BSN 266 HESI V2 2024 QUESTIONS WITH CORRECT ANSWERS

BSN 266 PRACTICE HESI 2024
QUESTIONS WITH CORRECT ANSWERS
Asclientswithsascompletedsischemicsstrokeshassasbloodspressuresofs180/90smmsHg.sWhichs
actionsshouldsthesnursesimplement?
A.sPositionsthesheadsofsthesbeds(HOB)sflat.
B.sWithholdsintravenoussfluids.
C.sAdministersasbolussofsIVsfluids.
D.sGivesansantihypertensivesmedication.s-sans--D.sGivesansantihypertensivesmedication.
Rationale
Mostsischemicsstrokessoccursduringssleepswhensbaselinesbloodspressuresdeclinessorsbloo
dsviscositysincreasessduestosminimalsfluidsintake.sCompletedsstrokessusuallysproducesneu
rologicsdeficitsswithinsanshour,sandsthesclient'sscurrentselevatedsbloodspressuresrequiressa
ntihypertensivesmedication.

Asclientswhosissreceivingschemotherapysaskssthesnurse,s"Whysisssosmuchsofsmyshairsfallin
gsoutseachsday?"sWhichsresponsesbysthesnursesbestsexplainssthesreasonsforsalopecia?
A.s"Chemotherapysaffectssthescellssofsthesbodysthatsgrowsrapidly,sbothsnormalsandsmalign
ant."
B.s"Alopeciasissascommonssideseffectsyouswillsexperiencesduringslong-
termssteroidstherapy."
C.s"Yourshairswillsgrowsbackscompletelysaftersyourscoursesofschemotherapysisscompleted."
D.s"Theschemotherapyscausesspermanentsalterationssinsyourshairsfolliclessthatsleadstoshair
sloss."s-sans--

A.s"Chemotherapysaffectssthescellssofsthesbodysthatsgrowsrapidly,sbothsnormalsandsmalign
ant."
Rationale
Thescommonsadverseseffectssofschemotherapys(nausea,svomiting,salopecia,sbonesmarro
wsdepression)saresduestoschemotherapy'sseffectsonsthesrapidlysreproducingscells,sbothsno
rmalsandsmalignant.

Afterscheckingsthesurinarysdrainagessystemsforskinkssinsthestubing,sthesnursesdeterminesst
hatsasclientswhoshassreturnedsfromsthespost-
anesthesiascareshassasdark,sconcentratedsurinarysoutputsofs54smlsforstheslasts2shours.sWh
atsprioritysnursingsactionsshouldsbesimplemented?
A.sReportsthesfindingsstosthessurgeon.
B.sIrrigatesthesindwellingsurinaryscatheter.
C.sApplysmanualspressurestosthesbladder.
D.sIncreasesthesIVsflowsratesfors15sminutes.s-sans--A.sReportsthesfindingsstosthessurgeon.
Rationale
Ansadultswhosweighss132spoundss(60skg)sshouldsproducesabouts60smlsofsurineshourlys(1s
ml/kg/hour).sDark,sconcentrated,sandslowsvolumesofsurinesoutputsshouldsbesreportedstosth
essurgeon.

,Asmalesclientswhossmokesstwospackssofscigarettessasdaysstatesshesunderstandssthatssmo
kingscigarettessisscontributingstosthesdifficultysthatshesandshisswifesareshavingsinsgettingspr
egnantsandswantsstosknowsifsothersfactorsscouldsbescontributingstostheirsdifficulty.sWhatsinf
ormationsissbestsforsthesnursestosprovide?s(Selectsallsthatsapply.)
Selectsallsthatsapply

A.sMarijuanascigarettessdosnotsaffectsspermscount.
B.sAlcoholsconsumptionscanscauseserectilesdysfunction.
C.sLowstestosteroneslevelssaffectsspermsproduction.
D.sCessationsofssmokingsimprovessgeneralshealthsandsfertility.
E.sObesityshassnoseffectsonsspermsproduction.s-sans--B,sCsandsD
Rationale
Usesofstobacco,salcohol,sandsmarijuanasmaysaffectsspermscounts.sSpermscountsissalsosne
gativelysaffectedsbyslowstesteroneslevelssandsobesity.

Asclientswithsgastroesophagealsrefluxsdiseases(GERD)shassbeensexperiencingsseveresrefl
uxsduringssleep.sWhichsrecommendationsbysthesnursesissmostseffectivestosassiststhesclient
?
A.sLosingsweight.
B.sDecreasingscaffeinesintake.
C.sAvoidingslargesmeals.
D.sRaisingsthesheadsofsthesbedsonsblocks.s-sans--
D.sRaisingsthesheadsofsthesbedsonsblocks.
Rationale
Raisingsthesheadsofsthesbedsonsblockss(reversesTrendelenburgsposition)stosreducesrefluxs
andssubsequentsaspirationsissthesmostsnon-
pharmacologicalseffectivesrecommendationsforsasclientsexperiencingsseveresgastroesoph
agealsrefluxsduringssleep.

As51-year-
oldstrucksdriverswhossmokesstwospackssofscigarettessasdaysandsiss30spoundssoverweightsi
ssdiagnosedswithshavingsasgastricsulcer.sWhatscontentsissmostsimportantsforsthesnursestosi
ncludesinsthesdischargesteachingsforsthissclient?
A.sInformationsaboutssmokingscessation.
B.sDietsinstructionssforsaslow-residuesdiet.
C.sInstructionssonsasweight-losssprogram.
D.sThesimportancesofsincreasingsmilksinsthesdiet.s-sans--
A.sInformationsaboutssmokingscessation.
Rationale
Smokingshassbeensassociatedswithsulcersformation,sandsstoppingsorsdecreasingsthesnum
bersofscigarettesssmokedspersdaysissansimportantsaspectsofsulcersmanagement.

Whatstypessofsmedicationssshouldsthesnursesexpectstosadministerstosasclientsduringsansac
utesrespiratorysdistresssepisode?
A.sVasodilatorssandshormones.
B.sAnalgesicssandssedatives.

,C.sAnticoagulantssandsexpectorants.
D.sBronchodilatorssandssteroids.s-sans--D.sBronchodilatorssandssteroids.
Rationale
Besidesssupplementalsoxygen,sthissclientswithsARDSsneedssmedicationsstoswidensairspas
sages,sincreasesairsspace,sandsreducesalveolarsmembranesinflammation,ssuchsassbronch
odilatorssandssteroids.

Asfemalesclientsissbroughtstosthesclinicsbyshersdaughtersforsasflusshot.sSheshasslostssignific
antsweightssincestheslastsvisit.sSheshasspoorspersonalshygienesandsinadequatesclothingsfo
rsthesweather.sThesclientsstatessthatssheslivessalonesandsdeniessproblemssorsconcerns.sW
hatsactionsshouldsthesnursesimplement?
A.sNotifyssocialsservicessimmediatelysofssuspectedselderlysabuse.
B.sDiscusssthesneedsforsmentalshealthscounselingswithsthesdaughter.
C.sExplainstosthesclientsthatsshesneedsstostakesbetterscaresofsherself.
D.sCollectsfurthersdatastosdetermineswhethersself-neglectsissoccurring.s-sans--
D.sCollectsfurthersdatastosdetermineswhethersself-neglectsissoccurring.
Rationale
Changessinsweightsandshygienesmaysbesindicatorssofsself-
neglectsorsneglectsbysfamilysmembers.sFurthersassessmentsissneededsbeforesnotifyingsso
cialsservicessorsdiscussingsasneedsforscounseling.

Thesnursesissassistingsasclientsoutsofsbedsforsthesfirststimesafterssurgery.sWhatsactionsshoul
dsthesnursesdosfirst?
A.sPlacesaschairsatsasrightsanglestosthesbedside.
B.sEncouragesdeepsbreathingspriorstosstanding.
C.sHelpsthesclientstossitsandsdangleslegssonsthessidesofsthesbed.
D.sAllowsthesclientstossitswithsthesbedsinsashighsFowler'ssposition.s-sans--
D.sAllowsthesclientstossitswithsthesbedsinsashighsFowler'ssposition.
Rationale
ThesfirstsstepsisstosraisesthesheadsofsthesbedstosashighsFowler'ssposition,swhichsallowsveno
ussreturnstoscompensatesfromslyingsflatsandsthesvasodilationseffectssofsperioperativesdrugs
.sThisshelpsspreventsthesclientsfromsbecomingslight-
headedsandsdecreasesstheschancesofsasclientsfall.

As32-year-
oldsfemalesclientscomplainssofsseveresabdominalspainseachsmonthsbeforeshersmenstrualsp
eriod,spainfulsintercourse,sandspainfulsdefecation.sWhichsadditionalshistorysshouldsthesnur
sesobtainsthatsissconsistentswithsthesclient'sscomplaints?
A.sFrequentsurinarystractsinfections.
B.sInabilitystosgetspregnant.
C.sPremenstrualssyndrome.
D.sChronicsusesofslaxatives.s-sans--B.sInabilitystosgetspregnant.
Rationale
Dysmenorrhea,sdyspareunia,sandsdifficultysorspainfulsdefecationsarescommonssymptomss
ofsendometriosis,swhichsissthesabnormalsdisplacementsofsendometrialstissuesinsthesdepen

, dentsareassofsthespelvicsperitoneum.sAshistorysofsinfertilitysissanotherscommonsfindingsass
ociatedswithsendometriosis.

Thesnurseswouldsbescorrectsinswithholdingsasdosesofsdigoxinsinsasclientswithscongestiveshe
artsfailureswithoutsspecificsinstructionsfromstheshealthcaresprovidersifsthesclient's
A.sserumsdigoxinslevelsiss1.5.
B.sbloodspressuresiss104/68.
C.sserumspotassiumslevelsiss3.
D.sapicalspulsesiss68/min.s-sans--C.sserumspotassiumslevelsiss3.
Rationale
Hypokalemiascansprecipitatesdigitalisstoxicitysinspersonssreceivingsdigoxinswhichswillsincre
asestheschancesofsdangeroussdysrhythmiass(normalspotassiumslevelsiss3.5stos5.5smEq/L).

Insassessingscancersrisk,sthesnursesidentifiesswhichswomansassbeingsatsgreatestsrisksofsde
velopingsbreastscancer?
A.sAs35-year-oldsmultiparaswhosneversbreastfed.
B.sAs50-year-oldswhosesmothershadsunilateralsbreastscancer.
C.sAs55-year-oldswhosesmother-in-lawshadsbilateralsbreastscancer.
D.sAs20-year-oldswhosesmenarchesoccurredsatsages9.s-sans--B.sAs50-year-
oldswhosesmothershadsunilateralsbreastscancer.
Rationale
Thesmostspredictivesrisksfactorssforsdevelopmentsofsbreastscancersaresovers40syearssofsag
esandsaspositivesfamilyshistorys(occurrencesinsthesimmediatesfamily,si.e.,smothersorssister).
sOthersrisksfactorssincludesnulliparity,snoshistorysofsbreastfeeding,searlysmenarchesandslat

esmenopause,sbutsaresnotsconsideredsasspredictivesassaspositiveshistorysofsansimmediates
familysmembersandsovers40syearssold.

Asclientstakingsasthiazidesdiureticsforsthespastssixsmonthsshassasserumspotassiumslevelsofs
3.sThesnursesanticipatesswhichschangesinsprescriptionsforsthesclient?
A.sThesdosagesofsthesdiureticswillsbesdecreased.
B.sThesdiureticswillsbesdiscontinued.
C.sAspotassiumssupplementswillsbesprescribed.
D.sThesdosagesofsthesdiureticswillsbesincreased.s-sans--
C.sAspotassiumssupplementswillsbesprescribed.
Rationale
Thissclient'sspotassiumslevelsisstooslows(normalsiss3.5stos5).sTakingsasthiazidesdiureticsofte
nsresultssinsaslosssofspotassium,ssosaspotassiumssupplementsneedsstosbesprescribedstosre
storesasnormalsserumspotassiumslevel.

Whichsmilestonesindicatesstosthesnursessuccessfulsachievementsofsyoungsadulthood?
A.sDemonstratessasconceptualizationsofsdeathsandsdying.
B.sCompletesseducationsandsbecomessself-supporting.
C.sCreatessasnewsdefinitionsofsselfsandsrolesswithsothers.
D.sDevelopssasstrongsneedsforsparentalssupportsandsapproval.s-sans--
B.sCompletesseducationsandsbecomessself-supporting.
Rationale