container high and pour the solution into a receptacle at the back of the
sterile field.
Consider the sterile field contaminated if it becomes wet during the procedure.
Rationale
