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Exam (elaborations)

BSN 266 HESI COMPREHENSIVE TEST PAPER WITH SOLVED QUESTIONS

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BSN 266 HESI COMPREHENSIVE TEST PAPER WITH SOLVED QUESTIONS

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BSN 266 HESI COMPREHENSIVE TEST
PAPER WITH SOLVED QUESTIONS

◉ The nurse is obtaining a health history from a new client who
has a history of kidney stones.
Which statement by the client indicates an increased risk for renal
calculi.?


a. Jogs more frequently than usual daily routine.


b. Eats a vegetarian diet with
cheese 2 to 3 times a day.


c. Experiences additional stress since adopting a child.


d. Drinks several bottles of carbonated water daily
Answer: b. Eats a vegetarian diet with
cheese 2 to 3 times a day.


◉ An older male client tells the nurse that he is losing sleep
because he has to get up several times at night to go to the
bathroom, that he has trouble starting his urinary system, and
that he does not feel like his bladder is ever completely
empty.

,Which intervention should the nurse implement?


a. Review the client's fluid intake prior to bedtime.


b. Obtain a finger stick blood glucose level.


c. Palpate the bladder above the symphysis pubis.


d. Collect a urine specimen for culture analysis
Answer: c. Palpate the bladder above the symphysis pubis.


◉ A client is diagnosed with chronic kidney disease and needs to
begin dialysis.


Which condition entered on the client's medical record should the
nurse recognize as a contraindication for peritoneal dialysis?


a. Nephrotic syndrome history.


b. Latent hepatitis C.


c. Crohn's disease with colectomy.


d. Type 2 diabetes mellitus

,Answer: c. Crohn's disease with colectomy.


◉ When providing care for an unconscious client who has
seizures.
Which nursing intervention is most essential?


a. Maintain the client in a semi-Fowler's position.


b. Keep the room at a comfortable
temperature.


c. Ensure oral suction is available.


d. Provide frequent mouth care
Answer: c. Ensure oral suction is available.


◉ A client presents to the emergency department reporting chest
pain that is radiation to the left arm, shortness of breath, and
diaphoresis.
Which medication should the nurse anticipate being prescribed
by the healthcare provider?


a. Fentanyl.

, b. Hydromorphone.


c. Oxycodone.


d. Morphine
Answer: d. Morphine


◉ An adult who was recently diagnosed with glaucoma tells the
nurse, "It feels
like I am driving through a tunnel." The client expresses great
concern about
going blind.
Which nursing instruction is most important for the nurses to
provide
this client?


a. Maintain prescribed eye drop regimen


b. Eat a diet high in carotene.


c. Wear prescription glasses.


d. Avoid frequent eye pressure measurement.
Answer: a. Maintain prescribed eye drop regimen

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