HESI BSN 225 EXAM QUESTIONS
WITH 100% CORRECT ANSWERS!!
The daughter of an older woman who became depressed following the death of her
husband asks, "My mother was always well-adjusted until my father died. Will she tend
to be sick from now on?" Which response is best for the nurse to provide?
a. "She is almost sure to be less able to adapt than before."
b. "It's highly likely that she will recover and return to her pre-illness state."
c. "If you can interest her in something besides religion, it will help her stay well."
d. "Cultural strains contribute to each woman's tendencies for recurrences of
depression." - CORRECT ANSWER-b. "It's highly likely that she will recover and return
to her pre-illness state."
Rationale:
Analysis of behavior patterns using Erikson's framework can identify age-appropriate or
arrested development of normal interpersonal skills. Erikson describes the successful
resolution of a developmental crisis in the later years (older than 65-years) to include
the achievement of a sense of integrity and fulfillment, wisdom, and a willingness to face
one's own mortality and accept the death of others (B).
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
a. Observe the client's pupil size and response to light.
b. Ask the client about numbness or tingling in the hands.
c. Assess the client's serum potassium level.
d. Restrict dietary intake of calcium-rich foods. - CORRECT ANSWER-b. Ask the client
about numbness or tingling in the hands.
Rationale: A positive Chvostek's sign is an indication of hypocalcemia, so the client
should be assessed for the subjective symptoms of hypocalcemia, such as numbness
or tingling of the hands (B) or feet.
A male client with acquired immunodeficiency syndrome (AIDS) develops cryptococcal
meningitis and tells the nurse he does not want to be resuscitated if his breathing stops.
What action should the nurse implement?
a. Document the client's request in the medical record.
b. Ask the client if this decision has been discussed with his healthcare provider.
c. Inform the client that a written, notarized advance directive, is required to withhold
resuscitation efforts.
d. Advise the client to designate a person to make healthcare decisions when the client
is unable to do so. - CORRECT ANSWER-b. Ask the client if this decision has been
discussed with his healthcare provider.
Rationale:
Advance directives are written statements of a person's wishes regarding medical care,
and verbal directives may be given to a healthcare provider with specific instructions in
, the presence of two witnesses. To obtain this prescription, the client should discuss his
choice with the healthcare provider (B).
An older female client with rheumatoid arthritis is complaining of severe joint pain that is
caused by the weight of the linen on her legs. What action should the nurse implement
first?
a. Apply flannel pajamas to provide warmth.
b. Administer a PRN dose of ibuprofen.
c. Perform range of motion exercises in a warm tub.
d. Drape the sheets over the footboard of the bed. - CORRECT ANSWER-d. Drape the
sheets over the footboard of the bed.
Rationale: The nurse should first provide an immediate comfort measure to address the
client's complaint about the linens and drape the linens over the footboard of the bed
(D) instead of tucking them under the mattress, which can add pressure perceived by
the client as the source of her pain.
While the nurse is administering a bolus feeding to a client via nasogastric tube, the
client begins to vomit. What action should the nurse implement first?
a. Discontinue the administration of the bolus feeding.
b. Auscultate the client's breath sounds bilaterally.
c. Elevate the head of the bed to a high Fowler's position.
d. Administer a PRN dose of a prescribed antiemetic. - CORRECT ANSWER-a.
Discontinue the administration of the bolus feeding.
Rationale:
When a client receiving a tube feeding begins to vomit, the nurse should first stop the
feeding (A) to prevent further vomiting.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a
surgical procedure. Which laboratory test indicates the client's protein status for the
longest length of time?
a. Transferrin
b. Prealbumin
c. Serum albumin
d. Urine urea nitrogen - CORRECT ANSWER-c. Serum albumin
Rationale: Serum albumin has a long half-life and is the best long-term indicator of the
body's entry into a catabolic state following protein depletion from malnutrition or stress
of chronic illness (C).
The nurse is digitally removing a fecal impaction for a client. The nurse should stop the
procedure and take corrective action if which client reaction is noted?
a. Temperature increases from 98.8 to 99.0 F.
b. Pulse rate decreases from 78 to 52 beats/min.
c. Respiratory rate increases from 16 to 24 breaths/min.
d. Blood pressure increases from 110/84 to 118/88 mm/Hg. - CORRECT ANSWER-b.
Pulse rate decreases from 78 to 52 beats/min.
WITH 100% CORRECT ANSWERS!!
The daughter of an older woman who became depressed following the death of her
husband asks, "My mother was always well-adjusted until my father died. Will she tend
to be sick from now on?" Which response is best for the nurse to provide?
a. "She is almost sure to be less able to adapt than before."
b. "It's highly likely that she will recover and return to her pre-illness state."
c. "If you can interest her in something besides religion, it will help her stay well."
d. "Cultural strains contribute to each woman's tendencies for recurrences of
depression." - CORRECT ANSWER-b. "It's highly likely that she will recover and return
to her pre-illness state."
Rationale:
Analysis of behavior patterns using Erikson's framework can identify age-appropriate or
arrested development of normal interpersonal skills. Erikson describes the successful
resolution of a developmental crisis in the later years (older than 65-years) to include
the achievement of a sense of integrity and fulfillment, wisdom, and a willingness to face
one's own mortality and accept the death of others (B).
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
a. Observe the client's pupil size and response to light.
b. Ask the client about numbness or tingling in the hands.
c. Assess the client's serum potassium level.
d. Restrict dietary intake of calcium-rich foods. - CORRECT ANSWER-b. Ask the client
about numbness or tingling in the hands.
Rationale: A positive Chvostek's sign is an indication of hypocalcemia, so the client
should be assessed for the subjective symptoms of hypocalcemia, such as numbness
or tingling of the hands (B) or feet.
A male client with acquired immunodeficiency syndrome (AIDS) develops cryptococcal
meningitis and tells the nurse he does not want to be resuscitated if his breathing stops.
What action should the nurse implement?
a. Document the client's request in the medical record.
b. Ask the client if this decision has been discussed with his healthcare provider.
c. Inform the client that a written, notarized advance directive, is required to withhold
resuscitation efforts.
d. Advise the client to designate a person to make healthcare decisions when the client
is unable to do so. - CORRECT ANSWER-b. Ask the client if this decision has been
discussed with his healthcare provider.
Rationale:
Advance directives are written statements of a person's wishes regarding medical care,
and verbal directives may be given to a healthcare provider with specific instructions in
, the presence of two witnesses. To obtain this prescription, the client should discuss his
choice with the healthcare provider (B).
An older female client with rheumatoid arthritis is complaining of severe joint pain that is
caused by the weight of the linen on her legs. What action should the nurse implement
first?
a. Apply flannel pajamas to provide warmth.
b. Administer a PRN dose of ibuprofen.
c. Perform range of motion exercises in a warm tub.
d. Drape the sheets over the footboard of the bed. - CORRECT ANSWER-d. Drape the
sheets over the footboard of the bed.
Rationale: The nurse should first provide an immediate comfort measure to address the
client's complaint about the linens and drape the linens over the footboard of the bed
(D) instead of tucking them under the mattress, which can add pressure perceived by
the client as the source of her pain.
While the nurse is administering a bolus feeding to a client via nasogastric tube, the
client begins to vomit. What action should the nurse implement first?
a. Discontinue the administration of the bolus feeding.
b. Auscultate the client's breath sounds bilaterally.
c. Elevate the head of the bed to a high Fowler's position.
d. Administer a PRN dose of a prescribed antiemetic. - CORRECT ANSWER-a.
Discontinue the administration of the bolus feeding.
Rationale:
When a client receiving a tube feeding begins to vomit, the nurse should first stop the
feeding (A) to prevent further vomiting.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a
surgical procedure. Which laboratory test indicates the client's protein status for the
longest length of time?
a. Transferrin
b. Prealbumin
c. Serum albumin
d. Urine urea nitrogen - CORRECT ANSWER-c. Serum albumin
Rationale: Serum albumin has a long half-life and is the best long-term indicator of the
body's entry into a catabolic state following protein depletion from malnutrition or stress
of chronic illness (C).
The nurse is digitally removing a fecal impaction for a client. The nurse should stop the
procedure and take corrective action if which client reaction is noted?
a. Temperature increases from 98.8 to 99.0 F.
b. Pulse rate decreases from 78 to 52 beats/min.
c. Respiratory rate increases from 16 to 24 breaths/min.
d. Blood pressure increases from 110/84 to 118/88 mm/Hg. - CORRECT ANSWER-b.
Pulse rate decreases from 78 to 52 beats/min.
