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BSN 225 HESI RN Specialty Fundamentals of Nursing Exam TEST BANK (Latest Update 2025 / 2026) Questions with Detailed Answers & Rationale | 100% Correct | Grade A – Nightingale. $12.49
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BSN 225 HESI RN Specialty Fundamentals of Nursing Exam TEST BANK (Latest Update 2025 / 2026) Questions with Detailed Answers & Rationale | 100% Correct | Grade A – Nightingale.
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BSN 225 HESI RN Specialty Fundamentals of Nursing Exam TEST BANK (Latest Update 2025 / 2026) Questions with Detailed Answers & Rationale | 100% Correct | Grade A – Nightingale. BSN 225 HESI RN Specialty Fundamentals of Nursing Exam TEST BANK (Latest Update 2025 / 2026) Questions with Detailed Ans...

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  • April 15, 2025
  • 82
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • BSN 225
  • BSN 225

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BSN 225 HESI RN Specialty Fundamentals of i,- i,- i,- i,- i,- i,- i,-




Nursing Exam TEST BANK (Latest Update 2025 / i,- i,- i,- i,- i,- i,- i,- i,-




2026) Questions with Detailed Answers & i,- i,- i,- i,- i,- i,-




Rationale | 100% Correct | Grade A – Nightingale. i,- i,- i,- i,- i,- i,- i,- i,-




The nurse encounters resistance when inserting the tubing into a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client's rectum for a tap water enema. What action should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nurse implement? i,-




Withdraw the tube and apply additional lubricant to the tube.
i,- i,- i,- i,- i,- i,- i,- i,- i,-




Encourage the client to bear down and continue to insert the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



tube.
Remove the tube and check the client for a fecal impaction.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




Ask the client to relax and run a small amount of fluid into the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



rectum. Ask the client to relax and run a small amount of
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



fluid into the rectum.
i,- i,- i,-




Rationale


If resistance is encountered during the initial insertion of an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



enema tube, the client should be instructed to relax while a small
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



amount of solution runs through the tube into the rectum (D) to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



promote dilation. (A) is unlikely to resolve the problem. (B) may
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

,cause injury. (C) should not be implemented until other, less
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



invasive actions, such as (D) have been taken.
i,- i,- i,- i,- i,- i,- i,-




Which statement is an example of a correctly written nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



diagnosis statement? i,-




Altered tissue perfusion related to congestive heart failure.
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Altered urinary elimination related to urinary tract infection.
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Risk for impaired tissue integrity related to client's refusal to turn.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




Ineffective coping related to response to positive biopsy test
i,- i,- i,- i,- i,- i,- i,- i,- i,-



results. Ineffective coping related to response to positive
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



biopsy test results i,- i,-




Rationale


The first part of the nursing diagnosis statement is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



"diagnostic label" and is followed by "related to" the cause, which
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



should direct the nurse to the appropriate interventions. (D) best
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



fits this criteria. (A and B) contain a medical diagnosis. (C)
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



includes an observable cause, but (D) focuses on the client's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



"response," which the nurse can provide support, reflection, and
i,- i,- i,- i,- i,- i,- i,- i,- i,-



dialogue.


A client who has moderate, persistent, chronic neuropathic pain
i,- i,- i,- i,- i,- i,- i,- i,- i,-



due to diabetic neuropathy takes gabapentin (Neurontin) and
i,- i,- i,- i,- i,- i,- i,- i,-

,ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Organization (WHO) pain relief ladder is prescribed, which drug i,- i,- i,- i,- i,- i,- i,- i,- i,-



protocol should be implemented? i,- i,- i,-




Continue gabapentin. i,-




Discontinue ibuprofen. i,-




Add aspirin to the protocol.
i,- i,- i,- i,-




Add oral methadone to the protocol.
i,- i,- i,- i,- i,- i,-i,- i,- Continue gabapentin. i,-




Rationale


Based on the WHO pain relief ladder, adjunct medications, such
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



as gabapentin (Neurontin), an antiseizure medication, may be
i,- i,- i,- i,- i,- i,- i,- i,-



used at any step for anxiety and pain management, so (A) should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



be implemented. Nonopiod analgesics, such as ibuprofen (A) and
i,- i,- i,- i,- i,- i,- i,- i,- i,-



aspirin (C) are Step 1 drugs. Step 2 and 3 include opioid narcotics
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



(D), and to maintain freedom from pain, drugs should be given
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



"around the clock" rather than by the client's PRN requests.
i,- i,- i,- i,- i,- i,- i,- i,- i,-




The nurse is preparing to give a client dehydration IV fluids
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delivered at a continuous rate of 175 ml/hour. Which infusion
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



device should the nurse use? i,- i,- i,- i,-




Portable syringe pump. i,- i,-




Cassette infusion pump. i,- i,-




Volumetric controller. i,-

, Nonvolumetric controller. i,- i,-i,- i,- Cassette infusion pump. i,- i,-




Rationale


A cassette pump (B) should be used to accurately deliver large
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



volumes of fluid over longer periods of time with extreme
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



precision, such as ml/hour. A syringe pump (A) is accurate for low-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



dose continuous infusion of low-dose medication at a basal rate,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



but not large fluid volume replacement. Volumetric (C) and
i,- i,- i,- i,- i,- i,- i,- i,- i,-



nonvolumetric (D) controllers count drops/minute to administer i,- i,- i,- i,- i,- i,- i,-



fluid volume and are inherently inaccurate because of variation in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



drop size. i,-




Benefits of daily exercise for pt with type two diabetes
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



improves blood circulation i,- i,-




reduces the need for insulin i,- i,- i,- i,-




lowers serum cholesterol and triglyceride levels
i,- i,- i,- i,- i,-




When assessing a client with an indwelling urinary catheter, which
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



observation requires the most immediate intervention by the i,- i,- i,- i,- i,- i,- i,- i,-



nurse?
The drainage tubing is secured over the siderail.
i,- i,- i,- i,- i,- i,- i,-




The clamp on the urinary drainage bag is open.
i,- i,- i,- i,- i,- i,- i,- i,-

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