HESI BSN 225 FUNDAMENTALS
LATEST EXAM WITH DETAILED
QUESTIONS AND COMPLETE
ANSWERS
Question-A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the health care provider?
A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticarial
D. Arthritic joint changes and chronic pain - answer-a. Low back pain and hypotension
Answer: (a) low back pain and hypotenstion
Client is recovering from a transurethral prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare provider? - answer-Drink 3L
Question-A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
intervention should the nurse implement? - answer-Administer opioid and non-opioid
medications simultaneously
Question-When conducting discharge teaching for a client
Diagnosed with diverticulosis, which diet instruction should the nurse include?
A. Have small frequent meals and sit up for at least two hours after meals.
,B. Eat a bland diet and avoid spicy foods.
C. Eat a high fiber diet and increase fluid intake.
D. Eat a soft diet with increased intake of milk and milk products - answer-c. Eat a high fiber
diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
Question-The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
A. Provide additional oral fluid intake
B. Measure the client's intake and output.
C. Increase the flow of the bladder
Irrigation
D. Administer a PRN dose of an antispasmodic agent - answer-c. Increase the flow of the bladder
Irrigation
ANSWER (C) Increase the flow of the bladder irrigation
Question-A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is
short of breath and difficult to arouse. When performing a head
, -to-toe assessment, the nurse discovers four analgesic patches on - answer-Remove all morphine
patches
Question-Coming down the basement steps, a client is brought to the emergency room X-ray ...
Cast, which assessment finding warrants immediate
Intervention by the nurse? - answer-Right foot pale with sluggish capillary refill
Question-An overweight, young adult who was
Recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a
hernia repair. He tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
A. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure - answer-a. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure
LATEST EXAM WITH DETAILED
QUESTIONS AND COMPLETE
ANSWERS
Question-A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the health care provider?
A. Low back pain and hypotension
B. Rhinitis and nasal stuffiness
C. Delayed painful rash with urticarial
D. Arthritic joint changes and chronic pain - answer-a. Low back pain and hypotension
Answer: (a) low back pain and hypotenstion
Client is recovering from a transurethral prostatectomy. Which activity should be limited until
after the first postoperative visit with the healthcare provider? - answer-Drink 3L
Question-A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
intervention should the nurse implement? - answer-Administer opioid and non-opioid
medications simultaneously
Question-When conducting discharge teaching for a client
Diagnosed with diverticulosis, which diet instruction should the nurse include?
A. Have small frequent meals and sit up for at least two hours after meals.
,B. Eat a bland diet and avoid spicy foods.
C. Eat a high fiber diet and increase fluid intake.
D. Eat a soft diet with increased intake of milk and milk products - answer-c. Eat a high fiber
diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
Question-The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
A. Provide additional oral fluid intake
B. Measure the client's intake and output.
C. Increase the flow of the bladder
Irrigation
D. Administer a PRN dose of an antispasmodic agent - answer-c. Increase the flow of the bladder
Irrigation
ANSWER (C) Increase the flow of the bladder irrigation
Question-A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is
short of breath and difficult to arouse. When performing a head
, -to-toe assessment, the nurse discovers four analgesic patches on - answer-Remove all morphine
patches
Question-Coming down the basement steps, a client is brought to the emergency room X-ray ...
Cast, which assessment finding warrants immediate
Intervention by the nurse? - answer-Right foot pale with sluggish capillary refill
Question-An overweight, young adult who was
Recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a
hernia repair. He tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
A. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure - answer-a. Check finger stick
Glucose
B. Assess skin temperature
And moisture
C. Measure pulse and blood
Pressure
