______________________________________
HESI BSN 395
(NCLEX (NGN)-STYLE QUESTIONS &
CASE “SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 395
COURSE NAME: Professional Nursing Practice
EXAM NAME: HESI
350+ PRACTICE QUESTIONS
PROFESSIONAL NURSING PRACTICE
,Patient Teaching for Hypercalcemia (Select All That Apply)
A nurse is providing discharge teaching to a client diagnosed with
hypercalcemia. The nurse explains that increased calcium levels in
the blood can affect multiple body systems, including the kidneys,
bones, gastrointestinal system, and cardiovascular system. The client
asks what lifestyle changes and precautions can help prevent
complications. Which statements by the nurse are appropriate?
Select all that apply.
A. Have patient restrict fluid intake to less than 2000 mL/day.
B. Renal calculi may occur as a complication of hypercalcemia.
C. Weight-bearing exercises can help keep calcium in the bones.
D. The patient should increase daily fluid intake to 3000 to 4000 mL.
E. Any heartburn can be managed with an as needed calcium-
containing antacid.
B. Renal calculi may occur as a complication of hypercalcemia.
C. Weight-bearing exercises can help keep calcium in the bones.
D. The patient should increase daily fluid intake to 3000 to 4000 mL.
Acid-Base Imbalance Associated With Proximal Bowel Obstruction
A nurse is admitting a client who presents with abdominal pain,
nausea, and vomiting. The healthcare provider suspects a proximal
bowel obstruction due to the client’s symptoms and assessment
findings. The nurse understands that prolonged vomiting can cause
changes in the body’s acid-base balance because of the loss of
stomach contents. Which acid-base imbalance should the nurse
anticipate?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
B. Metabolic alkalosis
,Care of a Subclavian Triple-Lumen Catheter
A nurse is caring for a client with a subclavian triple-lumen catheter
used for administration of IV medications and fluids. The nurse
reviews catheter care practices to prevent complications such as
infection, air embolism, and catheter occlusion. The nurse
understands that special precautions are required when removing a
central venous catheter. Which action is most important for the nurse
to take?
A. Change the injection cap after the administration of IV medications.
B. Use a 5-mL syringe to flush the catheter between medications and
after use.
C. During removal of the catheter, have the patient perform the
Valsalva maneuver.
D. If resistance is met when flushing, use the push-pause technique
to dislodge the clot.
C. During removal of the catheter, have the patient perform the Valsalva
maneuver.
, Nursing Care for a Patient With Dehydration
A nurse is caring for a client who has signs of dehydration, including
dry mucous membranes, decreased urine output, and weakness. The
nurse understands that accurate monitoring of fluid balance is
essential to evaluate the severity of dehydration and the effectiveness
of treatment. Which nursing intervention is most appropriate for this
client?
A. Monitor skin turgor every shift.
B. Auscultate lung sounds every 2 hours.
C. Monitor daily weight and intake and output.
D. Encourage the patient to reduce sodium intake.
C. Monitor daily weight and intake and output.
You are caring for a patient receiving calcium carbonate for the
treatment of osteopenia. Which serum laboratory result would you
identify as an adverse effect related to this therapy?
A. Sodium falling to 138 mEq/L
B. Potassium rising to 4.1 mEq/L
C. Magnesium rising to 2.9 mg/dL
D. Phosphorus falling to 2.1 mg/dL
D. Phosphorus falling to 2.1 mg/dL
You are caring for a patient admitted with a diagnosis of chronic
obstructive pulmonary disease (COPD) who has the following arterial
blood gas results: pH 7.33, PaO2 47 mm Hg, PaCO2 60 mm Hg, HCO3
32 mEq/L, and O2 saturation of 92%. What is the correct interpretation
of these results?
HESI BSN 395
(NCLEX (NGN)-STYLE QUESTIONS &
CASE “SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: BSN (Bachelor of Science in Nursing)
COURSE NUMBER: BSN 395
COURSE NAME: Professional Nursing Practice
EXAM NAME: HESI
350+ PRACTICE QUESTIONS
PROFESSIONAL NURSING PRACTICE
,Patient Teaching for Hypercalcemia (Select All That Apply)
A nurse is providing discharge teaching to a client diagnosed with
hypercalcemia. The nurse explains that increased calcium levels in
the blood can affect multiple body systems, including the kidneys,
bones, gastrointestinal system, and cardiovascular system. The client
asks what lifestyle changes and precautions can help prevent
complications. Which statements by the nurse are appropriate?
Select all that apply.
A. Have patient restrict fluid intake to less than 2000 mL/day.
B. Renal calculi may occur as a complication of hypercalcemia.
C. Weight-bearing exercises can help keep calcium in the bones.
D. The patient should increase daily fluid intake to 3000 to 4000 mL.
E. Any heartburn can be managed with an as needed calcium-
containing antacid.
B. Renal calculi may occur as a complication of hypercalcemia.
C. Weight-bearing exercises can help keep calcium in the bones.
D. The patient should increase daily fluid intake to 3000 to 4000 mL.
Acid-Base Imbalance Associated With Proximal Bowel Obstruction
A nurse is admitting a client who presents with abdominal pain,
nausea, and vomiting. The healthcare provider suspects a proximal
bowel obstruction due to the client’s symptoms and assessment
findings. The nurse understands that prolonged vomiting can cause
changes in the body’s acid-base balance because of the loss of
stomach contents. Which acid-base imbalance should the nurse
anticipate?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
B. Metabolic alkalosis
,Care of a Subclavian Triple-Lumen Catheter
A nurse is caring for a client with a subclavian triple-lumen catheter
used for administration of IV medications and fluids. The nurse
reviews catheter care practices to prevent complications such as
infection, air embolism, and catheter occlusion. The nurse
understands that special precautions are required when removing a
central venous catheter. Which action is most important for the nurse
to take?
A. Change the injection cap after the administration of IV medications.
B. Use a 5-mL syringe to flush the catheter between medications and
after use.
C. During removal of the catheter, have the patient perform the
Valsalva maneuver.
D. If resistance is met when flushing, use the push-pause technique
to dislodge the clot.
C. During removal of the catheter, have the patient perform the Valsalva
maneuver.
, Nursing Care for a Patient With Dehydration
A nurse is caring for a client who has signs of dehydration, including
dry mucous membranes, decreased urine output, and weakness. The
nurse understands that accurate monitoring of fluid balance is
essential to evaluate the severity of dehydration and the effectiveness
of treatment. Which nursing intervention is most appropriate for this
client?
A. Monitor skin turgor every shift.
B. Auscultate lung sounds every 2 hours.
C. Monitor daily weight and intake and output.
D. Encourage the patient to reduce sodium intake.
C. Monitor daily weight and intake and output.
You are caring for a patient receiving calcium carbonate for the
treatment of osteopenia. Which serum laboratory result would you
identify as an adverse effect related to this therapy?
A. Sodium falling to 138 mEq/L
B. Potassium rising to 4.1 mEq/L
C. Magnesium rising to 2.9 mg/dL
D. Phosphorus falling to 2.1 mg/dL
D. Phosphorus falling to 2.1 mg/dL
You are caring for a patient admitted with a diagnosis of chronic
obstructive pulmonary disease (COPD) who has the following arterial
blood gas results: pH 7.33, PaO2 47 mm Hg, PaCO2 60 mm Hg, HCO3
32 mEq/L, and O2 saturation of 92%. What is the correct interpretation
of these results?
