BSN 366 HESI RN Exit Exam V1 (Latest Update)
Questions and Verified Answers | 100% Correct |
Grade A - Nightingale
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ANSWER -D. The client with a
bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating.
The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ANSWER -D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
,C. supine; head elevated higher than feet
D. Fowlers - ANSWER -Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - ANSWER -A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - ANSWER -B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While providing
care to the child, the nurse begins talking with his preadolescent brother
who rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when
asked about what happened. Which action should the nurse take?
,A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions - ANSWER -B.
Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse
that he has been soaking in hot baths at night with no relief of his
discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion
after showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved - ANSWER -A. Encourage the client to use cooler water and
apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD),
hypertension (HTN), and heart failure (HF) arrives in the Emergency
Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ANSWER -B. Reduced preload
, Which intervention should the nurse include in the plan of care for a
child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ANSWER -B.
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the
age of 9, is admitted to the hospital in diabetic ketoacidosis. Which
occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ANSWER -C. Had a cold and ear infection
for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -
ANSWER -C. The client's need for pain medication should be
determined
Which self care measure is most important for the nurse to include in
the plan of care of a client recently diagnosed with type 2 diabetes
mellitus?
Questions and Verified Answers | 100% Correct |
Grade A - Nightingale
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - ANSWER -D. The client with a
bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
A teenager presents to the emergency department with palpitations after
vaping at a party. The client is anxious, fearful, and hyperventilating.
The nurse anticipates the client developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis - ANSWER -D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's
bed is in which position?
A. Supine
B. supine; feet elevated higher than head
,C. supine; head elevated higher than feet
D. Fowlers - ANSWER -Fowlers
The nurse is taking the blood pressure measurement of a client with
Parkinson's disease. Which information in the client's admission
assessment is relevant to the nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - ANSWER -A. Frequent syncope
C. Flat affect
D. Blurred vision
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level - ANSWER -B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While providing
care to the child, the nurse begins talking with his preadolescent brother
who rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when
asked about what happened. Which action should the nurse take?
,A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions - ANSWER -B.
Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse
that he has been soaking in hot baths at night with no relief of his
discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and apply calamine lotion
after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers and apply oil-based lotion
after showering
D. Explain that the symptoms are caused by liver damage and cannot be
relieved - ANSWER -A. Encourage the client to use cooler water and
apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD),
hypertension (HTN), and heart failure (HF) arrives in the Emergency
Department (ED) in respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide
should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ANSWER -B. Reduced preload
, Which intervention should the nurse include in the plan of care for a
child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light - ANSWER -B.
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the
age of 9, is admitted to the hospital in diabetic ketoacidosis. Which
occurrence is the most likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ANSWER -C. Had a cold and ear infection
for the past two days
A client with a prescription for "do not resuscitate" (DNR) begins to
manifest signs of impending death. After notifying the family of the
client's status, what priority action should the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -
ANSWER -C. The client's need for pain medication should be
determined
Which self care measure is most important for the nurse to include in
the plan of care of a client recently diagnosed with type 2 diabetes
mellitus?
