BSN 366 HESI RN Exit Exam V2 (Latest Update /)
Questions and Verified Answers | 100% Correct |
Grade A - Nightingale
An appropriate goal for a client with anxiety would be to - ANSWER -
Learn self-help techniques
While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following
responses by the nurse would be best? - ANSWER -"Is there a reason
why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's
periumbilical area. Which of the following assessments is appropriate
for the nurse to perform? - ANSWER -Auscultate the mass
A client is admitted to the hospital with a history of confusion. The
client has difficulty remembering recent events and becomes disoriented
when away from home. Which statement would provide the best reality
orientation for this client? - ANSWER -"Good morning. You're in the
hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about
nutrition. What is the main source of fluids for an infant until about 12
months of age? - ANSWER -Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the
child's height will be affected by the injury. Which statement is true
concerning long bone fractures in children? - ANSWER -Epiphyseal
fractures often interrupt a child's normal growth pattern
, The nurse is assessing a client who states her last menstrual period was
March 16, and she has missed one period. She reports episodes of
nausea and vomiting. Pregnancy is confirmed by a urine test. What will
the nurse calculate as the estimated date of delivery (EDD)? - ANSWER
-December 23
When screening children for scoliosis, at what time of development
would the nurse expect early signs to appear? - ANSWER -During the
preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health
care. The nurse discovers that the client has not been following the
prescribed diet. What would be the most appropriate nursing action? -
ANSWER -Discuss diet with the client to learn the reasons for not
following the diet
A client states, "People think I'm no good, you know what I mean?"
Which of these responses would be most therapeutic? - ANSWER -"I'm
not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic
for follow up. The client says, "I know these pills are important, but I
just can't take these water pills anymore. I drive a truck for a living, and
I can't be stopping every 20 minutes to go to the bathroom." Which of
these is the best nursing diagnosis? - ANSWER -Noncompliance related
to medication side effects
, When teaching effective stress management techniques to a client 1
hour before surgery, which of the following should the nurse
recommend? - ANSWER -Deep breathing
When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
- ANSWER -Playing cooperatively with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding? - ANSWER -Hold a rattle
When teaching a 10 year-old child about their impending heart surgery,
which form of explanation meets the developmental needs of this age
child? - ANSWER -Explain the surgery using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute
illness state that they should have taken the child to the pediatrician
earlier. Which approach by the nurse is best when dealing with the
parents' comments? - ANSWER -Accept their feelings without
judgment
When caring for a client who is receiving a thrombolytic agent to open
a clot occluded coronary artery after a myocardial infarction, which
finding would be of greatest concern to the nurse? - ANSWER -
Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is
the most important action on the part of the nurse? - ANSWER -Sterile
technique for dressing change at IV site
Questions and Verified Answers | 100% Correct |
Grade A - Nightingale
An appropriate goal for a client with anxiety would be to - ANSWER -
Learn self-help techniques
While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following
responses by the nurse would be best? - ANSWER -"Is there a reason
why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's
periumbilical area. Which of the following assessments is appropriate
for the nurse to perform? - ANSWER -Auscultate the mass
A client is admitted to the hospital with a history of confusion. The
client has difficulty remembering recent events and becomes disoriented
when away from home. Which statement would provide the best reality
orientation for this client? - ANSWER -"Good morning. You're in the
hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about
nutrition. What is the main source of fluids for an infant until about 12
months of age? - ANSWER -Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the
child's height will be affected by the injury. Which statement is true
concerning long bone fractures in children? - ANSWER -Epiphyseal
fractures often interrupt a child's normal growth pattern
, The nurse is assessing a client who states her last menstrual period was
March 16, and she has missed one period. She reports episodes of
nausea and vomiting. Pregnancy is confirmed by a urine test. What will
the nurse calculate as the estimated date of delivery (EDD)? - ANSWER
-December 23
When screening children for scoliosis, at what time of development
would the nurse expect early signs to appear? - ANSWER -During the
preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health
care. The nurse discovers that the client has not been following the
prescribed diet. What would be the most appropriate nursing action? -
ANSWER -Discuss diet with the client to learn the reasons for not
following the diet
A client states, "People think I'm no good, you know what I mean?"
Which of these responses would be most therapeutic? - ANSWER -"I'm
not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic
for follow up. The client says, "I know these pills are important, but I
just can't take these water pills anymore. I drive a truck for a living, and
I can't be stopping every 20 minutes to go to the bathroom." Which of
these is the best nursing diagnosis? - ANSWER -Noncompliance related
to medication side effects
, When teaching effective stress management techniques to a client 1
hour before surgery, which of the following should the nurse
recommend? - ANSWER -Deep breathing
When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
- ANSWER -Playing cooperatively with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding? - ANSWER -Hold a rattle
When teaching a 10 year-old child about their impending heart surgery,
which form of explanation meets the developmental needs of this age
child? - ANSWER -Explain the surgery using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute
illness state that they should have taken the child to the pediatrician
earlier. Which approach by the nurse is best when dealing with the
parents' comments? - ANSWER -Accept their feelings without
judgment
When caring for a client who is receiving a thrombolytic agent to open
a clot occluded coronary artery after a myocardial infarction, which
finding would be of greatest concern to the nurse? - ANSWER -
Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is
the most important action on the part of the nurse? - ANSWER -Sterile
technique for dressing change at IV site
