BSN 225 HESI (Latest 2025/ 2026 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
Reading comprehension for a pt family member - ANSWER Asking
someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy
issues. Needing glasses does not correlate directly with health literacy
Comprehending D/C instructions - ANSWER Letting the client perform
or return-demonstrate the instillation of ear medication as the nurse observes is the
best way to gauge if the client understood the discharge teaching.
Which food substances will the nurse include in the child's diet plan to alleviate
severe bruises and bleeding caused by a vitamin deficiency? - ANSWER
A.Broccoli, spinach, and cabbage
When You are giving an enteral feeding its best to - ANSWER Elevate
head to prevent aspiration.
Which measure would the nurse adopt to ensure effective communication when
caring for a non-English-speaking client? Select all that apply - ANSWER
Understand cultural and language differences
Avoid interpreting based on personal cultural beliefs
,Provide written information in the primary language
Which statement most accurately describes cultural factors that may affect health?
- ANSWER Diabetes and cancer rates differ by cultural/ethnic groups
What is the first step in developing cultural competence? - ANSWER
A.Examine the nurse's own cultural background, values, and beliefs about health
and health care.
A nurse is admitting a new client. Which of the following actions should the nurse
take while performing medication reconciliation? - ANSWER Compare
the Clients home medications with the providers prescriptions.
A nurse is providing discharge instructions to a client who will be using a walker
which of the following client statement indicates an understanding of the teaching.
- ANSWER A"I will hire someone to trim the tree that hangs low over
the stairs of my front porch."
Leading cause of trauma in older adults - ANSWER Fire
when completing a safety even report, the nurse should - ANSWER
, The nurse obtains a prescription from a health care provider to restrain a client and
instructs an unlicensed assistive personnel (UAP) to apply the safety device to the
client. Which observation of unsafe application of the safety device would indicate
that further instruction is required by the UAP? - ANSWER a Safety
devise straps are secured to the bed frame and never to the side rails to avoid injury
if the side rails are released.
The nurse cares for the client who is confused. The health care provider ordered
that the client have cotton wrist restraints to prevent the client from attempting to
remove the intravenous (IV) and indwelling catheter. Which action is essential for
the nurse to include in the client's care plan? - ANSWER remove the
restrains, assess limbs and provide skin care every hour (Safety)
The newly hired nurse is assigned to a very disoriented client with soft wrist
restraints. The nurse asks the head nurse for the purpose of the client's restraints.
Which response by the head nurse is correct - ANSWER
The nurse is caring for a CT on hospice who started on a 25 mcg/hr fentanyl patch
yesterday 0800. Today at 2 the pt has complaints of pain 7/10 which intervention is
best for the nurse to provide - ANSWER Off to administer 5 mg of
morphine orally as prescribed for breakthrough pain ( med was already ordered)
You are caring for a hospice client who is at the end of life. Based on this clients'
signs and symptoms, the client is comatose, dehydrated, free of pain, constipated
without distress and expected to die in a day or two. Which of the following is an
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
Reading comprehension for a pt family member - ANSWER Asking
someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy
issues. Needing glasses does not correlate directly with health literacy
Comprehending D/C instructions - ANSWER Letting the client perform
or return-demonstrate the instillation of ear medication as the nurse observes is the
best way to gauge if the client understood the discharge teaching.
Which food substances will the nurse include in the child's diet plan to alleviate
severe bruises and bleeding caused by a vitamin deficiency? - ANSWER
A.Broccoli, spinach, and cabbage
When You are giving an enteral feeding its best to - ANSWER Elevate
head to prevent aspiration.
Which measure would the nurse adopt to ensure effective communication when
caring for a non-English-speaking client? Select all that apply - ANSWER
Understand cultural and language differences
Avoid interpreting based on personal cultural beliefs
,Provide written information in the primary language
Which statement most accurately describes cultural factors that may affect health?
- ANSWER Diabetes and cancer rates differ by cultural/ethnic groups
What is the first step in developing cultural competence? - ANSWER
A.Examine the nurse's own cultural background, values, and beliefs about health
and health care.
A nurse is admitting a new client. Which of the following actions should the nurse
take while performing medication reconciliation? - ANSWER Compare
the Clients home medications with the providers prescriptions.
A nurse is providing discharge instructions to a client who will be using a walker
which of the following client statement indicates an understanding of the teaching.
- ANSWER A"I will hire someone to trim the tree that hangs low over
the stairs of my front porch."
Leading cause of trauma in older adults - ANSWER Fire
when completing a safety even report, the nurse should - ANSWER
, The nurse obtains a prescription from a health care provider to restrain a client and
instructs an unlicensed assistive personnel (UAP) to apply the safety device to the
client. Which observation of unsafe application of the safety device would indicate
that further instruction is required by the UAP? - ANSWER a Safety
devise straps are secured to the bed frame and never to the side rails to avoid injury
if the side rails are released.
The nurse cares for the client who is confused. The health care provider ordered
that the client have cotton wrist restraints to prevent the client from attempting to
remove the intravenous (IV) and indwelling catheter. Which action is essential for
the nurse to include in the client's care plan? - ANSWER remove the
restrains, assess limbs and provide skin care every hour (Safety)
The newly hired nurse is assigned to a very disoriented client with soft wrist
restraints. The nurse asks the head nurse for the purpose of the client's restraints.
Which response by the head nurse is correct - ANSWER
The nurse is caring for a CT on hospice who started on a 25 mcg/hr fentanyl patch
yesterday 0800. Today at 2 the pt has complaints of pain 7/10 which intervention is
best for the nurse to provide - ANSWER Off to administer 5 mg of
morphine orally as prescribed for breakthrough pain ( med was already ordered)
You are caring for a hospice client who is at the end of life. Based on this clients'
signs and symptoms, the client is comatose, dehydrated, free of pain, constipated
without distress and expected to die in a day or two. Which of the following is an
