BSN 225 HESI Questions and Answers with Verified Solutions |
Latest Update
QUESTION
Reading comprehension for a pt family member
Answer:
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy
QUESTION
Comprehending D/C instructions
Answer:
Letting the client perform or return-demonstrate the instillation of ear medication as the nurse
observes is the best way to gauge if the client understood the discharge teaching.
QUESTION
Which food substances will the nurse include in the child's diet plan to alleviate severe bruises
and bleeding caused by a vitamin deficiency?
Answer:
A.Broccoli, spinach, and cabbage
QUESTION
When You are giving an enteral feeding its best to
Answer:
Elevate head to prevent aspiration.
QUESTION
Which measure would the nurse adopt to ensure effective communication when caring for a
non-English-speaking client? Select all that apply
Answer:
Understand cultural and language differences Avoid interpreting based on personal cultural
beliefs Provide written information in the primary language
QUESTION
Which statement most accurately describes cultural factors that may affect health?
Answer:
Diabetes and cancer rates differ by cultural/ethnic groups
,QUESTION
What is the first step in developing cultural competence?
Answer:
A.Examine the nurse's own cultural background, values, and beliefs about health and health care.
QUESTION
A nurse is admitting a new client. Which of the following actions should the nurse take while
performing medication reconciliation?
Answer:
Compare the Clients home medications with the providers prescriptions.
QUESTION
A nurse is providing discharge instructions to a client who will be using a walker which of the
following client statement indicates an understanding of the teaching.
Answer:
A"I will hire someone to trim the tree that hangs low over the stairs of my front porch."
QUESTION
Leading cause of trauma in older adults
Answer:
Fire
QUESTION
when completing a safety even report, the nurse should
Answer:
No separate answer was provided in the source PDF.
QUESTION
The nurse obtains a prescription from a health care provider to restrain a client and instructs an
unlicensed assistive personnel (UAP) to apply the safety device to the client. Which observation
of unsafe application of the safety device would indicate that further instruction is required by the
UAP?
Answer:
a Safety devise straps are secured to the bed frame and never to the side rails to avoid injury if the
side rails are released.
, QUESTION
The nurse cares for the client who is confused. The health care provider ordered that the client
have cotton wrist restraints to prevent the client from attempting to remove the intravenous (IV)
and indwelling catheter. Which action is essential for the nurse to include in the client's care plan?
Answer:
remove the restrains, assess limbs and provide skin care every hour (Safety)
QUESTION
The newly hired nurse is assigned to a very disoriented client with soft wrist restraints. The nurse
asks the head nurse for the purpose of the client's restraints. Which response by the head nurse is
correct
Answer:
No separate answer was provided in the source PDF.
QUESTION
The nurse is caring for a CT on hospice who started on a 25 mcg/hr fentanyl patch yesterday
0800. Today at 2 the pt has complaints of pain 7/10 which intervention is best for the nurse to
provide
Answer:
Off to administer 5 mg of morphine orally as prescribed for breakthrough pain ( med was already
ordered)
QUESTION
You are caring for a hospice client who is at the end of life. Based on this clients' signs and
symptoms, the client is comatose, dehydrated, free of pain, constipated without distress and
expected to die in a day or two. Which of the following is an appropriate client outcome or an
appropriate intervention for this client?
Answer:
No separate answer was provided in the source PDF.
QUESTION
Ordered: 20 mEq KCL in 50 ml to infuse over 30 minutes. What is the flow rate in ml per hour
Answer:
50ml/30 min x 60 min/ 1 hour = 100ml/hr
Latest Update
QUESTION
Reading comprehension for a pt family member
Answer:
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy
QUESTION
Comprehending D/C instructions
Answer:
Letting the client perform or return-demonstrate the instillation of ear medication as the nurse
observes is the best way to gauge if the client understood the discharge teaching.
QUESTION
Which food substances will the nurse include in the child's diet plan to alleviate severe bruises
and bleeding caused by a vitamin deficiency?
Answer:
A.Broccoli, spinach, and cabbage
QUESTION
When You are giving an enteral feeding its best to
Answer:
Elevate head to prevent aspiration.
QUESTION
Which measure would the nurse adopt to ensure effective communication when caring for a
non-English-speaking client? Select all that apply
Answer:
Understand cultural and language differences Avoid interpreting based on personal cultural
beliefs Provide written information in the primary language
QUESTION
Which statement most accurately describes cultural factors that may affect health?
Answer:
Diabetes and cancer rates differ by cultural/ethnic groups
,QUESTION
What is the first step in developing cultural competence?
Answer:
A.Examine the nurse's own cultural background, values, and beliefs about health and health care.
QUESTION
A nurse is admitting a new client. Which of the following actions should the nurse take while
performing medication reconciliation?
Answer:
Compare the Clients home medications with the providers prescriptions.
QUESTION
A nurse is providing discharge instructions to a client who will be using a walker which of the
following client statement indicates an understanding of the teaching.
Answer:
A"I will hire someone to trim the tree that hangs low over the stairs of my front porch."
QUESTION
Leading cause of trauma in older adults
Answer:
Fire
QUESTION
when completing a safety even report, the nurse should
Answer:
No separate answer was provided in the source PDF.
QUESTION
The nurse obtains a prescription from a health care provider to restrain a client and instructs an
unlicensed assistive personnel (UAP) to apply the safety device to the client. Which observation
of unsafe application of the safety device would indicate that further instruction is required by the
UAP?
Answer:
a Safety devise straps are secured to the bed frame and never to the side rails to avoid injury if the
side rails are released.
, QUESTION
The nurse cares for the client who is confused. The health care provider ordered that the client
have cotton wrist restraints to prevent the client from attempting to remove the intravenous (IV)
and indwelling catheter. Which action is essential for the nurse to include in the client's care plan?
Answer:
remove the restrains, assess limbs and provide skin care every hour (Safety)
QUESTION
The newly hired nurse is assigned to a very disoriented client with soft wrist restraints. The nurse
asks the head nurse for the purpose of the client's restraints. Which response by the head nurse is
correct
Answer:
No separate answer was provided in the source PDF.
QUESTION
The nurse is caring for a CT on hospice who started on a 25 mcg/hr fentanyl patch yesterday
0800. Today at 2 the pt has complaints of pain 7/10 which intervention is best for the nurse to
provide
Answer:
Off to administer 5 mg of morphine orally as prescribed for breakthrough pain ( med was already
ordered)
QUESTION
You are caring for a hospice client who is at the end of life. Based on this clients' signs and
symptoms, the client is comatose, dehydrated, free of pain, constipated without distress and
expected to die in a day or two. Which of the following is an appropriate client outcome or an
appropriate intervention for this client?
Answer:
No separate answer was provided in the source PDF.
QUESTION
Ordered: 20 mEq KCL in 50 ml to infuse over 30 minutes. What is the flow rate in ml per hour
Answer:
50ml/30 min x 60 min/ 1 hour = 100ml/hr
