BSN 246 Hesi Review Questions and Answers Rated A
The registered nurse (RN) recognizes which -A fracture that bends or splinters part of the
client group is at the greatest risk for developing bone. - - A fracture that bends or splinters
a urinary tract infection (UTI)? (Rank from part of the bone.
highest risk to lowest risk.) Rationale
1.Older males. An incomplete fracture occurs when part of the
2.School-age female. bone is splintered (broken) and it has not gone
3.Older females. completely through the thickness of the bone.
4.Adolescent males. - - orrect Answer:
1.Older females.
2.School-age female. The registered nurse (RN) is assisting the
3.Older males. healthcare provider (HCP) with the removal of a
4.Adolescent males. chest tube. Which intervention has the highest
Rationale priority and should be anticipated by the RN after
Hypoestrogenism and alkalotic urine are other the removal of the chest tube?
age-related factors put older women at the -Prepare the client for chest x-ray at the bedside.
highest risk for UTIs. School age girls (6 to 12 -Review arterial blood gases after removal.
years) are at risk for UTIs due to a higher -Elevate the head of bed to 45 degrees.
prevalence to taking baths instead of showers, -Assist with disassembling the drainage system. -
but these risks can be controlled in this - Prepare the client for chest x-ray at the
population as well as hypoestrogenism and bedside.
alkalotic urine. Older men are at risk due to Rationale
possible obstruction of the bladder due to benign A chest x-ray should be performed immediately
prostatic hypertrophy (BPH). Adolescent males after the removal of a chest tube to ensure lung
(12 to 19 years) are the lowest at risk for a UTI. expansion has been maintained after its removal.
All individuals regardless of gender and/or age
are at risk if the following conditions exist:
vesicoureteral reflux, neuromuscular conditions, The registered nurse (RN) did not note that a
like Parkinson's disease, previous brain attacks, prescription dose was recently changed and did
or the use of anticholinergic medications can all not note the updated medication administration
cause incomplete bladder emptying which can record (MAR). After giving the client the original
create bacterial overgrowth. Fecal and urinary dose, the RN reports the medication error to the
incontinence contributes to poor perineal hygiene nurse manager. What consequences will the RN
and bacterial growth. experience due to this error in medication
administration?
-The incident will be reported to the state's Board
A male client is admitted after falling from his of Nursing (BON).
bed. The healthcare provider (HCP) tells the -A medication error report will be completed and
family that he has an incomplete fracture of the risk management will be notified.
humerus. The family ask the RN what this -The RN will be suspended from medication
means. Which type of fracture should the RN administration until the error is investigated.
explain from these findings? -The incident will be documented in the RN's
-Straignt fracture line that is also a simple, closed personnel file. - - A medication error report
fracture. will be completed and risk management will be
-Nondisplaced fracture line that wraps around the notified.
bone. Rationale
-A complete fracture that also punctures the skin. By reviewing quality of care internally, steps of
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, BSN 246 Hesi Review Questions and Answers Rated A
care can be evaluated and staff can be educated
where gaps are identified. The medication report
and notification of management is the The registered nurse (RN) is caring for a client
responsibility of the RN who made the mistake, who has taken atenolol for 2 years. The
so an internal review of the steps of the healthcare provider recently changed the
occurrence can be completed to determine medication to enalaprilto manage the client's
further risk potentials. blood pressure. Which instruction should the RN
provide the client regarding the new medication?
-Take the medication at bedtime.
A client with progressive hearing loss appears -Report presence of increased bruising.
distressed when the registered nurse (RN) asks -Check pulse before taking medication.
open-ended questions about the client's health -Rise slowly when getting out of bed or chair. -
history. Which forms of communication should - Rise slowly when getting out of bed or
the RN use? chair.
Select all that apply Rationale
-Face the client so the client can see the RN's The client's new medication is an angiotensin-
mouth. converting enzyme (ACE) inhibitor, which has the
-Increase one's speech volume when interacting side effect oforthostatic hypotension. Instructing
with the client. the client to rise slowly from a sitting or lying
-Repeat information to the client if down position is important to teach the client to
misunderstood. avoid dizziness and potentially falling.
-Check if the client's hearing aides are working
properly.
-Reduce environmental noise surrounding the The registered nurse (RN) is making early
client. - - -Face the client so the client can morning rounds on a group of clients when a
see the RN's mouth. client begins exhibiting symptoms of an acute
-Check if the client's hearing aides are working asthma attack. The RN administers a PRN
properly. prescription for a Beta 2 receptor agonist agent.
-Reduce environmental noise surrounding the Which client response should the RN expect?
client. Select all that apply
Rationale -Tachycardia.
A client with hearing loss can develop the ability -Increased blood pressure.
to read "lips," so facing the client during -Rapid resolution of wheezing.
conversation allows visualization of the lips and -Improved pulse oximetry values.
directs the sound towards the client. Inspection -Reduce fever airway inflammation. - -
of the hearing aide device's functionality is a vital Rapid resolution of wheezing.
step in communication. Hearing aides magnify all Improved pulse oximetry values.
surrounding noise, so it is imperative to reduce Rationale
outside environmental noise during the interview Beta 2 receptor agonist agents should provide
process. Speaking clearly with enunciation and immediate return of airflow and resolve wheezing
in a regular tone is easier for a client to and improve oxygenation.
understand than increasing the volume of
speech. If a client shows signs of confusion,
rephrasing the question, instead of repeating, An older client is admitted to the hospital with
should be done to decrease client anxiety and severe diarrhea. The registered nurse (RN) is
facilitate understanding. completing an assessment and notes the client
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The registered nurse (RN) recognizes which -A fracture that bends or splinters part of the
client group is at the greatest risk for developing bone. - - A fracture that bends or splinters
a urinary tract infection (UTI)? (Rank from part of the bone.
highest risk to lowest risk.) Rationale
1.Older males. An incomplete fracture occurs when part of the
2.School-age female. bone is splintered (broken) and it has not gone
3.Older females. completely through the thickness of the bone.
4.Adolescent males. - - orrect Answer:
1.Older females.
2.School-age female. The registered nurse (RN) is assisting the
3.Older males. healthcare provider (HCP) with the removal of a
4.Adolescent males. chest tube. Which intervention has the highest
Rationale priority and should be anticipated by the RN after
Hypoestrogenism and alkalotic urine are other the removal of the chest tube?
age-related factors put older women at the -Prepare the client for chest x-ray at the bedside.
highest risk for UTIs. School age girls (6 to 12 -Review arterial blood gases after removal.
years) are at risk for UTIs due to a higher -Elevate the head of bed to 45 degrees.
prevalence to taking baths instead of showers, -Assist with disassembling the drainage system. -
but these risks can be controlled in this - Prepare the client for chest x-ray at the
population as well as hypoestrogenism and bedside.
alkalotic urine. Older men are at risk due to Rationale
possible obstruction of the bladder due to benign A chest x-ray should be performed immediately
prostatic hypertrophy (BPH). Adolescent males after the removal of a chest tube to ensure lung
(12 to 19 years) are the lowest at risk for a UTI. expansion has been maintained after its removal.
All individuals regardless of gender and/or age
are at risk if the following conditions exist:
vesicoureteral reflux, neuromuscular conditions, The registered nurse (RN) did not note that a
like Parkinson's disease, previous brain attacks, prescription dose was recently changed and did
or the use of anticholinergic medications can all not note the updated medication administration
cause incomplete bladder emptying which can record (MAR). After giving the client the original
create bacterial overgrowth. Fecal and urinary dose, the RN reports the medication error to the
incontinence contributes to poor perineal hygiene nurse manager. What consequences will the RN
and bacterial growth. experience due to this error in medication
administration?
-The incident will be reported to the state's Board
A male client is admitted after falling from his of Nursing (BON).
bed. The healthcare provider (HCP) tells the -A medication error report will be completed and
family that he has an incomplete fracture of the risk management will be notified.
humerus. The family ask the RN what this -The RN will be suspended from medication
means. Which type of fracture should the RN administration until the error is investigated.
explain from these findings? -The incident will be documented in the RN's
-Straignt fracture line that is also a simple, closed personnel file. - - A medication error report
fracture. will be completed and risk management will be
-Nondisplaced fracture line that wraps around the notified.
bone. Rationale
-A complete fracture that also punctures the skin. By reviewing quality of care internally, steps of
1/6
, BSN 246 Hesi Review Questions and Answers Rated A
care can be evaluated and staff can be educated
where gaps are identified. The medication report
and notification of management is the The registered nurse (RN) is caring for a client
responsibility of the RN who made the mistake, who has taken atenolol for 2 years. The
so an internal review of the steps of the healthcare provider recently changed the
occurrence can be completed to determine medication to enalaprilto manage the client's
further risk potentials. blood pressure. Which instruction should the RN
provide the client regarding the new medication?
-Take the medication at bedtime.
A client with progressive hearing loss appears -Report presence of increased bruising.
distressed when the registered nurse (RN) asks -Check pulse before taking medication.
open-ended questions about the client's health -Rise slowly when getting out of bed or chair. -
history. Which forms of communication should - Rise slowly when getting out of bed or
the RN use? chair.
Select all that apply Rationale
-Face the client so the client can see the RN's The client's new medication is an angiotensin-
mouth. converting enzyme (ACE) inhibitor, which has the
-Increase one's speech volume when interacting side effect oforthostatic hypotension. Instructing
with the client. the client to rise slowly from a sitting or lying
-Repeat information to the client if down position is important to teach the client to
misunderstood. avoid dizziness and potentially falling.
-Check if the client's hearing aides are working
properly.
-Reduce environmental noise surrounding the The registered nurse (RN) is making early
client. - - -Face the client so the client can morning rounds on a group of clients when a
see the RN's mouth. client begins exhibiting symptoms of an acute
-Check if the client's hearing aides are working asthma attack. The RN administers a PRN
properly. prescription for a Beta 2 receptor agonist agent.
-Reduce environmental noise surrounding the Which client response should the RN expect?
client. Select all that apply
Rationale -Tachycardia.
A client with hearing loss can develop the ability -Increased blood pressure.
to read "lips," so facing the client during -Rapid resolution of wheezing.
conversation allows visualization of the lips and -Improved pulse oximetry values.
directs the sound towards the client. Inspection -Reduce fever airway inflammation. - -
of the hearing aide device's functionality is a vital Rapid resolution of wheezing.
step in communication. Hearing aides magnify all Improved pulse oximetry values.
surrounding noise, so it is imperative to reduce Rationale
outside environmental noise during the interview Beta 2 receptor agonist agents should provide
process. Speaking clearly with enunciation and immediate return of airflow and resolve wheezing
in a regular tone is easier for a client to and improve oxygenation.
understand than increasing the volume of
speech. If a client shows signs of confusion,
rephrasing the question, instead of repeating, An older client is admitted to the hospital with
should be done to decrease client anxiety and severe diarrhea. The registered nurse (RN) is
facilitate understanding. completing an assessment and notes the client
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