BSN 366 EXIT HESI EXAM QUESTIONS AND ANSWERS GRADED A+
1. A client fell in the bathroom when left unattendeded by the
unlicensed assistive personnel (UAP). Which information should the
nurse include in the client's health record?: The client fell sustaining a fracture
to the left hip.
2. A young adult visits the clinic reporting symptoms associated with
gastritis. Which information in the client's history is most important
for the nurse to address in the teaching plan?: Snacks on foods with very high
salt content on a daily basis
3. The nurse reviews the physician1s orders for clonazepam and
gives the medication as ordered. What nursing interventions are
appropriate for the client starting clonazepam? Select all that
apply.
A. Screen for orthostatic hypotension
B. Provide oral care at least twice a day
C. Monitor calcium levels
D. Assess mental status regularly
E. Assist the client to the bathroom
F. Have an opioid agonist at the bedside: A. Screen for orthostatic hypotension
B. Provide oral care at least twice a day
,D. Assess mental status regularly
E. Assist the client to the bathroom
4. What other treatments might be helpful for this client? Select all that
apply.
A. Phototherapy
B. Administration of lithium
C. Consciousness-raising
D. Cognitive behavioral therapy
E. Animal therapy
F. Electroconvulsivetherapy: D. Cognitive-behavioral therapy
E. Animal therapy
5. A client with a history of type 1 diabetes mellitus {DM) and
asthma is read-mitted to the unit for the third time in two months
with a current fasting blood sugar (FBS) is 325 mg/dL (18 mmol/L).
The client describes to the nurse of not understanding why the blood
glucose level continues to be out of control.
,Which intervention{s) should the nurse implement?
{Select all that apply.)
Blood Glucose Reference - 74 to 106 mg/dL {4.1 to 5.9 mmol/L)
A. Have the client demonstrate technique used to monitor blood
glucose levels.
B. Evaluate the client's asthma medications that can elevate the
blood glu-cose.
C. Ask the client if they want a different manufacturer's glucose
monitoring device.
D. Have the client describe a typical day at work, home, and social
activities.
E. Determine if the client is using a new insulin-led learning
administration.: A. Have the client demonstrate technique used to monitor blood
glucose levels.
B. Evaluate the client's asthma medications that can elevate the blood glucose.
D. Have the client describe a typical day at work, home, and social activities.
E. Determine if the client is using a new insulin-led learning administration.
6. A client who weighs 65 kg receives a prescription for lorazepam 44
mcg/kg intravenously to be administered 20 minutes before a
scheduled procedure. The medication is available in 2 mg/mL vial.
How many mL should the nurse administer? (Enter numerical value
only. If rounding is required, round to the nearest tenth.): 1.4 mL
Calculate total dosage required: 44 mcg/kg * 65 kg
= 2860 mcg. Convert mcg to mg: 2860 mcg 7
1000 = 2.86 mg.
Divide by concentration: 2.86 mg 7 2 mg/mL = 1.43 mL.
, 7. An infant who weighs 22 pounds receives a prescription for
amoxicillin 20 mg/kg/day by mouth in divided doses every 8 hours.
The bottle is labeled, "Amoxicillin for Oral Suspension, USP 250 mg
per 5 mL." How many mL should the nurse administer with each dose?
{Enter numerical value only. If rounding is necessary, round to the
nearest tenth.): 1.3 mL
8. A client with leukemia who is receiving myelosuppressive
chemotherapy has a platelet count of 25,000/mm3 {25 x 109/L).
Which intervention is most
1. A client fell in the bathroom when left unattendeded by the
unlicensed assistive personnel (UAP). Which information should the
nurse include in the client's health record?: The client fell sustaining a fracture
to the left hip.
2. A young adult visits the clinic reporting symptoms associated with
gastritis. Which information in the client's history is most important
for the nurse to address in the teaching plan?: Snacks on foods with very high
salt content on a daily basis
3. The nurse reviews the physician1s orders for clonazepam and
gives the medication as ordered. What nursing interventions are
appropriate for the client starting clonazepam? Select all that
apply.
A. Screen for orthostatic hypotension
B. Provide oral care at least twice a day
C. Monitor calcium levels
D. Assess mental status regularly
E. Assist the client to the bathroom
F. Have an opioid agonist at the bedside: A. Screen for orthostatic hypotension
B. Provide oral care at least twice a day
,D. Assess mental status regularly
E. Assist the client to the bathroom
4. What other treatments might be helpful for this client? Select all that
apply.
A. Phototherapy
B. Administration of lithium
C. Consciousness-raising
D. Cognitive behavioral therapy
E. Animal therapy
F. Electroconvulsivetherapy: D. Cognitive-behavioral therapy
E. Animal therapy
5. A client with a history of type 1 diabetes mellitus {DM) and
asthma is read-mitted to the unit for the third time in two months
with a current fasting blood sugar (FBS) is 325 mg/dL (18 mmol/L).
The client describes to the nurse of not understanding why the blood
glucose level continues to be out of control.
,Which intervention{s) should the nurse implement?
{Select all that apply.)
Blood Glucose Reference - 74 to 106 mg/dL {4.1 to 5.9 mmol/L)
A. Have the client demonstrate technique used to monitor blood
glucose levels.
B. Evaluate the client's asthma medications that can elevate the
blood glu-cose.
C. Ask the client if they want a different manufacturer's glucose
monitoring device.
D. Have the client describe a typical day at work, home, and social
activities.
E. Determine if the client is using a new insulin-led learning
administration.: A. Have the client demonstrate technique used to monitor blood
glucose levels.
B. Evaluate the client's asthma medications that can elevate the blood glucose.
D. Have the client describe a typical day at work, home, and social activities.
E. Determine if the client is using a new insulin-led learning administration.
6. A client who weighs 65 kg receives a prescription for lorazepam 44
mcg/kg intravenously to be administered 20 minutes before a
scheduled procedure. The medication is available in 2 mg/mL vial.
How many mL should the nurse administer? (Enter numerical value
only. If rounding is required, round to the nearest tenth.): 1.4 mL
Calculate total dosage required: 44 mcg/kg * 65 kg
= 2860 mcg. Convert mcg to mg: 2860 mcg 7
1000 = 2.86 mg.
Divide by concentration: 2.86 mg 7 2 mg/mL = 1.43 mL.
, 7. An infant who weighs 22 pounds receives a prescription for
amoxicillin 20 mg/kg/day by mouth in divided doses every 8 hours.
The bottle is labeled, "Amoxicillin for Oral Suspension, USP 250 mg
per 5 mL." How many mL should the nurse administer with each dose?
{Enter numerical value only. If rounding is necessary, round to the
nearest tenth.): 1.3 mL
8. A client with leukemia who is receiving myelosuppressive
chemotherapy has a platelet count of 25,000/mm3 {25 x 109/L).
Which intervention is most
