BSN366 EXIT HESI
EXAM QUESTIONS & VERIFIED ANSWERS
A+ GRADE
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not
been sleeping well lately and is experiencing labored breathing. List the client's problems in
order of priority for the nurse. (Rank in the priority order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
4. Sleep and rest.
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive therapy.
Which biological practices are federally regulated for healthcare workers? (Select all that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
,6. As Low as Reasonably Allowable standard (ALARA).
3. Blood-borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
A client with severe depression tells the nurse, "I do not know why you bother with me or give
me pills. I am never going to get well." What is the most therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go away as you
recover."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact.
3. Assess and document skin condition around the incision and IV site at each
shift.
,A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir
(J pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum.
4. Stool is eventually
expelled through the rectum.
The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
4. Inject air until no air is auscultated over the larynx during a deep breath.
4. Inject air until no air is auscultated over the larynx during a deep breath.
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin
test. Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
, 4. Quarantine or isolate to control communicability.
1. Refer for further
diagnostic evaluation.
Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
1. Economics.
3. Technology.
6. Legislation/regulation.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding
indicates a disturbance in electrical conduction in the ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
4. QRS interval of 0.14 second.
EXAM QUESTIONS & VERIFIED ANSWERS
A+ GRADE
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not
been sleeping well lately and is experiencing labored breathing. List the client's problems in
order of priority for the nurse. (Rank in the priority order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
4. Sleep and rest.
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive therapy.
Which biological practices are federally regulated for healthcare workers? (Select all that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
,6. As Low as Reasonably Allowable standard (ALARA).
3. Blood-borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
A client with severe depression tells the nurse, "I do not know why you bother with me or give
me pills. I am never going to get well." What is the most therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go away as you
recover."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact.
3. Assess and document skin condition around the incision and IV site at each
shift.
,A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir
(J pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum.
4. Stool is eventually
expelled through the rectum.
The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
4. Inject air until no air is auscultated over the larynx during a deep breath.
4. Inject air until no air is auscultated over the larynx during a deep breath.
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin
test. Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
, 4. Quarantine or isolate to control communicability.
1. Refer for further
diagnostic evaluation.
Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
1. Economics.
3. Technology.
6. Legislation/regulation.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding
indicates a disturbance in electrical conduction in the ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
4. QRS interval of 0.14 second.
