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Exam (elaborations)

BSN 225 HESI V1 Practice Test | Questions & Answers Latest 2026/27 | Graded A+

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BSN 225 HESI V1 Practice Test | Questions & Answers Latest 2026/27 | Graded A+

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BSN 225 HESI V1 Practice Test | Questions &
Answers Latest 2026/27 | Graded A+

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?"

13. If a patient presents with occult blood in their feces, what would be the most
appropriate nursing intervention?

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