BSN 315 HESI RN PHARMACOLOGY EXAM 4 ACTUAL EXAM REAL QUESTIONS WIRH WELL ELABORATED ANSWERS (100% CORRECT VERIFIED SOLUTIONS) LATEST UPDATED VERSION

BSN 246 HESI EXAM 2024-
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2025 QUESTIONS WITH COMPLETE SOL
u u u u




UTIONS u




Whichuactionucanubeuassignedutoutheuunlicenseduassistiveupersonnelu(UAP)?u-uCORRECTuANSWER-
Measureutheuclient'suurinaryuoutput.



Whatuisutheubestuinitialuresponseubyutheunurse?u-uCORRECTuANSWER-
Describeutheulocationuandutypeuofupainuyouuareuhaving



Baseduonutheunurse'suassessment,uwhichuassessmentudatausupportsutheudecisionutouadministerupainumedi
cationuasutheufirstuintervention?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-
uCORRECTuANSWER-Painuratinguofu6/10u-uHearturateuofu102ubeats/minuteu-

uBloodupressureuofu132/76ummHg




Whichuactionushouldutheunurseuimplementufirst?u-uCORRECTuANSWER-Administeruanuanalgesic.



Whichuinterventionsuareuimportantutouincludeuinutheuclient'suplanuofucareuwhileureceivingumultipleuimmun
osuppressants?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-uCORRECTuANSWER-
Instructuclientutouwearuaumaskuwhenuwalkinguinutheuhalls.u-
uInstructuvisitorsuthatufreshuflowersushouldunotubeutakenuintoutheuroom.u-

uMonitoruimmunosuppressionudrugulevelsuregularly.




Whichuinterventionushouldutheunurseuensureuisuincludeduinutheuplanuofucareuduringutheuimmediateupostop
erativeuperiod?

a.uMonitoruJudy'suurinaryuoutputuhourlyuusinguanuurimeter.

b.uAssessuJudy'susurgicaluincisionueveryushift.

c.uMonitoruJudy'sunasogastricutubeueveryu4uhours.

d.uEncourageuJudyutouuseutheuincentiveuspirometerudaily.u-uCORRECTuANSWER-a



Whichuisutheupriorityunursinguassessmentuduringutheufirstu24-hourupostoperativeuperiod?u-
uCORRECTuANSWER-Vitalusigns




BSNu246uHESIuEXAMu2024-2025uQUESTIONSuWITHuCOMPLETEuSOLUTIONSu

,Theunurseuisuteachingutheupatientuaboutufluidumanagementubetweenudialysisutreatments.uWhichuinstructi
onubyutheunurseuisutheumostuaccurate?u-uCORRECTuANSWER-
Limitufluidsuinubetweenutreatmentsutouminimizeutheuamountuofufluiduthatuneedsutoubeuremoveduduringudia
lysis.



Whichuexpecteduoutcomeushouldubeuincludeduinutheunurse'suteachinguplan?u-uCORRECTuANSWER-
Clientuwilluavoiducanneduanduprocessedufoods.



Theunurseuassessesutheudialysisugraft.uWhichuassessmentushouldubeureportedutoutheuhealthcareuprovideru(
HCP)uimmediately?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-
uCORRECTuANSWER-Yellow,upurulentudrainageufromugraftuincisionusite.u-

uAbsenceuofuauthrilluoverutheugraftusite.u-uCapillaryurefillu>10usecondsuinutheuhanduwhereutheugraftuisuplaced.




Whichuinterventionushouldutheunurseuensureuhasubeenuincludeuinutheuclient'suplanuofucare?u(Selectualluthat
uapply.uOne,usome,uorualluoptionsumayubeucorrect.)



A.uInstructulabupersonnelutouobtainublooduspecimensufromutheudual-lumenucatheter.

B.uPerformusterileudressinguchangesuatutheudual-lumenucatheterusite.

C.uEmptyuandurecordutheudrainageufromutheugraftutubinguregularly.

D.uRegularlyurotateuIVuinsertionusitesuaboveuandubelowutheugraftusite.

E.uAssessuJudy'sudistalupulsesuanducirculationuinutheuarmuwithutheuaccessu-uCORRECTuANSWER-
B.uPerformusterileudressinguchangesuatutheudualulumenucatheterusiteu-
uE.uAssessutheuclient'sudistalupulsesuanducirculationuinutheuarmuwithutheuaccess.




Theunurseudocumentsutheuassessmentuofutheuarteriovenousu(AV)ugraft.uWhichudocumentationubestudescri
besuauproperlyufunctioninguAVugraft?u-uCORRECTuANSWER-Thrillupresentuandupalpated



Theuclientuasksutheunurseutouclarifyuwhatupalliativeucareuinvolves.uWhichuexplanationuprovidesutheuclientut
heubestueducationuregardingupalliativeucare?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorr
ect.)u-uCORRECTuANSWER-Palliativeucareuprovidesureliefufromusymptomsuincludingupain.u-
uPalliativeucareusupportsuholisticucareuanduimprovesuqualityuofulife.u-




Whatucomplicationuwouldutheuclientubeumostuconcerneduaboutuifuchoosinguperitonealudialysis?u-
uCORRECTuANSWER-Abdominaluinfection/Peritonitis




BSNu246uHESIuEXAMu2024-2025uQUESTIONSuWITHuCOMPLETEuSOLUTIONSu

,Theunurseupreparesuanduinstructsutheuclientuforuhemodialysis.uWhichustatementsubyutheuclientuindicateuth
euneeduforufurtherueducation?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-
uCORRECTuANSWER-Hemodialysisuwilluhelpurestoreukidneyufunctionubackutouaunormalulevel.u-

uBoweluorubladderuperforationumayuoccuruwithuhemodialysisucatheteruplacement.




Whatuactionushouldutheunurseutakeubaseduonutheuresponseufromutheuhealthcareuprovideru(HCP)uphoneucal
l?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-uCORRECTuANSWER-
DocumentubothuphoneucallsuandutheuHCP'suprescriptions.u-
uNotifyutheuchargeunurseuanduactivateutheuchainuofucommandu-uHoldutheupotassiumuchloride




Whichuinterventionushouldutheunurseuimplement?u-uCORRECTuANSWER-
Calluanduspeakudirectlyuwithutheuhealthcareuprovideru(HCP).



Whichuinterventionuisumostuimportantuforutheunurseutouimplement?u-uCORRECTuANSWER-
HoldutheudoseuofupotassiumuchlorideuanducontactutheuHCPutoureportutheuserumupotassiumulevel.



Baseduonutheseuproblems,uwhichunursinguinterventionushouldubeuincludeduinutheuclient'suplanuofucare?u-
uCORRECTuANSWER-Encourageutheuclientutouaskuquestionsuandudiscussufearsuaboutudiagnosis




Whichuassessmentudatauindicatesutoutheunurseuthatutheudesireduoutcomeuofutheuepoetinualfauhasubeenuac
hieved?u-uCORRECTuANSWER-Conjunctivalusacureturnsutouaureddishupinkucolor



Whichuassessmentushouldutheunurseuperformutoudetermineuifutheudesireduoutcomeuofutheulosartanuhasube
enuachieved?u-uCORRECTuANSWER-Bloodupressure



Whichuassessmentufindinguindicatesutoutheunurseuthatutheudesireduoutcomeuofutheucalciumuacetateuhasube
enuachieved?u-uCORRECTuANSWER-Serumuphosphorousuofu4.0umg/dLu(1.29ummol/L)5



Afterutheunurseucompletesutheuassessment,uwhatufindingsuareumostuimportantutoureportutoutheuhealthcar
euprovideru(HCP)u?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrect.)u-uCORRECTuANSWER-
Bloodupressureuofu178/92ummHgu-uRespiratoryurateuofu28ubreathsuperuminute-uBibasilarucracklesu-uEdema




BSNu246uHESIuEXAMu2024-2025uQUESTIONSuWITHuCOMPLETEuSOLUTIONSu

, Theuclient'suhemoglobinuleveluisu7.8ug/dLu(78ug/L).uWhatuactionushouldutheunurseutake?u-
uCORRECTuANSWER-Obtainuanuorderutoustartuanuerythropoietinustimulatinguagentu(ESA)




Whatuassessmentudatausupportsutheudiagnosisuofuacuteuorganurejection?u(Selectualluthatuapply.uOne,usome
,uorualluoptionsumayubeucorrect.)u-uCORRECTuANSWER--uBloodupressureuofu178/96ummuHg.u

-uSubutherapeuticuimmunosuppressionulevelsu

-uAcuteupainuratedu6/10u

-uTemperatureuofu100.6uF(38.1uC).u

-uBUNuofu56umg/dLu(19.99ummol/L)u

-uCreatinineuofu1.9umg/dLu(167.96umcmol/L



WhatuisutheucorrectuinterpretationuofutheseuABG's?u-uCORRECTuANSWER-
Metabolicuacidosisu(compensated)



WhichulabuvalueuwouldutheunurseubeuMOSTuconcerneduabout?u-uCORRECTuANSWER-
Glomerularufiltrationurateu(GFR)uofu9mL/min/1.73m2.



Theunurseuisuteachingutheuclientuaboutuprogressionuofuchronicukidneyudiseaseu(CKD).uWhichuevaluationusta
tementudocumentedubyutheunurseuindicatesutheuclient'suunderstandinguofutheudiseaseuprocess?u-
uCORRECTuANSWER-

Theuclientuacknowledgesuthaturenalureplacementutherapyuwilluneedutoubeuinitiateduimmediatelyutouridutheu
bodyuofuwasteuandumaintainufluidubalance.



Baseduonutheuclient'susymptoms,uwhatushouldutheunurseususpect?u-uCORRECTuANSWER-
Theuclientuhasuuremiauandumayuneedutoustartudialysis.



Whichuadditionalusymptomsushouldutheunurseuaskuabout?u(Selectualluthatuapply.uOne,usome,uorualluoptions
umayubeucorrect.)u-uCORRECTuANSWER--uNauseau-uDecreaseduattentionuspanu-uItching




Theunurseureviewsutheuclient'sumedicaluhistory.uWhatupartuofutheumedicaluhistoryushouldutheunurseuconsid
erurelevantutoutheuclient'sucurrentuhistory?u(Selectualluthatuapply.uOne,usome,uorualluoptionsumayubeucorrec
t.)u-uCORRECTuANSWER--uHypertensionu-uPolycysticukidneyudiseaseu-uDiabetesuMellitus-




BSNu246uHESIuEXAMu2024-2025uQUESTIONSuWITHuCOMPLETEuSOLUTIONSu