Nursing Exam V1 | Actual Questions and
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BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1
, 1 of 79
Term
During the daily nursing assessment, a client begins to cry and states
that the majority of family and friends have stopped calling and
visiting. What action should the nurse take?
Listen and show interest as the client expresses these feelings.
Reinforce that this behavior means they were not true friends.
Ask the healthcare provider for a psychiatric consult.
Continue with the assessment and tell the client not to worry.
Give this one a try later!
Listen and show interest as the Examining a chest x-ray obtained
client expresses these feelings. after the tubing was inserted.
Immediately after the assessments are Assist the ambulating client back to
completed. the bed.
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2 of 79
Term
The nurse observes an unlicensed assistive personnel (UAP)
checking a client's blood pressure with a cuff that is too small, but
,the blood pressure reading obtained is within the client's usual
range. Which action is most important for the nurse to implement?
Tell the UAP to use a larger cuff at the next scheduled assessment.
Reassess the client's blood pressure using a larger cuff.
Have the unit educator review this procedure with the UAPs.
Teach the UAP the correct technique for assessing blood pressure.
Give this one a try later!
Reassess the client's blood Skim milk, turkey salad, roll, vanilla ice
pressure using a larger cuff. cream.
Observe the appearance of the skin Avoid any types of sprays, powders,
under the ice pack. and perfumes.
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3 of 79
Term
A male client with a history of hypertension tells the nurse that he is
tired of taking antihypertensive medications and is going to try
spiritual meditation instead. What should be the nurse's first
response?
"It is important that you continue your medication while learning to
meditate."
"Spiritual meditation requires a time commitment of 15 to 20 minutes
daily."
, you."
Give this one a try later!
learning to meditate."
Reposition the client on her side.
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