BSN 246 Practice HESI (1&2)
1. The- registered- nurse- (RN)- is- caring- for- a- young- adult- who- is-
having- an- oral- glucose- tolerance- tests- (OGTT).- Which- laboratory- result-
should- the- RN- assess- as- a- normal- value- for- the- two- hour-
postprandial- result?
140- mg/dl.
160- mg/dl.
180- mg/dl.
200- mg/dl.:- 140- mg/dl.
Rationale
The- two- hour- postprandial- level- should- be- less- 140- mg/dl- for- a- young-
adult- client.
2. The- registered- nurse- (RN)- is- caring- for- a- client- who- has- a- closed-
head- injury- from- a- motor- vehicle- collision.- Which- finding- should- the-
RN- assess- the- client- for- the- risk- of- diabetes- insipidus- (DI)?
High- fever.
Low- blood- pressure.-
Muscle- rigidity.
Polydipsia.:- Polydipsia.
Rationale
A- characteristic- finding- of- DI- is- excretion- of- large- quantities- of- urine- (5- to-
20L/day),- and- most- clients- compensate- for- fluid- loss- by- drinking- large-
amounts- of- water- (polydipsia).- DI- can- occur- when- there- has- been- damage
or- injury- to- the- pituitary- gland- or- hypothalamus- as- a- result- of- head-
trauma,- tumor- or- an- illness- such- as- meningitis.-This- damage- interrupts- the-
ADH- production,- storage- and- release- causing- the- excessive- urination- and-
thirst.
3. The- registered- nurse- (RN)- is- caring- for- a- client- who- developed-
oliguria- and- was- diagnosed- with- sepsis- and- dehydration- 48- hours- ago.-
Which- assessment- finding- indicates- to- the- RN- that- the- client- is-
stabilizing?
Urine- output- of- 40- mL/hour.
Apical- pulse- 100- and- blood- pressure-
76/42.- Urine- specific- gravity- 1.001.
Tented- skin- on- dorsal- surface- of- hands.:- Urine- output- of- 40- mL/hour.
1- /-
38
, BSN 246 Practice HESI (1&2)
Rationale
A- decrease- in- urinary- output- is- a- sign- of- dehydration.-When- the- urine- outpu
returns
2- /-
38
, BSN 246 Practice HESI (1&2)
to- a- normal- range,- 40- mL/hour,- the- client's- kidneys- are- perfusing- adequatel
and- indicates- the- client's- status- is- stablizing.
4. A- client- who- is- uses- ipratropium- reports- having- nausea,- blurred-
vision,- headaches,- and- insomnia- after- using- the- inhaler.- Which-
action- should- the- registered- nurse- (RN)- implement- first?
Withhold- medication- and- report- symptoms- and- vital- signs- to- healthcar
provider.
Give- PRN- medication- for- nausea- and- vomiting- and- evaluate- client- in- 3
min-- utes.
Reassure- client- that- the- ipratropium- given- will- alleviate- the- symptoms.
Delay- administration- of- ipratropium- until- next- maintenance- medication-
is- scheduled.:- Withhold- medication- and- report- symptoms- and- vital- signs- to-
healthcare- provider.
Rationale
Headache,- nausea,- blurred- vision- and- insomnia- are- symptoms- of- excessive-
use- of- ipratropium,- so- withholding- the- medication- until- the- healthcare-
provider- is- notified- should- be- initiated- to- maintain- client- safety.
5. The- registered- nurse- (RN)- is- assessing- a- client- who- was-
discharged- home- after- management- of- chronic- hypertension.- Which-
equipment- should- the- RN- instruct- the- client- to- use- at- home?
Exercise- bicycle.-
Sphygmomanometer.-
Blood- glucose- monitor.
Weekly- medication- box.:- Sphygmomanometer.
Rationale
Self-awareness- is- the- best- way- for- a- client- to- manage- chronic-
hypertension,- so- the- client- should- obtain- a- sphygmomanometer- and- learn-
how- to- monitor- blood- pressure- daily- and- maintain- a- record.
6. The- registered- nurse- (RN)- is- teaching- a- client- who- is- newly-
diagnosed- with- emphysema- how- to- perform- pursed- lip- breathing.-
What- is- the- primary- reason- for- teaching- the- client- this- method- of-
breathing?
Decreases- respiratory- rate.
Increases- O2- saturation- throughout- the- body.
3- /-
38
, BSN- 246- Practice- HESI-
(1- &- 2)
Conserves- energy-
Study- online- while- ambulating.
at- https://quizlet.com/_bqdk5c
Promotes- CO2- elimination.:- Promotes- CO2- elimination.
Rationale
Pursed- lip- breathing- helps- eliminate- CO2- by- increasing- positive- pressure-
within- the- alveoli- increasing- the- surface- area- of- the- alveoli- making- it- easier-
for- the- O2- and- CO2- gas- exchange- to- occur- .
7. The- registered- nurse- (RN)- reviews- the- new- prescription,- phenelzine-
(Nardil),- a- monoamine- oxidase- inhibitor- (MAOI),- for- a- client- on- the-
psychiatric- unit- with- depression.- Which- information- is- most- important-
for- the- RN- to- assess?- Consumption- of- any- alcohol- or- tyramine-rich-
foods.
Complaints- of- nausea- or- vomiting.-
Therapeutic- serum- drug- levels.
Blood- pressure- and- pulse- prior- to- taking- each- dose.:- Consumption- of-
any- alcohol- or- tyramine-rich- foods
Rationale
The- consumption- of- any- type- of- tyramine- containing- foods- such- as- aged-
cheeses,- fermented- fruits- and- vegetables,- smoked- or- cured- meats,- dark-
wines- and- other- alcoholic- products- should- be- avoided- when- a- client- is-
prescribed- a- MAOIs- due
to- the- a- food-drug- interaction- causing- a- hypertensive- crisis- which- can- lead-
to- a- hemorrhagic- stroke.
8. A- registered- nurse- (RN)- is- performing- a- mini-mental- state-
examination- (MMSE)- for- a- client- who- is- being- admitted- to- an-
assisted- living- community.- Which- communication- techniques- should-
the- RN- implement- to- decrease- anx-- iety- in- the- client?- (Select- all- that-
apply.)Select- all- that- apply
Use- simple- sentences- during- the- examination.
Move- to- another- question- if- the- client- seems- confused.-
Reduce- environmental- detractors- during- the- examination.-
Allow- family- to- answer- for- the- client- to- decrease-
frustration.
Ask- questions- one- at- a- time- to- decrease- confusion.:- Use- simple-
sentences- during- the- examination.
Rationale
4- /-
38
1. The- registered- nurse- (RN)- is- caring- for- a- young- adult- who- is-
having- an- oral- glucose- tolerance- tests- (OGTT).- Which- laboratory- result-
should- the- RN- assess- as- a- normal- value- for- the- two- hour-
postprandial- result?
140- mg/dl.
160- mg/dl.
180- mg/dl.
200- mg/dl.:- 140- mg/dl.
Rationale
The- two- hour- postprandial- level- should- be- less- 140- mg/dl- for- a- young-
adult- client.
2. The- registered- nurse- (RN)- is- caring- for- a- client- who- has- a- closed-
head- injury- from- a- motor- vehicle- collision.- Which- finding- should- the-
RN- assess- the- client- for- the- risk- of- diabetes- insipidus- (DI)?
High- fever.
Low- blood- pressure.-
Muscle- rigidity.
Polydipsia.:- Polydipsia.
Rationale
A- characteristic- finding- of- DI- is- excretion- of- large- quantities- of- urine- (5- to-
20L/day),- and- most- clients- compensate- for- fluid- loss- by- drinking- large-
amounts- of- water- (polydipsia).- DI- can- occur- when- there- has- been- damage
or- injury- to- the- pituitary- gland- or- hypothalamus- as- a- result- of- head-
trauma,- tumor- or- an- illness- such- as- meningitis.-This- damage- interrupts- the-
ADH- production,- storage- and- release- causing- the- excessive- urination- and-
thirst.
3. The- registered- nurse- (RN)- is- caring- for- a- client- who- developed-
oliguria- and- was- diagnosed- with- sepsis- and- dehydration- 48- hours- ago.-
Which- assessment- finding- indicates- to- the- RN- that- the- client- is-
stabilizing?
Urine- output- of- 40- mL/hour.
Apical- pulse- 100- and- blood- pressure-
76/42.- Urine- specific- gravity- 1.001.
Tented- skin- on- dorsal- surface- of- hands.:- Urine- output- of- 40- mL/hour.
1- /-
38
, BSN 246 Practice HESI (1&2)
Rationale
A- decrease- in- urinary- output- is- a- sign- of- dehydration.-When- the- urine- outpu
returns
2- /-
38
, BSN 246 Practice HESI (1&2)
to- a- normal- range,- 40- mL/hour,- the- client's- kidneys- are- perfusing- adequatel
and- indicates- the- client's- status- is- stablizing.
4. A- client- who- is- uses- ipratropium- reports- having- nausea,- blurred-
vision,- headaches,- and- insomnia- after- using- the- inhaler.- Which-
action- should- the- registered- nurse- (RN)- implement- first?
Withhold- medication- and- report- symptoms- and- vital- signs- to- healthcar
provider.
Give- PRN- medication- for- nausea- and- vomiting- and- evaluate- client- in- 3
min-- utes.
Reassure- client- that- the- ipratropium- given- will- alleviate- the- symptoms.
Delay- administration- of- ipratropium- until- next- maintenance- medication-
is- scheduled.:- Withhold- medication- and- report- symptoms- and- vital- signs- to-
healthcare- provider.
Rationale
Headache,- nausea,- blurred- vision- and- insomnia- are- symptoms- of- excessive-
use- of- ipratropium,- so- withholding- the- medication- until- the- healthcare-
provider- is- notified- should- be- initiated- to- maintain- client- safety.
5. The- registered- nurse- (RN)- is- assessing- a- client- who- was-
discharged- home- after- management- of- chronic- hypertension.- Which-
equipment- should- the- RN- instruct- the- client- to- use- at- home?
Exercise- bicycle.-
Sphygmomanometer.-
Blood- glucose- monitor.
Weekly- medication- box.:- Sphygmomanometer.
Rationale
Self-awareness- is- the- best- way- for- a- client- to- manage- chronic-
hypertension,- so- the- client- should- obtain- a- sphygmomanometer- and- learn-
how- to- monitor- blood- pressure- daily- and- maintain- a- record.
6. The- registered- nurse- (RN)- is- teaching- a- client- who- is- newly-
diagnosed- with- emphysema- how- to- perform- pursed- lip- breathing.-
What- is- the- primary- reason- for- teaching- the- client- this- method- of-
breathing?
Decreases- respiratory- rate.
Increases- O2- saturation- throughout- the- body.
3- /-
38
, BSN- 246- Practice- HESI-
(1- &- 2)
Conserves- energy-
Study- online- while- ambulating.
at- https://quizlet.com/_bqdk5c
Promotes- CO2- elimination.:- Promotes- CO2- elimination.
Rationale
Pursed- lip- breathing- helps- eliminate- CO2- by- increasing- positive- pressure-
within- the- alveoli- increasing- the- surface- area- of- the- alveoli- making- it- easier-
for- the- O2- and- CO2- gas- exchange- to- occur- .
7. The- registered- nurse- (RN)- reviews- the- new- prescription,- phenelzine-
(Nardil),- a- monoamine- oxidase- inhibitor- (MAOI),- for- a- client- on- the-
psychiatric- unit- with- depression.- Which- information- is- most- important-
for- the- RN- to- assess?- Consumption- of- any- alcohol- or- tyramine-rich-
foods.
Complaints- of- nausea- or- vomiting.-
Therapeutic- serum- drug- levels.
Blood- pressure- and- pulse- prior- to- taking- each- dose.:- Consumption- of-
any- alcohol- or- tyramine-rich- foods
Rationale
The- consumption- of- any- type- of- tyramine- containing- foods- such- as- aged-
cheeses,- fermented- fruits- and- vegetables,- smoked- or- cured- meats,- dark-
wines- and- other- alcoholic- products- should- be- avoided- when- a- client- is-
prescribed- a- MAOIs- due
to- the- a- food-drug- interaction- causing- a- hypertensive- crisis- which- can- lead-
to- a- hemorrhagic- stroke.
8. A- registered- nurse- (RN)- is- performing- a- mini-mental- state-
examination- (MMSE)- for- a- client- who- is- being- admitted- to- an-
assisted- living- community.- Which- communication- techniques- should-
the- RN- implement- to- decrease- anx-- iety- in- the- client?- (Select- all- that-
apply.)Select- all- that- apply
Use- simple- sentences- during- the- examination.
Move- to- another- question- if- the- client- seems- confused.-
Reduce- environmental- detractors- during- the- examination.-
Allow- family- to- answer- for- the- client- to- decrease-
frustration.
Ask- questions- one- at- a- time- to- decrease- confusion.:- Use- simple-
sentences- during- the- examination.
Rationale
4- /-
38
