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BSN 366 EXIT HESI EXAM TEST BANK LATEST
UPDATE THIS YEAR ALL WITH 550 QUESTIONS
AND CORRECT DETAILED ANSWERS
Question: A client with ulcerative colitis is scheduled for surgical creation of an ileoanal
reservoir
(J pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum. - CORRECT ANSWER✔✔4. Stool is eventually
expelled through the rectum.
Question: The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for
a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
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4. Inject air until no air is auscultated over the larynx during a deep breath. - CORRECT
ANSWER✔✔4. Inject air until no air is auscultated over the larynx during a deep breath.
Question: A 60-year-old homeless man who complains of a cough, late-afternoon fever, and
night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin
test. Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
4. Quarantine or isolate to control communicability. - CORRECT ANSWER✔✔1. Refer for further
diagnostic evaluation.
Question: A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client
has not been sleeping well lately and is experiencing labored breathing. List the client's
problems in order of priority for the nurse. (Rank in the priority order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
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4. Sleep and rest. - CORRECT ANSWER✔✔1.Airway and breathing. 2.Pain management. 3.Sleep
and rest. 4.Definitive therapy.
Question: Which biological practices are federally regulated for healthcare workers? (Select all
that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA). - CORRECT ANSWER✔✔3. Blood-borne
pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
Question: A client with severe depression tells the nurse, "I do not know why you bother with
me or give me pills. I am never going to get well." What is the most therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
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4. "You are feeling very pessimistic, but that is part of your illness. It should go away as you
recover." - CORRECT ANSWER✔✔3. "I have known many clients with depression who have felt
better after several weeks of treatment."
Question: The nurse is caring for a client with a nursing problem of, "Infection, risk for, related
to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact. -
CORRECT ANSWER✔✔3. Assess and document skin condition around the incision and IV site at
each
shift.
Question: Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
BSN 366 EXIT HESI EXAM TEST BANK LATEST
UPDATE THIS YEAR ALL WITH 550 QUESTIONS
AND CORRECT DETAILED ANSWERS
Question: A client with ulcerative colitis is scheduled for surgical creation of an ileoanal
reservoir
(J pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum. - CORRECT ANSWER✔✔4. Stool is eventually
expelled through the rectum.
Question: The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for
a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
, Page 2 of 234
4. Inject air until no air is auscultated over the larynx during a deep breath. - CORRECT
ANSWER✔✔4. Inject air until no air is auscultated over the larynx during a deep breath.
Question: A 60-year-old homeless man who complains of a cough, late-afternoon fever, and
night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin
test. Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
4. Quarantine or isolate to control communicability. - CORRECT ANSWER✔✔1. Refer for further
diagnostic evaluation.
Question: A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client
has not been sleeping well lately and is experiencing labored breathing. List the client's
problems in order of priority for the nurse. (Rank in the priority order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
, Page 3 of 234
4. Sleep and rest. - CORRECT ANSWER✔✔1.Airway and breathing. 2.Pain management. 3.Sleep
and rest. 4.Definitive therapy.
Question: Which biological practices are federally regulated for healthcare workers? (Select all
that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA). - CORRECT ANSWER✔✔3. Blood-borne
pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
Question: A client with severe depression tells the nurse, "I do not know why you bother with
me or give me pills. I am never going to get well." What is the most therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
, Page 4 of 234
4. "You are feeling very pessimistic, but that is part of your illness. It should go away as you
recover." - CORRECT ANSWER✔✔3. "I have known many clients with depression who have felt
better after several weeks of treatment."
Question: The nurse is caring for a client with a nursing problem of, "Infection, risk for, related
to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact. -
CORRECT ANSWER✔✔3. Assess and document skin condition around the incision and IV site at
each
shift.
Question: Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
