BSN 225 HESI V2 Exam with precise detailed solutions

BSN 225 HESI V2 Exam with precise |! |! |! |! |! |! |!




detailed solutions |!




It is most important for the nurse to recalculate the Braden scale score for a
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client who has developed which problem? - Correct answer ✔Urinary
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Incontinence



At 0100 on a client's second postoperative night, the client states being unable
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to sleep and plans to read until feeling sleepy. Which action should the nurse
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implement? - Correct answer ✔Bring the client a prescribed PRN sedative-
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hypnotic.



Which statement by a client indicates to the nurse that the client understands
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how a newly prescribed transdermal medication will be administered? -
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Correct answer ✔The medicine will be applied directly on my skin.
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While electronically scanning the clients armband at the bedside prior to
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administering pain medication, the nurse observes the power flickers and the |! |! |! |! |! |! |! |! |! |! |!




computer screen goes blank. The computer fails to reboot and the screen
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remains dark. Which action should the nurse do first? - Correct answer
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✔Notify information services department of this situation.
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When conducting diet teaching for a client who is experiencing episodes of
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vomiting, the nurse recommends that the client consume only clear liquids.
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Which choices by the client indicate effective learning? (Select all that apply)
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- Correct answer ✔-Carbonated ginger ale
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, - Warm chicken broth
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- Filtered apple juice
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A client with rheumatoid arthritis (RA) is experiencing chronic pain in both
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hands and wrists. Which information about the client is most important for
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the nurse to obtain when planning care? - Correct answer ✔The ability to
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perform activities of daily living. |! |! |! |!




The nurse is preparing a teaching plan for a client with low back pain. Which
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sleeping position should be included in the teaching? - Correct answer
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✔Side-lying with hip and knees flexed. |! |! |! |! |!




The nurse is interviewing a client with lower abdominal pain and dyspnea,
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and needs to question the client about sexual activity. Which approach is best
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for the nurse to use? - Correct answer ✔Begin with questions that are less
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sensitive in nature. |! |!




The nurse is obtaining a systolic blood pressure by palpation. While inflating
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the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action
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should the nurse take? - Correct answer ✔Inflate blood pressure cuff to 120
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mm Hg. |!




A male client presents to the clinic: Stating that he has a high stress job and
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is having difficulty falling asleep at night. He has tried over the counter
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medication, including herbals. The client is reporting a constant headache |! |! |! |! |! |! |! |! |! |!




and is seeking medication to help him sleep. Which intervention should the
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