HESI BSN 266 Herzing University -HESI EXAM
QUESTIONS WITH COMPLETE SOLUTIONS.
.A client arrives to the emergency department
reporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood.
Which intervention should the nurse
prioritize?
a. Move into airborne isolation
b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - ANSWER-a. Move into airborne isolation
.A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate. A
triple-lumen catheter for the continuous bladder
irrigation with normal saline is infused and the nurse observes dark-pink tinged outflow with blood clots
in the tubing collection bag.
Which action should the nurse take?
a. Monitoring catheter drainage (pic one says this)
b. irrigation the catheter manually.
,c. Decreasing the flow rate.
d. Discounting infusing solution. - ANSWER-a. Monitoring catheter drainage (pic one says this)
.A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - ANSWER-a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
.A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize as a contraindication
for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
, d. Type 2 diabetes mellitus - ANSWER-c. Crohn's disease with colectomy.
.A client presents to the emergency department reporting chest pain that is radiation to the left arm,
shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine - ANSWER-d. Morphine
.A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole number.) - ANSWER-167
mL
1000mL/6(hours) =166.6=167mL
.A client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client, the wound dehiscence's and eviscerates.
The nurse moistens an a available sterile dressing
and places over the wound.
Which intervention should the nurse implement
next?
a. Prepare the client to return to the operating room.
QUESTIONS WITH COMPLETE SOLUTIONS.
.A client arrives to the emergency department
reporting an intermittent fever
and night sweats for the past 3 weeks and has developed a productive cough
containing small amounts of blood.
Which intervention should the nurse
prioritize?
a. Move into airborne isolation
b. Collect specimens for
blood cultures.
c. Arrange transport for radiographic imaging.
d. Obtain a sputum sample - ANSWER-a. Move into airborne isolation
.A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate. A
triple-lumen catheter for the continuous bladder
irrigation with normal saline is infused and the nurse observes dark-pink tinged outflow with blood clots
in the tubing collection bag.
Which action should the nurse take?
a. Monitoring catheter drainage (pic one says this)
b. irrigation the catheter manually.
,c. Decreasing the flow rate.
d. Discounting infusing solution. - ANSWER-a. Monitoring catheter drainage (pic one says this)
.A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which finding
should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - ANSWER-a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
.A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize as a contraindication
for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
, d. Type 2 diabetes mellitus - ANSWER-c. Crohn's disease with colectomy.
.A client presents to the emergency department reporting chest pain that is radiation to the left arm,
shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine - ANSWER-d. Morphine
.A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours.
How many mL/hr should the nurse program the infusion pump to deliver?
(Enter numerical value only. If rounding is required, round to the nearest whole number.) - ANSWER-167
mL
1000mL/6(hours) =166.6=167mL
.A client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning the client, the wound dehiscence's and eviscerates.
The nurse moistens an a available sterile dressing
and places over the wound.
Which intervention should the nurse implement
next?
a. Prepare the client to return to the operating room.
