BSN 366 EXIT HESI FINAL PAPER QUESTIONS
AND CLINICAL RATIONALES
◉ Client education on pain management.
Answer: Involves assessing and addressing the client's pain needs.
◉ Nurse's role in preoperative care.
Answer: To verify the client's signed consent.
◉ Postoperative monitoring.
Answer: Involves assessing vital signs and recovery status after
surgery.
◉ Rehabilitation facility discharge.
Answer: Preparation for a client to safely return home after
treatment.
◉ Pain medication request.
Answer: A common postoperative need for managing discomfort.
◉ Nursing assessment.
Answer: A systematic approach to gather patient information.
,◉ Rapid COVID-19 test action.
Answer: Move the client to a private room, keep the door closed, and
initiate droplet precautions.
◉ Addison's disease self-management.
Answer: Events requiring steroid dose adjustments.
◉ Lung transplant visitor policy.
Answer: Yes, if the child is not ill or has not recently received a live
vaccine.
◉ Urinary catheterization sequence.
Answer: Open the sterile catheter kit close to the client's perineum.
Don sterile gloves and prepare to sterile field. Cleanse the urinary
meatus using the solution, swabs, and forceps provided. Place distal
end of the catheter in sterile specimen cup and insert catheter into
meatus.
◉ High-fiber foods instruction.
Answer: Turn on overhead lights while giving instructions.
◉ Priority assessment in acute care.
, Answer: The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.
◉ Dietary instruction for gastric bypass.
Answer: Plan volume-controlled evenly-spaced meals throughout
the day.
◉ Immediate intervention for diabetic foot assessment.
Answer: Decreased response to pain discrimination on dorsal
surface of foot.
◉ Action for oxygen saturation assessment.
Answer: Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading.
◉ Closed question about chest pain.
Answer: Does your pain occur when walking short distances?
◉ Important assessment after colectomy.
Answer: Serum electrolytes.
◉ First intervention for medication review post hip replacement.
AND CLINICAL RATIONALES
◉ Client education on pain management.
Answer: Involves assessing and addressing the client's pain needs.
◉ Nurse's role in preoperative care.
Answer: To verify the client's signed consent.
◉ Postoperative monitoring.
Answer: Involves assessing vital signs and recovery status after
surgery.
◉ Rehabilitation facility discharge.
Answer: Preparation for a client to safely return home after
treatment.
◉ Pain medication request.
Answer: A common postoperative need for managing discomfort.
◉ Nursing assessment.
Answer: A systematic approach to gather patient information.
,◉ Rapid COVID-19 test action.
Answer: Move the client to a private room, keep the door closed, and
initiate droplet precautions.
◉ Addison's disease self-management.
Answer: Events requiring steroid dose adjustments.
◉ Lung transplant visitor policy.
Answer: Yes, if the child is not ill or has not recently received a live
vaccine.
◉ Urinary catheterization sequence.
Answer: Open the sterile catheter kit close to the client's perineum.
Don sterile gloves and prepare to sterile field. Cleanse the urinary
meatus using the solution, swabs, and forceps provided. Place distal
end of the catheter in sterile specimen cup and insert catheter into
meatus.
◉ High-fiber foods instruction.
Answer: Turn on overhead lights while giving instructions.
◉ Priority assessment in acute care.
, Answer: The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.
◉ Dietary instruction for gastric bypass.
Answer: Plan volume-controlled evenly-spaced meals throughout
the day.
◉ Immediate intervention for diabetic foot assessment.
Answer: Decreased response to pain discrimination on dorsal
surface of foot.
◉ Action for oxygen saturation assessment.
Answer: Place the oximeter clip on the earlobe to obtain the oxygen
saturation reading.
◉ Closed question about chest pain.
Answer: Does your pain occur when walking short distances?
◉ Important assessment after colectomy.
Answer: Serum electrolytes.
◉ First intervention for medication review post hip replacement.
