BSN 366 HESI COMPLETE TESTBANK
162 QUESTIONS AND CORRECT
ANSWERS GRADED A+
After successful alcohol detoxification, a client remarked to a friend, "I've
tried to stop drinking but I just can't, I can't even work without having a
drink." The client's belief that he needs alcohol indicates his dependence is
primarily
Psychological
A nurse is caring for a client with peripheral arterial insufficiency of the lower
extremities. Which intervention should be included in the plan of care to
reduce leg pain?
Lower the legs to a dependent position
A diabetic client asks the nurse why the health care provider ordered a
glycosylated hemoglobin (HbA) measurement, since a blood glucose reading
was just performed. You will explain to the client that the HbA test:
Reflects an average blood sugar for several months
The nurse is speaking to a group of parents and school teachers of children
about care for children with rheumatic fever. It is a priority to emphasize that
Clumsiness and behavior changes should be reported
,A client admits to benzodiazepine dependence for several years. She is now
in an outpatient detoxification program. The nurse must understand that a
priority during withdrawal is
Avoid alcohol use during this time
A client with a history of heart disease takes prophylactic aspirin daily. The
nurse should monitor which of the following to prevent aspirin toxicity?
Serum albumin
A mother calls the clinic, concerned that her 5 week-old infant is "sleeping
more than her brother did." What is the best initial response?
Why do you think this a concern?"
The nurse is caring for a client with COPD who becomes dyspneic. The nurse
should
Assist the client with pursed lip breathing
The nurse is caring for a client with a deep vein thrombosis. Which finding
would require the nurse's immediate attention?
Respiratory rate of 32
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is
experiencing anorexia, moderate edema and elevated blood urea nitrogen
(BUN) levels. The child requests a peanut butter sandwich for lunch. What
would the nurse's best response to this request?
,"I know that is your favorite, but let me help you pick another lunch."
Which type of traction can the nurse expect to be used on a 7 year-old with a
fractured femur and extensive skin damage?
Ninety-ninety
A nurse aide is taking care of a 2 year-old child with Wilms tumor. The nurse
aide asks the nurse why there is a sign above the bed that says DO NOT
PALPATE THE ABDOMEN? The best response by the nurse would be which of
these statements?
"Touching the abdomen could cause cancer cells to spread."
A nurse admits a 3 week-old infant to the special care nursery with a
diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth
history, which data would be most consistent with this diagnosis?
The infant received mechanical ventilation for 2 weeks
A client with bipolar disorder is reluctant to take lithium (Lithane) as
prescribed. The most therapeutic response by the nurse to his refusal is
"What is it about the medicine that you don't like?"
The nurse sees a substance abusing client occasionally in the outpatient
clinic. In evaluating the client's progress, the nurse recognizes that the most
revealing resistant behavior is
Continuing drug use
, A new nurse manager is seeking a mentor in the administrative realm. Which
of these characteristics is a priority for the outcome of a positive experience
with a mentor?
A teacher-coach role is taken by the mentor
Parents of a 6 month-old breast fed baby ask the nurse about increasing the
baby's diet. Which of the following should be added first?
Cereal
A nurse is eating in the hospital cafeteria when a toddler at a nearby table
chokes on a piece of food and appears slightly blue. The appropriate initial
action should be to
Perform 5 abdominal thrusts
A victim of domestic violence states, "If I were better, I would not have been
beat." Which feeling best describes what the victim may be experiencing?
Self-blame
A client has been admitted with complaints of lower abdominal pain,
difficulty swallowing, nausea, dizziness, headache and fatigue. The client is
agitated, fearful, tachycardic and complains of being "too sick to return to
work." The client is diagnosed as having somatoform disorder. In formulating
a plan of care, the nurse must consider that the client's behavior
Is controlled by their subconscious mind
162 QUESTIONS AND CORRECT
ANSWERS GRADED A+
After successful alcohol detoxification, a client remarked to a friend, "I've
tried to stop drinking but I just can't, I can't even work without having a
drink." The client's belief that he needs alcohol indicates his dependence is
primarily
Psychological
A nurse is caring for a client with peripheral arterial insufficiency of the lower
extremities. Which intervention should be included in the plan of care to
reduce leg pain?
Lower the legs to a dependent position
A diabetic client asks the nurse why the health care provider ordered a
glycosylated hemoglobin (HbA) measurement, since a blood glucose reading
was just performed. You will explain to the client that the HbA test:
Reflects an average blood sugar for several months
The nurse is speaking to a group of parents and school teachers of children
about care for children with rheumatic fever. It is a priority to emphasize that
Clumsiness and behavior changes should be reported
,A client admits to benzodiazepine dependence for several years. She is now
in an outpatient detoxification program. The nurse must understand that a
priority during withdrawal is
Avoid alcohol use during this time
A client with a history of heart disease takes prophylactic aspirin daily. The
nurse should monitor which of the following to prevent aspirin toxicity?
Serum albumin
A mother calls the clinic, concerned that her 5 week-old infant is "sleeping
more than her brother did." What is the best initial response?
Why do you think this a concern?"
The nurse is caring for a client with COPD who becomes dyspneic. The nurse
should
Assist the client with pursed lip breathing
The nurse is caring for a client with a deep vein thrombosis. Which finding
would require the nurse's immediate attention?
Respiratory rate of 32
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is
experiencing anorexia, moderate edema and elevated blood urea nitrogen
(BUN) levels. The child requests a peanut butter sandwich for lunch. What
would the nurse's best response to this request?
,"I know that is your favorite, but let me help you pick another lunch."
Which type of traction can the nurse expect to be used on a 7 year-old with a
fractured femur and extensive skin damage?
Ninety-ninety
A nurse aide is taking care of a 2 year-old child with Wilms tumor. The nurse
aide asks the nurse why there is a sign above the bed that says DO NOT
PALPATE THE ABDOMEN? The best response by the nurse would be which of
these statements?
"Touching the abdomen could cause cancer cells to spread."
A nurse admits a 3 week-old infant to the special care nursery with a
diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth
history, which data would be most consistent with this diagnosis?
The infant received mechanical ventilation for 2 weeks
A client with bipolar disorder is reluctant to take lithium (Lithane) as
prescribed. The most therapeutic response by the nurse to his refusal is
"What is it about the medicine that you don't like?"
The nurse sees a substance abusing client occasionally in the outpatient
clinic. In evaluating the client's progress, the nurse recognizes that the most
revealing resistant behavior is
Continuing drug use
, A new nurse manager is seeking a mentor in the administrative realm. Which
of these characteristics is a priority for the outcome of a positive experience
with a mentor?
A teacher-coach role is taken by the mentor
Parents of a 6 month-old breast fed baby ask the nurse about increasing the
baby's diet. Which of the following should be added first?
Cereal
A nurse is eating in the hospital cafeteria when a toddler at a nearby table
chokes on a piece of food and appears slightly blue. The appropriate initial
action should be to
Perform 5 abdominal thrusts
A victim of domestic violence states, "If I were better, I would not have been
beat." Which feeling best describes what the victim may be experiencing?
Self-blame
A client has been admitted with complaints of lower abdominal pain,
difficulty swallowing, nausea, dizziness, headache and fatigue. The client is
agitated, fearful, tachycardic and complains of being "too sick to return to
work." The client is diagnosed as having somatoform disorder. In formulating
a plan of care, the nurse must consider that the client's behavior
Is controlled by their subconscious mind
