BSN 225 HESI Preparation Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

BSN 225 HESI Preparation Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. The nurse is caring for a client with type 2 diabetes who had surgery for a large bowel resection with a colostomy placement. The client has developed hyperglycemia which requires self injections of insulin after discharge When designing the postoperative plan of care, which outcome statement should the nurse use? A. the client will adhere to medication regimen after discharge B. the client's breath sounds will be auscultated by the nurse every 4 hours C. the client will demonstrate the ability to change the ostomy bag in two days D. the client attempts to self administer insulin but is unable to perform injection - Correct Answer: C. The client will demonstrate the ability to change the ostomy bag in two days. 2. A client is in contact isolation due to a stage IV coccyx wound infection with MRSA. The nurse plans interventions to prevent multiple re-entries into the client's room. In which order should the nurse perform the interventions? A. restart IV line, perform trach care, change coccyx dressing B. Change coccyx dressing, restart the IV line, perform trach care C. change coccyx dressing, perform trach care restart IV line D. perform trach care, change coccyx dressing, restart the IV line - Correct Answer: A. restart IV line, perform trach care, change coccyx dressing 3. The nurse is caring for a client who is overweight and easily becomes diaphoretic. In resonance to this finding which assess- ment(s) should the nurse include while assisting the client with personal care? Select all that apply. A. Assess skin folds of perineal area B. monitor color of nail beds C. palpate mucous membranes of cracks D. check skin for usual bruising E. observe skin under the breasts - Correct Answer: A. Assess skin folds of perineal area D. check skin for usual bruising E. observe skin under the breasts 4. When measuring vital signs, the nurse observes that a client is us- ing accessory neck muscles during respirations. Which follow-up action should the nurse take first? A. auscultate heart sounds B. measure oxygen saturation C. check for neck vein distortion D. determine pulse pressure - Correct Answer: B. Measure oxygen saturation 5. The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time? A. risk for infection B. risk for impaired skin integrity C. impaired physical mobility D. self care deficit - Correct Answer: B. risk for impaired skin integrity 6. A 19- year old client is admitted to the hospital with severe lower quadrant abdominal pain. The father is requesting to know his son's laboratory test results. Which is the best response for the nurse to provide? A. "I can give you those results as soon as i get them back from the lab" B. "the healthcare provider will share this information with you" C. "I'm sorry but your sons medial information is none of your business" D. " I can only give medical information to your son because he is an adult" - Correct Answer: D. " I can only give medical information to your son because he is an adult" 7. The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the specimen to the laboratory. During which part of this procedure should the nurse wear gloves? A. transporting the urine specimen to the laboratory B. Clamping the urinary catheter prior to the collection C. Using the syringe to remove the specimen form the catheter D. recording the output on the flowsheet in the clients room - Correct Answer: C. Using the syringe to remove the specimen form the catheter 8. The electronic medication system alerts the nurse that the medication dose scanned or the client is two times higher than the dose prescribed. Which action should the nurse implement? A. ask the pharmacist if another dose can be dispensed B. Withhold the medication until the exact dose is available C. report... of prescribed and available doses D. calculate the dose on hand to match the prescribed dose - Correct Answer: D. calculate the dose on hand to match the prescribed dose