BSN 246 Practice HESI (1 & 2) Question
and answers rated A+
The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance tests (OGTT). Which laboratory result should the RN
assess as a normal value for the two hour postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl. - correct answers 140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a young adult
client.
The registered nurse (RN) is caring for a client who has a closed head injury
from a motor vehicle collision. Which finding should the RN assess the client
for the risk of diabetes insipidus (DI)?
High fever.
Low blood pressure.
Muscle rigidity.
Polydipsia. - correct answers Polydipsia.
Rationale
A characteristic finding of DI is excretion of large quantities of urine (5 to
20L/day), and most clients compensate for fluid loss by drinking large
,amounts of water (polydipsia). DI can occur when there has been damage or
injury to the pituitary gland or hypothalamus as a result of head trauma, tumor
or an illness such as meningitis. This damage interrupts the ADH production,
storage and release causing the excessive urination and thirst.
The registered nurse (RN) is caring for a client who developed oliguria and
was diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the RN that the client is stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure 76/42.
Urine specific gravity 1.001.
Tented skin on dorsal surface of hands. - correct answers Urine output of 40
mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the urine output
returns to a normal range, 40 mL/hour, the client's kidneys are perfusing
adequately and indicates the client's status is stablizing.
A client who is uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
registered nurse (RN) implement first?
Withhold medication and report symptoms and vital signs to healthcare
provider.
Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
, Reassure client that the ipratropium given will alleviate the symptoms.
Delay administration of ipratropium until next maintenance medication is
scheduled. - correct answers Withhold medication and report symptoms and
vital signs to healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of excessive
use of ipratropium, so withholding the medication until the healthcare provider
is notified should be initiated to maintain client safety.
The registered nurse (RN) is assessing a client who was discharged home
after management of chronic hypertension. Which equipment should the RN
instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box. - correct answers Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension,
so the client should obtain a sphygmomanometer and learn how to monitor
blood pressure daily and maintain a record.
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary reason
for teaching the client this method of breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
and answers rated A+
The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance tests (OGTT). Which laboratory result should the RN
assess as a normal value for the two hour postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl. - correct answers 140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a young adult
client.
The registered nurse (RN) is caring for a client who has a closed head injury
from a motor vehicle collision. Which finding should the RN assess the client
for the risk of diabetes insipidus (DI)?
High fever.
Low blood pressure.
Muscle rigidity.
Polydipsia. - correct answers Polydipsia.
Rationale
A characteristic finding of DI is excretion of large quantities of urine (5 to
20L/day), and most clients compensate for fluid loss by drinking large
,amounts of water (polydipsia). DI can occur when there has been damage or
injury to the pituitary gland or hypothalamus as a result of head trauma, tumor
or an illness such as meningitis. This damage interrupts the ADH production,
storage and release causing the excessive urination and thirst.
The registered nurse (RN) is caring for a client who developed oliguria and
was diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the RN that the client is stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure 76/42.
Urine specific gravity 1.001.
Tented skin on dorsal surface of hands. - correct answers Urine output of 40
mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the urine output
returns to a normal range, 40 mL/hour, the client's kidneys are perfusing
adequately and indicates the client's status is stablizing.
A client who is uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
registered nurse (RN) implement first?
Withhold medication and report symptoms and vital signs to healthcare
provider.
Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
, Reassure client that the ipratropium given will alleviate the symptoms.
Delay administration of ipratropium until next maintenance medication is
scheduled. - correct answers Withhold medication and report symptoms and
vital signs to healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of excessive
use of ipratropium, so withholding the medication until the healthcare provider
is notified should be initiated to maintain client safety.
The registered nurse (RN) is assessing a client who was discharged home
after management of chronic hypertension. Which equipment should the RN
instruct the client to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box. - correct answers Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension,
so the client should obtain a sphygmomanometer and learn how to monitor
blood pressure daily and maintain a record.
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary reason
for teaching the client this method of breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
