BSN 246 HESI
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
1. Which action can be assigned to the unlicensed assis- Measure the client's uri-
tive personnel (UAP)? nary output.
2. What is the best initial response by the nurse? Describe the location and
type of pain you are hav-
ing
3. Based on the nurse's assessment, which assessment Pain rating of 6/10 - Heart
data supports the decision to administer pain med- rate of 102 beats/minute -
ication as the first intervention? (Select all that apply. Blood pressure of 132/76
One, some, or all options may be correct.) mmHg
4. Which action should the nurse implement first? Administer an analgesic.
5. Which interventions are important to include in the Instruct client to wear a
client's plan of care while receiving multiple immuno- mask when walking in the
suppressants? (Select all that apply. One, some, or all halls. - Instruct visitors that
options may be correct.) fresh flowers should not
be taken into the room. -
Monitor immunosuppres-
sion drug levels regularly.
6. Which intervention should the nurse ensure is includ- a
ed in the plan of care during the immediate postoper-
ative period?
a. Monitor Judy's urinary output hourly using an
urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer
daily.
7. Vital signs
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
Which is the priority nursing assessment during the
first 24-hour postoperative period?
8. The nurse is teaching the patient about fluid manage- Limit fluids in between
ment between dialysis treatments. Which instruction treatments to minimize
by the nurse is the most accurate? the amount of fluid that
needs to be removed dur-
ing dialysis.
9. Which expected outcome should be included in the Client will avoid canned
nurse's teaching plan? and processed foods.
10. The nurse assesses the dialysis graft. Which assess- Yellow, purulent drainage
ment should be reported to the healthcare provider from graft incision site. -
(HCP) immediately? (Select all that apply. One, some, Absence of a thrill over the
or all options may be correct.) graft site. - Capillary refill
>10 seconds in the hand
where the graft is placed.
11. Which intervention should the nurse ensure has been B. Perform sterile dressing
include in the client's plan of care? (Select all that changes at the dual lumen
apply. One, some, or all options may be correct.) catheter site - E. Assess the
A. Instruct lab personnel to obtain blood specimens client's distal pulses and
from the dual-lumen catheter. circulation in the arm with
B. Perform sterile dressing changes at the dual-lumen the access.
catheter site.
C. Empty and record the drainage from the graft tub-
ing regularly.
D. Regularly rotate IV insertion sites above and below
the graft site.
E. Assess Judy's distal pulses and circulation in the arm
with the access
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
12. The nurse documents the assessment of the arte- Thrill present and palpat-
riovenous (AV) graft. Which documentation best de- ed
scribes a properly functioning AV graft?
13. The client asks the nurse to clarify what palliative care Palliative care provides re-
involves. Which explanation provides the client the lief from symptoms in-
best education regarding palliative care? (Select all cluding pain. - Palliative
that apply. One, some, or all options may be correct.) care supports holistic care
and improves quality of
life. -
14. What complication would the client be most con- Abdominal infection/Peri-
cerned about if choosing peritoneal dialysis? tonitis
15. The nurse prepares and instructs the client for he- Hemodialysis will help re-
modialysis. Which statements by the client indicate store kidney function back
the need for further education? (Select all that apply. to a normal level. - Bow-
One, some, or all options may be correct.) el or bladder perforation
may occur with hemodial-
ysis catheter placement.
16. What action should the nurse take based on the re- Document both phone
sponse from the healthcare provider (HCP) phone call? calls and the HCP's pre-
(Select all that apply. One, some, or all options may be scriptions. - Notify the
correct.) charge nurse and activate
the chain of command -
Hold the potassium chlo-
ride
17. Which intervention should the nurse implement? Call and speak direct-
ly with the healthcare
provider (HCP).
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
1. Which action can be assigned to the unlicensed assis- Measure the client's uri-
tive personnel (UAP)? nary output.
2. What is the best initial response by the nurse? Describe the location and
type of pain you are hav-
ing
3. Based on the nurse's assessment, which assessment Pain rating of 6/10 - Heart
data supports the decision to administer pain med- rate of 102 beats/minute -
ication as the first intervention? (Select all that apply. Blood pressure of 132/76
One, some, or all options may be correct.) mmHg
4. Which action should the nurse implement first? Administer an analgesic.
5. Which interventions are important to include in the Instruct client to wear a
client's plan of care while receiving multiple immuno- mask when walking in the
suppressants? (Select all that apply. One, some, or all halls. - Instruct visitors that
options may be correct.) fresh flowers should not
be taken into the room. -
Monitor immunosuppres-
sion drug levels regularly.
6. Which intervention should the nurse ensure is includ- a
ed in the plan of care during the immediate postoper-
ative period?
a. Monitor Judy's urinary output hourly using an
urimeter.
b. Assess Judy's surgical incision every shift.
c. Monitor Judy's nasogastric tube every 4 hours.
d. Encourage Judy to use the incentive spirometer
daily.
7. Vital signs
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
Which is the priority nursing assessment during the
first 24-hour postoperative period?
8. The nurse is teaching the patient about fluid manage- Limit fluids in between
ment between dialysis treatments. Which instruction treatments to minimize
by the nurse is the most accurate? the amount of fluid that
needs to be removed dur-
ing dialysis.
9. Which expected outcome should be included in the Client will avoid canned
nurse's teaching plan? and processed foods.
10. The nurse assesses the dialysis graft. Which assess- Yellow, purulent drainage
ment should be reported to the healthcare provider from graft incision site. -
(HCP) immediately? (Select all that apply. One, some, Absence of a thrill over the
or all options may be correct.) graft site. - Capillary refill
>10 seconds in the hand
where the graft is placed.
11. Which intervention should the nurse ensure has been B. Perform sterile dressing
include in the client's plan of care? (Select all that changes at the dual lumen
apply. One, some, or all options may be correct.) catheter site - E. Assess the
A. Instruct lab personnel to obtain blood specimens client's distal pulses and
from the dual-lumen catheter. circulation in the arm with
B. Perform sterile dressing changes at the dual-lumen the access.
catheter site.
C. Empty and record the drainage from the graft tub-
ing regularly.
D. Regularly rotate IV insertion sites above and below
the graft site.
E. Assess Judy's distal pulses and circulation in the arm
with the access
, BSN 246 HESI
Study online at https://quizlet.com/_e6a0qn
12. The nurse documents the assessment of the arte- Thrill present and palpat-
riovenous (AV) graft. Which documentation best de- ed
scribes a properly functioning AV graft?
13. The client asks the nurse to clarify what palliative care Palliative care provides re-
involves. Which explanation provides the client the lief from symptoms in-
best education regarding palliative care? (Select all cluding pain. - Palliative
that apply. One, some, or all options may be correct.) care supports holistic care
and improves quality of
life. -
14. What complication would the client be most con- Abdominal infection/Peri-
cerned about if choosing peritoneal dialysis? tonitis
15. The nurse prepares and instructs the client for he- Hemodialysis will help re-
modialysis. Which statements by the client indicate store kidney function back
the need for further education? (Select all that apply. to a normal level. - Bow-
One, some, or all options may be correct.) el or bladder perforation
may occur with hemodial-
ysis catheter placement.
16. What action should the nurse take based on the re- Document both phone
sponse from the healthcare provider (HCP) phone call? calls and the HCP's pre-
(Select all that apply. One, some, or all options may be scriptions. - Notify the
correct.) charge nurse and activate
the chain of command -
Hold the potassium chlo-
ride
17. Which intervention should the nurse implement? Call and speak direct-
ly with the healthcare
provider (HCP).
