BSN 366 HESI EXIT 130 QUESTIONS
WITH CORRECT ANSWERS FOR A
GUARANTEED PASS.
Three hours after birth, a newborn becomes jittery and tacky piña. What
should the nurse do first?
A) Obtain a capillary glucose level.
B) Feed 30 mL of 10% dextrose in water.
C) Wrapped tightly in a warm blanket.
D) Encourage the mother to breast-feed.
A) Obtain a capillary glucose level.
Client is being urgently transported to radiology for computerized tomograph
he after a sudden decreased level of consciousness. The client is orally
intubated and has a left lateral chest tube to 20 cm section. What action is
most important for the nurse to take?
A) Secure chest tube to the stretcher for transport.
B) Administer PRN medication prior to transport.
C) Keep chest tube container below the site of insertion.
D) Mark the amount of chest drainage on the container.
C) Keep chest tube container below the site of insertion.
,Nurse receives a shift report about a male client with obsessive-compulsive
disorder. The nurse completes morning rounds and approaches the client
while he is repeatedly washing the top of the same table. Which intervention
should the nurse implement?
A) Allow time for the behavior and then redirect the client to other activities.
B) Teach the client thought stopping techniques and ways to refocus
behavior.
C) Assist the client to identify stimuli that precipitate the activity.
D_ Encourage the client to be calm and relax for a little while.
A) Allow time for the behavior and then redirect the client to other activities.
The healthcare provider prescribes regular insulin 8 units per hour IV. The IV
solution contains 100 units of regular insulin in 100 mL of 0.9% normal
saline. How many milliliters per hour should the nurse program the infusion
pump? Enter numerical value only.
0.08
To auscultation for a car droid Bruett, the nurse place is the stethoscope at
what location?
Place the stethoscope at base of neck in the front.
The nurse on a pediatric unit observes a distraught mother in the hallway
scolding her three year old son for wedding his pants. What initial action
should the nurse take?
A) Inform the mother that toilet training is slower for boys.
B) Refer the mother to a community parent education program.
,C) Suggest that the mother consult a pediatric nephrologist.
D) Provide disposable training pants while calming the mother.
D) Provide disposable training pants while calming the mother.
NGN: the client is an 81-year-old female who is in the hospital for treatment
of a blood clot. She has a history of type two diabetes mellitus and takes Met
Forman. She is active at home and performs activities of daily living
independently but has required assistance from her son for the last couple of
weeks due to weakness and fatigue.
(Complete the diagram by dragging from the choices to specify which
condition the client is most likely experiencing, to actions the nurse should
take, and two parameters the nurse should monitor.)
????
When is it most important for the nurse to assess a pregnant clients deep
tendon reflexes?
A) When the client has ankle edema.
B) During admission to labor and delivery.
C) If the client has an elevated blood pressure.
D) Within the first trimester of pregnancy.
C) If the client has an elevated blood pressure.
Situation indicates a need for the nurse to discuss the use of mitten
restraints with the healthcare provider?
, A) The client is walking the halls at night rubbing his hands together.
B) A family member expresses concern about their relative picking at the NG
tube.
C) A 16 year old boy swung his fist at the nurse.
D) A disoriented client removed the mesh wrapped IV for the second time.
D) A disoriented client removed the mesh wrapped IV for the second time.
Audio of lung sounds. The nurse is auscultating a client lung sounds which
description should the nurse use to document this sound?
A) High-pitched wheeze.
B) Low-pitched or coarse crackles.
C) Stridor.
D) High-pitched or fine crackles.
C) Stridor.
Video of G-tube. The charge nurse observes a new nurse demonstrate the
administration of two different liquid medication's through a gas for me tube
used for continuous feedings, as seen in the video. Which actions should the
charge nurse take? SATA.
A) Instruct the nurse to administer each medication separately.
B) Confirm that the nurse determines the amount of gastric residual.
C) Add the liquid volumes when documenting fluid intake.
D) Advise the nurse to use the plunger when giving medication's.
E) Encourage the nurse to flush the tea with more water.
WITH CORRECT ANSWERS FOR A
GUARANTEED PASS.
Three hours after birth, a newborn becomes jittery and tacky piña. What
should the nurse do first?
A) Obtain a capillary glucose level.
B) Feed 30 mL of 10% dextrose in water.
C) Wrapped tightly in a warm blanket.
D) Encourage the mother to breast-feed.
A) Obtain a capillary glucose level.
Client is being urgently transported to radiology for computerized tomograph
he after a sudden decreased level of consciousness. The client is orally
intubated and has a left lateral chest tube to 20 cm section. What action is
most important for the nurse to take?
A) Secure chest tube to the stretcher for transport.
B) Administer PRN medication prior to transport.
C) Keep chest tube container below the site of insertion.
D) Mark the amount of chest drainage on the container.
C) Keep chest tube container below the site of insertion.
,Nurse receives a shift report about a male client with obsessive-compulsive
disorder. The nurse completes morning rounds and approaches the client
while he is repeatedly washing the top of the same table. Which intervention
should the nurse implement?
A) Allow time for the behavior and then redirect the client to other activities.
B) Teach the client thought stopping techniques and ways to refocus
behavior.
C) Assist the client to identify stimuli that precipitate the activity.
D_ Encourage the client to be calm and relax for a little while.
A) Allow time for the behavior and then redirect the client to other activities.
The healthcare provider prescribes regular insulin 8 units per hour IV. The IV
solution contains 100 units of regular insulin in 100 mL of 0.9% normal
saline. How many milliliters per hour should the nurse program the infusion
pump? Enter numerical value only.
0.08
To auscultation for a car droid Bruett, the nurse place is the stethoscope at
what location?
Place the stethoscope at base of neck in the front.
The nurse on a pediatric unit observes a distraught mother in the hallway
scolding her three year old son for wedding his pants. What initial action
should the nurse take?
A) Inform the mother that toilet training is slower for boys.
B) Refer the mother to a community parent education program.
,C) Suggest that the mother consult a pediatric nephrologist.
D) Provide disposable training pants while calming the mother.
D) Provide disposable training pants while calming the mother.
NGN: the client is an 81-year-old female who is in the hospital for treatment
of a blood clot. She has a history of type two diabetes mellitus and takes Met
Forman. She is active at home and performs activities of daily living
independently but has required assistance from her son for the last couple of
weeks due to weakness and fatigue.
(Complete the diagram by dragging from the choices to specify which
condition the client is most likely experiencing, to actions the nurse should
take, and two parameters the nurse should monitor.)
????
When is it most important for the nurse to assess a pregnant clients deep
tendon reflexes?
A) When the client has ankle edema.
B) During admission to labor and delivery.
C) If the client has an elevated blood pressure.
D) Within the first trimester of pregnancy.
C) If the client has an elevated blood pressure.
Situation indicates a need for the nurse to discuss the use of mitten
restraints with the healthcare provider?
, A) The client is walking the halls at night rubbing his hands together.
B) A family member expresses concern about their relative picking at the NG
tube.
C) A 16 year old boy swung his fist at the nurse.
D) A disoriented client removed the mesh wrapped IV for the second time.
D) A disoriented client removed the mesh wrapped IV for the second time.
Audio of lung sounds. The nurse is auscultating a client lung sounds which
description should the nurse use to document this sound?
A) High-pitched wheeze.
B) Low-pitched or coarse crackles.
C) Stridor.
D) High-pitched or fine crackles.
C) Stridor.
Video of G-tube. The charge nurse observes a new nurse demonstrate the
administration of two different liquid medication's through a gas for me tube
used for continuous feedings, as seen in the video. Which actions should the
charge nurse take? SATA.
A) Instruct the nurse to administer each medication separately.
B) Confirm that the nurse determines the amount of gastric residual.
C) Add the liquid volumes when documenting fluid intake.
D) Advise the nurse to use the plunger when giving medication's.
E) Encourage the nurse to flush the tea with more water.
