BSN366 Exit Hesi Test Exam Study Guide
Questions With Answers |Guaranteed Success|
Brand New!!
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ANSWER -A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse ox -
ANSWER -A) Keep infant in warmer with bili lights to maintain temp of 97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the warmer
G) Observe for signs of respiratory distress and monitor oxygenation by pulse ox
NGN: 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 maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from the night
before. The nurse plans on providing health teaching for the client and her family
in preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or contraindicated.
Only one right option per row.
A) You will need to se - ANSWER -A)
B)
C)
D) Indicated
E)
?????????
NGN: 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 maturity rating 37 weeks.
(Click to highlight notes that demonstrate a positive outcome)
Day 2, 0630: Vitals have remained stable throughout the night. Oxygen 98% on
nasal canal. Mother to breastfeed in the nursery on demand. Able to tolerate
breastmilk. Glucose after feeding was 60, temp 97.8F, when returned to warmer
and bili light. CXR and echo results were - ANSWER -Glucose after feeding was
60
Direct bili 5
Temp 97.8
Oxygen 98%
Able to tolerate breastmilk
??????????
, A client with pancreatitis complains of severe epigastric pain, so the nurse
administers a prescribed narcotic analgesic. Ten minutes later, the client insists on
sitting up and leaning forward. Which intervention should the nurse implement?
A) Rains HOB to 90 degrees
B) Position bedside table so the client can lean across it
C) Place bed in a reverse tren posiiton
D) Encourage rest until the analgesic becomes effective. - ANSWER -B) Position
bedside table so the client can lean across it
The nurse is caring for a client who arrives to the ED with reports of experiencing
dizziness and difficulty walking to the bathroom. The nurse observes R-sided
weakness and sluggish enunciation of speech. The nurse should immediately take
which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. - ANSWER -D) Start two large-bore IV catheters and review
inclusion criteria for IV fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the morning. During
the admission procedure, the client has a tonic colonic seizure that last 50 seconds.
Following the seizure, the client is lethargic and confused, and his wife tells the
nurse that her husband has never had a seizure before and has always been alert
and communicative. Which action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures - ANSWER -D) explain
the postical state that usually follows seizures
A nurse is providing lifestyle change education for a client to slow the progression
of coronary artery disease. Which statement made by the client should the nurse
recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
, E) Include oatmeal for breakfast.
F) Use a salt substitute - ANSWER -B) Eat more canned vegetables.
C) Consume foods with saturated fats.
While caring for a toddler receiving oxygen via facemask, the nurse observes that
the child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ANSWER -A) use a
water-soluble lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three finger breaths
above the umbilicus. What action should the nurse implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ANSWER -D) Check for a distended bladder
The nurse is caring for a client on the first day post-operative for a descending
aortic aneurysm repair. Which assessment finding should the nurse prioritize
reporting to the healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ANSWER -B) Electrocardiogram ST segment
elevation
The healthcare provider prescribes a low-fiber diet for a client with ulcerative
colitis. Which food selection indicates to the nurse that the client understands the
prescribed diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
C) Roasted turkey, canned vegetables.
Questions With Answers |Guaranteed Success|
Brand New!!
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - ANSWER -A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse ox -
ANSWER -A) Keep infant in warmer with bili lights to maintain temp of 97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the warmer
G) Observe for signs of respiratory distress and monitor oxygenation by pulse ox
NGN: 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 maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from the night
before. The nurse plans on providing health teaching for the client and her family
in preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or contraindicated.
Only one right option per row.
A) You will need to se - ANSWER -A)
B)
C)
D) Indicated
E)
?????????
NGN: 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 maturity rating 37 weeks.
(Click to highlight notes that demonstrate a positive outcome)
Day 2, 0630: Vitals have remained stable throughout the night. Oxygen 98% on
nasal canal. Mother to breastfeed in the nursery on demand. Able to tolerate
breastmilk. Glucose after feeding was 60, temp 97.8F, when returned to warmer
and bili light. CXR and echo results were - ANSWER -Glucose after feeding was
60
Direct bili 5
Temp 97.8
Oxygen 98%
Able to tolerate breastmilk
??????????
, A client with pancreatitis complains of severe epigastric pain, so the nurse
administers a prescribed narcotic analgesic. Ten minutes later, the client insists on
sitting up and leaning forward. Which intervention should the nurse implement?
A) Rains HOB to 90 degrees
B) Position bedside table so the client can lean across it
C) Place bed in a reverse tren posiiton
D) Encourage rest until the analgesic becomes effective. - ANSWER -B) Position
bedside table so the client can lean across it
The nurse is caring for a client who arrives to the ED with reports of experiencing
dizziness and difficulty walking to the bathroom. The nurse observes R-sided
weakness and sluggish enunciation of speech. The nurse should immediately take
which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy. - ANSWER -D) Start two large-bore IV catheters and review
inclusion criteria for IV fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the morning. During
the admission procedure, the client has a tonic colonic seizure that last 50 seconds.
Following the seizure, the client is lethargic and confused, and his wife tells the
nurse that her husband has never had a seizure before and has always been alert
and communicative. Which action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures - ANSWER -D) explain
the postical state that usually follows seizures
A nurse is providing lifestyle change education for a client to slow the progression
of coronary artery disease. Which statement made by the client should the nurse
recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
, E) Include oatmeal for breakfast.
F) Use a salt substitute - ANSWER -B) Eat more canned vegetables.
C) Consume foods with saturated fats.
While caring for a toddler receiving oxygen via facemask, the nurse observes that
the child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - ANSWER -A) use a
water-soluble lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three finger breaths
above the umbilicus. What action should the nurse implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - ANSWER -D) Check for a distended bladder
The nurse is caring for a client on the first day post-operative for a descending
aortic aneurysm repair. Which assessment finding should the nurse prioritize
reporting to the healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - ANSWER -B) Electrocardiogram ST segment
elevation
The healthcare provider prescribes a low-fiber diet for a client with ulcerative
colitis. Which food selection indicates to the nurse that the client understands the
prescribed diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
C) Roasted turkey, canned vegetables.
