BSN366 EXIT HESI QUESTIONS AND ANSWERS

BSN366 EXIT HESI QUESTIONS AND
ANSWERS

Theznurseziszprovidingzteachingztozazclientzwithztypez2zDMzaboutzimportantzpointszforzdi
seasezandzsymptomzmanagement.zWhichzstatementzbyzthezclientzindicateszunderstan
ding?

A)zUsingzsalt,zherbs,zandzspiceszwillzimprovezthezflavorzofzfoods
B)zGetzanzeyezexamzwithzanzopthalmologistzannually
C)zArrangezdietzschedulezaroundzthreezregularzmealszazday
D)zInspectzfeetzeveryzmonthzforzingrownznails,zcuts,zandzcalusesz-zanswer--
B)zGetzanzeyezexamzwithzanzopthalmologistzannually

Theznurseziszprovidingzeducationsztozazclientzwhozexperienceszrecurrentzlevelszofzmod
eratezanxietyztozsituationszandzperceivedzstress.zInzadditionztozinformationszaboutzpres
cribedzmedicationszandzadministration,zwhichzinstructionzshouldztheznursezincludezinzt
hezteaching?

A)zCenterzattentionzonzpositivezupbeatzmusic
B)zFindzoutletszforzmorezsocialzinteractionz
C)zPracticezusingzmusclezrelaxationztechniques
D)zThinkzaboutzreasonszthezepisodeszoccurz-zanswer--
C)zPracticezusingzmusclezrelaxationztechniques

ThezchargeznurseziszplanningzforzthezshiftzandzhaszazRNzandzazPNzonzthezteam.zWhich
zclientzshouldzthezchargeznursezassignztozthezRN?



A)zAz75-yearzoldzclientzwithzrenalzcalculizwhozrequireszurinezstraining
B)zAz64-yearzoldzclientzwhozhadzaztotalzhipzreplacementzthezpreiouszday
C)zAz30-yearzoldzdepresseszclientzwhozadmitsztozsuicidezideation
D)zAnzadolescentzwithzmultiplezcontusionszdueztozazfallzthatzoccurredz2zdayszagoz-
zanswer--C)zAz30-yearzoldzdepresseszclientzwhozadmitsztozsuicidezideation



NGN:z(NurseszNotes)z
1800:zThezclientziszazfemalezneonatezbornzatz37zweekszofzgestationztozazGz2zPz1zmoth
er,zwhozwaszdiagnosedzwithzgestationalzdiabetes.zFollowingzazspontaneouszvaginalzbi
rth,zshezreceivedzApgarzscoreszofzsevenzatzonezminutezandzeightzatzfivezminutes.zThez
clientzweighsz4036.97gz(8lbsz9oz)zandzappearszpinkzwithzacrocyanosiszandzazmoderat
ezamountzofzsubcutaneouszfat.zShezisznotedztozbezslightlyzjitteryzatz30minzofzage.zAxilla
ryztemperaturez96F,zpulsez140,zRRz80.zBloodzglucosez35,zBillyzRubinzseven,zfontanell
eszsoft,zmongolianzspotznotedzonzlowerzback,zBallardzmaturityzratingz37zweeks.z(Forze
achzassessmentzfinding,zclickztozindicatezwhetherzthezfindingszarezassociatedzwithzanzi
nfantzofzazdiabeticzmotherzorznormalzpresentation.)

SoftzFontanelles

,BloodzGlucosez35
Axillaryztemp.z96F
Acrocyanosis
Ballardzscorezmaturityzratingz37z-zanswer--DiabeticzFindings:
BGz35
Axillaryztempz96
Ballardzscorezmaturityzratingz37
???????

NormalzPresentation:
SoftzFontanelles
Acrocyanosis
(normalzfindingszincludezacrocyanosis,zsoftzfontanelles,zmongolianzspots,zandzApgarzs
coresz7ztoz10)

NGN:z(NurseszNotes)z
1800:zThezclientziszazfemalezneonatezbornzatz37zweekszofzgestationztozazGz2zPz1zmoth
er,zwhozwaszdiagnosedzwithzgestationalzdiabetes.zFollowingzazspontaneouszvaginalzbi
rth,zshezreceivedzApgarzscoreszofzsevenzatzonezminutezandzeightzatzfivezminutes.zThez
clientzweighsz4036.97gz(8lbsz9oz)zandzappearszpinkzwithzacrocyanosiszandzazmoderat
ezamountzofzsubcutaneouszfat.zShezisznotedztozbezslightlyzjitteryzatz30minzofzage.zAxilla
ryztemperaturez96F,zpulsez140,zRRz80.zBloodzglucosez35,zBillyzRubinzseven,zfontanell
eszsoft,zmongolianzspotznotedzonzlowerzback,zBallardzmaturityzratingz37zweeks.z

Theznursezrecognizeszthatzthezinfantzofzazdiabeticzmotherziszatzriskzforz_________z,z__
___________z,zandz_________________z-zanswer--
Hyperbilirubinemiaz,zResppiratoryzDistresszSyndromez,zandzCardiomyopathy

NGN:zOrders
Breast-
feedzimmediatelyzoncezstablezthenzonzdemand.zIfzunstable,zmayzfeedzbreastmilkzviazor
ogastricztube.zIfztwozfeedingzattemptszfailedztozincreasezthezglucosezlevelszorzifzsympto
mszofzhypoglycemiazdevelop,zapplyzdextrosezgelzinsidezthezbabieszcheek.zIfzthezabove
zarezineffective,zIVzglucosezshouldzbezadministeredztozmaintainzglucosezlevelszabovez4

5.zBoluszofz2mL/
kgzglucosez10%zIV,zhellozbyzazcontinuouszglucosezperfusionzofz6ztoz8mg/kg/
min,zmaintainzglycemiczlevelszoverz40.

Whichz6zordersztakezpriority?
A)zFeedzImmediately
B)zMonitorzforzrespiratoryzdistress
C)zApplyzdextrosezgellzinsidezthezbaby'szcheekz
D)zKeepzinzwarmerzwithzbilirubinzlights
E)zMonitorztempzeveryz30zmin
F)zBolusz2zmL/kgzglucosez10%zIV
G)zContactzRTzforzABGzandzoxygenztherapy
H)zEcho
I)zTransferztozNICU
J)zBloodzglucosezlevelz-zanswer--A)zFeedzImmedicately
B)zMonitorzforzRespiratoryzDistress

, D)zKeepzinzwarmerzwithzbilizlights
E)zMonitorztempzq30min
G)zContactzRTzforzABGzandzO2ztherapy
J)zBloodzglucosezlevel

NGNzLaboratoryzResultsz(samezcasezofzpatientzwhozjustzgavezbirth)
Whichzactionszarezappropriatezforztheznurseztoztakezatzthisztime?zSATA

A)zKeepzinfantzinzwarmerzwithzbilizlightsztozmaintainztempzofz97.6F
B)zMonitorzTemp
C)zContinueztozmonitorzglucosezlevel
D)zTellzthezmotherzthatzshezwillzneedztozdiscusszthiszwithzthezneonatologist
E)zExplainztozthezmotherzthatzthezbabyszRRzneedsztozbezbelowz60
F)zInformzthezmotherzthatzthezbabyziszstablezenoughtztoztakezoutzofzthezwarmer
G)zObservezforzsignszofzrespiratoryzdistresszandzmonitorzO2zwithzpulsezoxz-zanswer--
A)zKeepzinfantzinzwarmerzwithzbilizlightsztozmaintainztempzofz97F
E)zExplainztozthezmotherzthatzthezbabyszRRzneedztozbezbelowz60
F)zInformzthezmotherzthatzthezbabyziszstablezenoughztoztakezoutzofzthezwarmer
G)zObservezforzsignszofzrespiratoryzdistresszandzmonitorzoxygenationzbyzpulsezox

NGN:z1800:zThezclientziszazfemalezneonatezbornzatz37zweekszofzgestationztozazGz2zPz1z
mother,zwhozwaszdiagnosedzwithzgestationalzdiabetes.zFollowingzazspontaneouszvagi
nalzbirth,zshezreceivedzApgarzscoreszofzsevenzatzonezminutezandzeightzatzfivezminutes.z
Thezclientzweighsz4036.97gz(8lbsz9oz)zandzappearszpinkzwithzacrocyanosiszandzazmo
deratezamountzofzsubcutaneouszfat.zShezisznotedztozbezslightlyzjitteryzatz30minzofzage.z
Axillaryztemperaturez96F,zpulsez140,zRRz80.zBloodzglucosez35,zBillyzRubinzseven,zfont
anelleszsoft,zmongolianzspotznotedzonzlowerzback,zBallardzmaturityzratingz37zweeks.z
(Thezdayzshiftznursezreviewsztheznursesznotes,zlabs,zandzflowzsheetzfromztheznightzbef
ore.zTheznursezplanszonzprovidingzhealthzteachingzforzthezclientzandzherzfamilyzinzprep
arationzforzdischarge.)
Forzeachzteachingzpoint,zclickztozindicatezwhetherzitziszindicatedzorzcontraindicated.zOn
lyzonezrightzoptionzperzrow.

A)zYouzwillzneedztozsez-zanswer--A)
B)
C)
D)zIndicated
E)
?????????

NGN:z1800:zThezclientziszazfemalezneonatezbornzatz37zweekszofzgestationztozazGz2zPz1z
mother,zwhozwaszdiagnosedzwithzgestationalzdiabetes.zFollowingzazspontaneouszvagi
nalzbirth,zshezreceivedzApgarzscoreszofzsevenzatzonezminutezandzeightzatzfivezminutes.z
Thezclientzweighsz4036.97gz(8lbsz9oz)zandzappearszpinkzwithzacrocyanosiszandzazmo
deratezamountzofzsubcutaneouszfat.zShezisznotedztozbezslightlyzjitteryzatz30minzofzage.z
Axillaryztemperaturez96F,zpulsez140,zRRz80.zBloodzglucosez35,zBillyzRubinzseven,zfont
anelleszsoft,zmongolianzspotznotedzonzlowerzback,zBallardzmaturityzratingz37zweeks.z
(Clickztozhighlightznoteszthatzdemonstratezazpositivezoutcome)