BSN 366 HESI RN EXIT EXAM STUDY GUIDE
Airway and breathing - Answers -First priority in nursing care, especially in emergency
situations.
Pain management - Answers -Second priority in nursing care, addressing the client's
pain.
Definitive therapy - Answers -Treatment aimed at addressing the underlying cause of a
health issue.
Sleep and rest - Answers -Third priority in nursing care, related to Maslow's hierarchy
of needs.
Blood-borne pathogen standard - Answers -A federally regulated standard for
healthcare workers to minimize exposure to bloodborne pathogens.
Resource Conservation and Recovery Act (RCRA) - Answers -A federal law that
governs the disposal of hazardous waste.
Standard precautions - Answers -Basic infection control practices that healthcare
workers must follow.
N-95 tuberculosis standard - Answers -A guideline requiring the use of N-95 masks
when caring for tuberculosis patients.
Biological product exposure limit (BPEL) - Answers -Not federally regulated; refers to
limits on exposure to biological products.
As Low as Reasonably Allowable standard (ALARA) - Answers -Not federally
regulated; principle aimed at minimizing radiation exposure.
Therapeutic response - Answers -A response that provides hope and support to a
client, especially in mental health care.
Cognitive strategies - Answers -Techniques taught to clients to help them manage
negative thoughts.
Infection, risk for - Answers -A nursing diagnosis indicating a client's increased
susceptibility to infection.
Clean technique - Answers -Infection control practice that involves maintaining
cleanliness during medical procedures.
,Maslow's hierarchy of needs - Answers -A psychological theory that prioritizes human
needs in a specific order.
Client with severe depression - Answers -A patient experiencing significant mood
disturbances and feelings of hopelessness.
Nursing intervention - Answers -Actions taken by nurses to address patient needs and
improve health outcomes.
Limit visitors - Answers -A nursing intervention aimed at reducing the risk of infection
exposure.
IV access - Answers -Intravenous access used for medication administration and fluid
delivery.
Surgical incision - Answers -A cut made during surgery that can be a site for potential
infection.
Negative thinking - Answers -A cognitive pattern that can hinder recovery in clients with
mental health issues.
Hope in recovery - Answers -The belief that improvement is possible, which can
motivate clients in treatment.
Effective communication - Answers -The ability to convey messages in a way that is
understood and supportive.
Healthcare worker rights - Answers -Entitlements and protections provided to
healthcare workers under federal regulations.
Assess and document skin condition - Answers -Assess and document skin condition
around the incision and IV site at each shift.
Early identification of infection - Answers -Early identification of infection leads to
prompt treatment and decreased nosocomial transmission to others.
Ileoanal reservoir (J pouch) - Answers -An ileal pouch-anal anastomosis (also known
as the J pouch) is a surgically created ileoanal reservoir in the anal canal that preserves
the rectal sphincter muscle.
Transverse loop ostomy - Answers -The transverse loop ostomy is permanent.
Easily removable appliances - Answers -Easily removable appliances allow
independence in self-care.
,Daily irrigation after J pouch heals - Answers -Daily irrigation is started after the J
pouch heals.
Stool expulsion - Answers -Stool is eventually expelled through the rectum.
Cuff inflation on tracheostomy tube - Answers -Inject air until no air is auscultated over
the larynx during a deep breath.
Minimal occlusion pressure - Answers -To achieve minimal pressure against the
tracheal wall, inject air into the tracheostomy tube cuff while auscultating with a
stethoscope placed over the larynx.
10 mm induration after PPD test - Answers -The PPD skin test results is indicative of
exposure or latent Mycobacterium tuberculosis infection (LTBI).
Refer for further diagnostic evaluation - Answers -Refer for further diagnostic evaluation
for clients with a positive PPD test.
High-risk category for LTBI - Answers -This client is in a high-risk category for exposure
in a homeless environment.
External environmental influences - Answers -Contextual factors considered external
environmental influences in the framework for occupational health programs and
services include economics, workforce, technology, socio-economic status, and
legislation/regulation.
Economics - Answers -Economics is a contextual factor in occupational health
programs.
Workforce - Answers -Workforce is a contextual factor in occupational health programs.
Technology - Answers -Technology is a contextual factor in occupational health
programs.
Socio-economic status - Answers -Socio-economic status is a contextual factor in
occupational health programs.
Legislation/regulation - Answers -Legislation/regulation is a contextual factor in
occupational health programs.
Economics - Answers -Affects the health of the company and its workforce productivity,
in terms of profitability, growth, and expansion.
Technology - Answers -Adds to an industry's capacity to develop and implement new or
improved work processes.
, Legislation/regulation - Answers -In the workplace, such as the blood-borne pathogen
standard, affects the workforce in terms of requirements, administration, and control
strategies.
Occupational safety programs - Answers -Built around the workforce to strive for
maximum internal productivity.
Interventions - Answers -Internal environmental influences of an occupational health
and safety program.
Socio-economic status - Answers -A demographic variable commonly used in
epidemiology.
QRS interval - Answers -A finding that indicates a disturbance in electrical conduction
in the ventricles; normal duration is 0.04 to 0.12 second.
T wave - Answers -Normally 0.16 seconds.
PR interval - Answers -Range is 0.12 to 0.20 second.
QT interval - Answers -Should be 0.31 to 0.38 second.
Prioritize tasks - Answers -Planning care for a client with numerous treatments should
be prioritized with the most crucial client needs first to the least.
Contact precautions - Answers -Require the use of a barrier that prevents contact with
wound secretions on soiled dressings.
Discharge instruction for infected client - Answers -Dispose of soiled dressings in
plastic bags that are securely closed.
Ophthalmoscope - Answers -An instrument used to assess a client's interior eye
structures.
Adjust the diopters - Answers -An action the nurse should use to bring the retina into
focus when a client's error of refraction causes a change in the eyeball shape.
Red-free filter - Answers -Produces a green beam for examination of the optic disc for
pallor and recognition of retinal hemorrhages.
Direct wide-beam light - Answers -Used to examine the anterior eye.
Ophthalmic mydriatic - Answers -Should be instilled prior to extended fundoscopic
visualization.
Airway and breathing - Answers -First priority in nursing care, especially in emergency
situations.
Pain management - Answers -Second priority in nursing care, addressing the client's
pain.
Definitive therapy - Answers -Treatment aimed at addressing the underlying cause of a
health issue.
Sleep and rest - Answers -Third priority in nursing care, related to Maslow's hierarchy
of needs.
Blood-borne pathogen standard - Answers -A federally regulated standard for
healthcare workers to minimize exposure to bloodborne pathogens.
Resource Conservation and Recovery Act (RCRA) - Answers -A federal law that
governs the disposal of hazardous waste.
Standard precautions - Answers -Basic infection control practices that healthcare
workers must follow.
N-95 tuberculosis standard - Answers -A guideline requiring the use of N-95 masks
when caring for tuberculosis patients.
Biological product exposure limit (BPEL) - Answers -Not federally regulated; refers to
limits on exposure to biological products.
As Low as Reasonably Allowable standard (ALARA) - Answers -Not federally
regulated; principle aimed at minimizing radiation exposure.
Therapeutic response - Answers -A response that provides hope and support to a
client, especially in mental health care.
Cognitive strategies - Answers -Techniques taught to clients to help them manage
negative thoughts.
Infection, risk for - Answers -A nursing diagnosis indicating a client's increased
susceptibility to infection.
Clean technique - Answers -Infection control practice that involves maintaining
cleanliness during medical procedures.
,Maslow's hierarchy of needs - Answers -A psychological theory that prioritizes human
needs in a specific order.
Client with severe depression - Answers -A patient experiencing significant mood
disturbances and feelings of hopelessness.
Nursing intervention - Answers -Actions taken by nurses to address patient needs and
improve health outcomes.
Limit visitors - Answers -A nursing intervention aimed at reducing the risk of infection
exposure.
IV access - Answers -Intravenous access used for medication administration and fluid
delivery.
Surgical incision - Answers -A cut made during surgery that can be a site for potential
infection.
Negative thinking - Answers -A cognitive pattern that can hinder recovery in clients with
mental health issues.
Hope in recovery - Answers -The belief that improvement is possible, which can
motivate clients in treatment.
Effective communication - Answers -The ability to convey messages in a way that is
understood and supportive.
Healthcare worker rights - Answers -Entitlements and protections provided to
healthcare workers under federal regulations.
Assess and document skin condition - Answers -Assess and document skin condition
around the incision and IV site at each shift.
Early identification of infection - Answers -Early identification of infection leads to
prompt treatment and decreased nosocomial transmission to others.
Ileoanal reservoir (J pouch) - Answers -An ileal pouch-anal anastomosis (also known
as the J pouch) is a surgically created ileoanal reservoir in the anal canal that preserves
the rectal sphincter muscle.
Transverse loop ostomy - Answers -The transverse loop ostomy is permanent.
Easily removable appliances - Answers -Easily removable appliances allow
independence in self-care.
,Daily irrigation after J pouch heals - Answers -Daily irrigation is started after the J
pouch heals.
Stool expulsion - Answers -Stool is eventually expelled through the rectum.
Cuff inflation on tracheostomy tube - Answers -Inject air until no air is auscultated over
the larynx during a deep breath.
Minimal occlusion pressure - Answers -To achieve minimal pressure against the
tracheal wall, inject air into the tracheostomy tube cuff while auscultating with a
stethoscope placed over the larynx.
10 mm induration after PPD test - Answers -The PPD skin test results is indicative of
exposure or latent Mycobacterium tuberculosis infection (LTBI).
Refer for further diagnostic evaluation - Answers -Refer for further diagnostic evaluation
for clients with a positive PPD test.
High-risk category for LTBI - Answers -This client is in a high-risk category for exposure
in a homeless environment.
External environmental influences - Answers -Contextual factors considered external
environmental influences in the framework for occupational health programs and
services include economics, workforce, technology, socio-economic status, and
legislation/regulation.
Economics - Answers -Economics is a contextual factor in occupational health
programs.
Workforce - Answers -Workforce is a contextual factor in occupational health programs.
Technology - Answers -Technology is a contextual factor in occupational health
programs.
Socio-economic status - Answers -Socio-economic status is a contextual factor in
occupational health programs.
Legislation/regulation - Answers -Legislation/regulation is a contextual factor in
occupational health programs.
Economics - Answers -Affects the health of the company and its workforce productivity,
in terms of profitability, growth, and expansion.
Technology - Answers -Adds to an industry's capacity to develop and implement new or
improved work processes.
, Legislation/regulation - Answers -In the workplace, such as the blood-borne pathogen
standard, affects the workforce in terms of requirements, administration, and control
strategies.
Occupational safety programs - Answers -Built around the workforce to strive for
maximum internal productivity.
Interventions - Answers -Internal environmental influences of an occupational health
and safety program.
Socio-economic status - Answers -A demographic variable commonly used in
epidemiology.
QRS interval - Answers -A finding that indicates a disturbance in electrical conduction
in the ventricles; normal duration is 0.04 to 0.12 second.
T wave - Answers -Normally 0.16 seconds.
PR interval - Answers -Range is 0.12 to 0.20 second.
QT interval - Answers -Should be 0.31 to 0.38 second.
Prioritize tasks - Answers -Planning care for a client with numerous treatments should
be prioritized with the most crucial client needs first to the least.
Contact precautions - Answers -Require the use of a barrier that prevents contact with
wound secretions on soiled dressings.
Discharge instruction for infected client - Answers -Dispose of soiled dressings in
plastic bags that are securely closed.
Ophthalmoscope - Answers -An instrument used to assess a client's interior eye
structures.
Adjust the diopters - Answers -An action the nurse should use to bring the retina into
focus when a client's error of refraction causes a change in the eyeball shape.
Red-free filter - Answers -Produces a green beam for examination of the optic disc for
pallor and recognition of retinal hemorrhages.
Direct wide-beam light - Answers -Used to examine the anterior eye.
Ophthalmic mydriatic - Answers -Should be instilled prior to extended fundoscopic
visualization.
