BSN 366 EXIT
BSN 366 EXIT HESI EXAM QUESTIONS AND ANSWERS
The nurse is providing teaching to a client with type 2 DM about
important points for disease and symptom management. Which
statement by the client indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - correct
answer B) Get an eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In
addition to informations about prescribed medications and
administration, which instruction should the nurse include in the
teaching?
,BSN 366 EXIT
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - correct answer C) Practice
using muscle relaxation techniques
The charge nurse is planning for the shift and has a RN and a PN on the
team. Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2
days ago - correct answer C) A 30-year old depresses client who admits to
suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a
G 2 P 1 mother, who was diagnosed with gestational diabetes. Following
a spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin
seven, fontanelles soft, mongolian spot noted on lower back, Ballard
,BSN 366 EXIT
maturity rating 37 weeks. (For each assessment finding, click to indicate
whether the findings are associated with an infant of a diabetic mother
or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - correct answer Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian
spots, and Apgar scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a
G 2 P 1 mother, who was diagnosed with gestational diabetes. Following
, BSN 366 EXIT
a spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin
seven, fontanelles soft, mongolian spot noted on lower back, Ballard
maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for
_________ , _____________ , and _________________ - correct answer
Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may
feed breastmilk via orogastric tube. If two feeding attempts failed to
increase the glucose levels or if symptoms of hypoglycemia develop,
apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45.
Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose perfusion
of 6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
BSN 366 EXIT HESI EXAM QUESTIONS AND ANSWERS
The nurse is providing teaching to a client with type 2 DM about
important points for disease and symptom management. Which
statement by the client indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - correct
answer B) Get an eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In
addition to informations about prescribed medications and
administration, which instruction should the nurse include in the
teaching?
,BSN 366 EXIT
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - correct answer C) Practice
using muscle relaxation techniques
The charge nurse is planning for the shift and has a RN and a PN on the
team. Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2
days ago - correct answer C) A 30-year old depresses client who admits to
suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a
G 2 P 1 mother, who was diagnosed with gestational diabetes. Following
a spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin
seven, fontanelles soft, mongolian spot noted on lower back, Ballard
,BSN 366 EXIT
maturity rating 37 weeks. (For each assessment finding, click to indicate
whether the findings are associated with an infant of a diabetic mother
or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - correct answer Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian
spots, and Apgar scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a
G 2 P 1 mother, who was diagnosed with gestational diabetes. Following
, BSN 366 EXIT
a spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin
seven, fontanelles soft, mongolian spot noted on lower back, Ballard
maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for
_________ , _____________ , and _________________ - correct answer
Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may
feed breastmilk via orogastric tube. If two feeding attempts failed to
increase the glucose levels or if symptoms of hypoglycemia develop,
apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45.
Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose perfusion
of 6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
