BSN 225 HESI RN Specialty Fundamentals of Nursing Exam
V1 (Latest Update ) Questions & Answers |
100% Correct | Grade A+ Nightingale
1. In a scenario where a patient refuses medication, what steps should a nurse
take after temporarily locking the medications?
Immediately report the refusal to the physician without further
discussion.
Conduct a further assessment to understand the patient's reasons
for refusal.
Leave the medications unlocked for the patient to take later.
Administer the medication anyway to ensure compliance.
2. What does the presence of protein in the urine indicate, as in the case of
proteinuria?
Strenuous exercise
Liver disease
Kidney damage or disease
Malnutrition
3. How will the nurse administer the timed up and go test?
observe the patient transition from lying to sitting to standing to
walking
observe as the person rises from a chair, walks 20 feet, stoops to pick
up an item on the floor
observe as the person rises from a chair, walks 10 feet, turns, walks
back to the chair and sits down
, observe as the person rises from a chair, walks 10 feet, and sits down
in another chair
4. Describe the role of nursing interventions in patient care.
Nursing interventions are essential actions that nurses perform to
ensure patient needs are met and health is maintained.
Nursing interventions are actions taken by patients to manage their
own health.
Nursing interventions are solely focused on administering
medications.
Nursing interventions are only necessary during emergencies.
5. Describe why monitoring blood pressure is important in diagnosing
cardiovascular conditions.
Monitoring blood pressure is important for assessing kidney function.
Monitoring blood pressure is important because it helps identify
abnormalities in blood flow that can indicate cardiovascular issues.
Monitoring blood pressure is important for evaluating lung capacity.
Monitoring blood pressure is important for measuring body
temperature.
6. Client education by the nurse entails:
Giving information to the client that is accurate and understandable.
Telling the client everything about his disease, what is going to
happen in the course of the disease, and the outcome.
Giving the client medication when pain is experienced.
Telling the client that the pain he experiences might not be real.
,7. Describe the role of a feeding tube in patient care.
A feeding tube is used to deliver essential nutrients and fluids
directly to patients who cannot eat by mouth.
A feeding tube is primarily for administering medications.
A feeding tube is inserted for diagnostic imaging purposes.
A feeding tube is used for monitoring blood glucose levels.
8. Describe the purpose of the Timed Get Up and Go Test in assessing a client's
mobility.
The test evaluates a client's mobility and risk of falls by measuring
their ability to rise from a chair and walk.
The test measures a client's strength by assessing how much weight
they can lift.
The test assesses a client's cognitive function by asking them to follow
complex instructions.
The test determines a client's flexibility through a series of stretching
exercises.
9. Describe how limiting sodium and fat intake can impact a patient's overall
health.
Limiting sodium and fat intake only affects weight management.
Limiting sodium and fat intake can reduce the risk of hypertension
and heart disease, leading to better cardiovascular health.
Limiting sodium and fat intake is only important for diabetic patients.
Limiting sodium and fat intake has no effect on health conditions.
, 10. A 35-year-old woman presents with complaints of bleeding during bowel
movements. She reports noticing bright red blood on the toilet paper after
passing stools. She denies experiencing any pain or discomfort during
defecation. Her bowel habits are regular, and she denies any history of
constipation or diarrhea. On examination, no abnormalities are observed
except for bright red blood on the rectal examination. Based on the clinical
vignette, what is the most likely diagnosis?
Colorectal cancer
Rectal prolapse
Internal hemorrhoids
Anal fissure
11. If a patient is experiencing gastrointestinal dysfunction, what nursing
intervention would be most appropriate to assess their condition?
Conduct a thorough assessment of the patient's dietary intake and
bowel habits.
Evaluate the patient's cardiovascular health only.
Focus solely on the patient's respiratory function.
Administer medication without assessment.
12. A client reports that he has been experiencing diarrhea for the past week.
What question by the nurse will assist in determining if this client is truly
experiencing an alteration in bowel pattern?
"What is the consistency of your stools??"
"Have you changed your food intake this week?"
"How many times a day are you having a bowel movement?"
"Do you have a bowel movement every day?"
V1 (Latest Update ) Questions & Answers |
100% Correct | Grade A+ Nightingale
1. In a scenario where a patient refuses medication, what steps should a nurse
take after temporarily locking the medications?
Immediately report the refusal to the physician without further
discussion.
Conduct a further assessment to understand the patient's reasons
for refusal.
Leave the medications unlocked for the patient to take later.
Administer the medication anyway to ensure compliance.
2. What does the presence of protein in the urine indicate, as in the case of
proteinuria?
Strenuous exercise
Liver disease
Kidney damage or disease
Malnutrition
3. How will the nurse administer the timed up and go test?
observe the patient transition from lying to sitting to standing to
walking
observe as the person rises from a chair, walks 20 feet, stoops to pick
up an item on the floor
observe as the person rises from a chair, walks 10 feet, turns, walks
back to the chair and sits down
, observe as the person rises from a chair, walks 10 feet, and sits down
in another chair
4. Describe the role of nursing interventions in patient care.
Nursing interventions are essential actions that nurses perform to
ensure patient needs are met and health is maintained.
Nursing interventions are actions taken by patients to manage their
own health.
Nursing interventions are solely focused on administering
medications.
Nursing interventions are only necessary during emergencies.
5. Describe why monitoring blood pressure is important in diagnosing
cardiovascular conditions.
Monitoring blood pressure is important for assessing kidney function.
Monitoring blood pressure is important because it helps identify
abnormalities in blood flow that can indicate cardiovascular issues.
Monitoring blood pressure is important for evaluating lung capacity.
Monitoring blood pressure is important for measuring body
temperature.
6. Client education by the nurse entails:
Giving information to the client that is accurate and understandable.
Telling the client everything about his disease, what is going to
happen in the course of the disease, and the outcome.
Giving the client medication when pain is experienced.
Telling the client that the pain he experiences might not be real.
,7. Describe the role of a feeding tube in patient care.
A feeding tube is used to deliver essential nutrients and fluids
directly to patients who cannot eat by mouth.
A feeding tube is primarily for administering medications.
A feeding tube is inserted for diagnostic imaging purposes.
A feeding tube is used for monitoring blood glucose levels.
8. Describe the purpose of the Timed Get Up and Go Test in assessing a client's
mobility.
The test evaluates a client's mobility and risk of falls by measuring
their ability to rise from a chair and walk.
The test measures a client's strength by assessing how much weight
they can lift.
The test assesses a client's cognitive function by asking them to follow
complex instructions.
The test determines a client's flexibility through a series of stretching
exercises.
9. Describe how limiting sodium and fat intake can impact a patient's overall
health.
Limiting sodium and fat intake only affects weight management.
Limiting sodium and fat intake can reduce the risk of hypertension
and heart disease, leading to better cardiovascular health.
Limiting sodium and fat intake is only important for diabetic patients.
Limiting sodium and fat intake has no effect on health conditions.
, 10. A 35-year-old woman presents with complaints of bleeding during bowel
movements. She reports noticing bright red blood on the toilet paper after
passing stools. She denies experiencing any pain or discomfort during
defecation. Her bowel habits are regular, and she denies any history of
constipation or diarrhea. On examination, no abnormalities are observed
except for bright red blood on the rectal examination. Based on the clinical
vignette, what is the most likely diagnosis?
Colorectal cancer
Rectal prolapse
Internal hemorrhoids
Anal fissure
11. If a patient is experiencing gastrointestinal dysfunction, what nursing
intervention would be most appropriate to assess their condition?
Conduct a thorough assessment of the patient's dietary intake and
bowel habits.
Evaluate the patient's cardiovascular health only.
Focus solely on the patient's respiratory function.
Administer medication without assessment.
12. A client reports that he has been experiencing diarrhea for the past week.
What question by the nurse will assist in determining if this client is truly
experiencing an alteration in bowel pattern?
"What is the consistency of your stools??"
"Have you changed your food intake this week?"
"How many times a day are you having a bowel movement?"
"Do you have a bowel movement every day?"
