LATEST BSN 215 - HESI REMEDIATION -
MUSCULOSKELETAL SYSTEM/ HEPATITIS 2024-2025
100+ QUESTIONS WITH CORRECT/ VERIFIED
ANSWERS GRADED A+/A
Case Study: Client is a college student who moved to the United States to attend college. She lives in an
apartment complex with two other friends. She has come to the health clinic with feelings of fatigue
that have been present for a while. She has immediate family in Mexico and makes a scheduled visit to
see them each summer. She noticed anorexia recently. Best as she can remember, these symptoms
began about a month after her return from her summer trip. At first, she attributed her symptoms to
the bug she had while she was gone and the long hours she worked at a missionary site, but despite all
her measures, the symptoms have persisted.
What additional information would be helpful to the nurse as related to client's presentation?
A. Have the client to explain her mission work.
B. Interview the client for a history of anemia.
C. Ask the client is she has any underlying chronic illnesses.
D. Obtain the client's f
A. Have the client to explain her mission work.
RATIONAL:
The social conditions in foreign countries can help to focus other areas of assessment.
INCORRECT:
B. Interview the client for a history of anemia.
,- This is a yes or no response and does not allow for collection additional information.
C. Ask the client is she has any underlying chronic illnesses.
- This question will provide limited information to assist with narrowing client’s symptoms.
D. Obtain the client's family history.
- This statement will not help to narrow down client's specific symptoms.
After a more thorough history and assessment, the healthcare provider (HCP) notes that client reports
being a little bit sore under her right rib cage. Based on this information, the nurse anticipates which
priority lab test?
A. CXR.
B. ALT, AST.
C. Serum electrolytes.
D. Complete blood count (CBC).
B. ALT, AST.
RATIONAL:
An enlarged liver can produce soreness/tenderness under the right rib cage area.
INCORRECT:
A. CXR.
- Although client is complaining of pain in the rib cage, CXR is not appropriate at this time.
C. Serum electrolytes.
- Although electrolytes might be important, they are not as helpful based on client’s symptoms.
,D. Complete blood count (CBC).
- Although a complete blood count (CBC) may be helpful, this lab is not a priority based on client's
symptoms.
Client's lab results reveal an elevated liver enzymes. The healthcare provider (HCP) sends blood for
hepatitis screening. The results indicate that client has hepatitis. Based on her history, which type of
hepatitis does the nurse suspect?
A. Hepatitis C.
Hepatitis C is transmitted percutaneously. Client has no history to support this.
B. Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking water, poor sanitary
conditions, improper handling of food, poor hygiene and crowded conditions. Spending time at a
missionary site and being from a low socioeconomic area places client at high risk.
Missouri. Elsevier. Pg. 976.
C. Hepatitis D.
Hepatitis D is transmitted percutaneously. Client has no history to support this.
D. Hepatitis B.
Hepatitis B is transmitted perinatally by infected mothers, percutaneously, or horizontally by mucosal
exposure to infectious blood or blood products, or
B. Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking water, poor sanitary
conditions, improper handling of food, poor hygiene and crowded conditions. Spending time at a
missionary site and being from a low socioeconomic area places client at high risk.
, When client receives the diagnosis, she is upset and asks, "I am scared, does this mean I am dying?"
What is the best response by the nurse?
A. Express to the client that you would feel that way too if it were you.
This is a non-therapeutic response, and does not address the client's concern.
B. Ask the client why she would think something like that.
This is a non-therapeutic response and ask that the patient describe feelings that she may be unable to
do at this time.
C. See if the client would like her roommate contacted.
This response is non-therapeutic and cuts off communication.
D. Tell the client that she must feel scared and afraid and allow her to express her feelings.
This reflects the client's feelings and encourages more exploration of concerns.
D. Tell the client that she must feel scared and afraid and allow her to express her feelings.
This reflects the client’s feelings and encourages more exploration of concerns.
The HCP prescribes sodium chloride 0.9% for hydration. The nurse sets up a 1000 mL bag of sodium
chloride 0.9% to administer the prescribed dose of 100 mL/hr per IV. The IV tubing has a drop factor
(gtt) of 12 drops (gtts)/mL/min. The IV should infuse at how many drops per minute? (Enter the
numerical value only. If rounding is required, round to the whole number.)
20
Using the formula: Volume/Time in minutes x the drop factor (gtt/mL) = X (gtts/min) 100 mL/60 x 12 =
20 gtts/minute
MUSCULOSKELETAL SYSTEM/ HEPATITIS 2024-2025
100+ QUESTIONS WITH CORRECT/ VERIFIED
ANSWERS GRADED A+/A
Case Study: Client is a college student who moved to the United States to attend college. She lives in an
apartment complex with two other friends. She has come to the health clinic with feelings of fatigue
that have been present for a while. She has immediate family in Mexico and makes a scheduled visit to
see them each summer. She noticed anorexia recently. Best as she can remember, these symptoms
began about a month after her return from her summer trip. At first, she attributed her symptoms to
the bug she had while she was gone and the long hours she worked at a missionary site, but despite all
her measures, the symptoms have persisted.
What additional information would be helpful to the nurse as related to client's presentation?
A. Have the client to explain her mission work.
B. Interview the client for a history of anemia.
C. Ask the client is she has any underlying chronic illnesses.
D. Obtain the client's f
A. Have the client to explain her mission work.
RATIONAL:
The social conditions in foreign countries can help to focus other areas of assessment.
INCORRECT:
B. Interview the client for a history of anemia.
,- This is a yes or no response and does not allow for collection additional information.
C. Ask the client is she has any underlying chronic illnesses.
- This question will provide limited information to assist with narrowing client’s symptoms.
D. Obtain the client's family history.
- This statement will not help to narrow down client's specific symptoms.
After a more thorough history and assessment, the healthcare provider (HCP) notes that client reports
being a little bit sore under her right rib cage. Based on this information, the nurse anticipates which
priority lab test?
A. CXR.
B. ALT, AST.
C. Serum electrolytes.
D. Complete blood count (CBC).
B. ALT, AST.
RATIONAL:
An enlarged liver can produce soreness/tenderness under the right rib cage area.
INCORRECT:
A. CXR.
- Although client is complaining of pain in the rib cage, CXR is not appropriate at this time.
C. Serum electrolytes.
- Although electrolytes might be important, they are not as helpful based on client’s symptoms.
,D. Complete blood count (CBC).
- Although a complete blood count (CBC) may be helpful, this lab is not a priority based on client's
symptoms.
Client's lab results reveal an elevated liver enzymes. The healthcare provider (HCP) sends blood for
hepatitis screening. The results indicate that client has hepatitis. Based on her history, which type of
hepatitis does the nurse suspect?
A. Hepatitis C.
Hepatitis C is transmitted percutaneously. Client has no history to support this.
B. Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking water, poor sanitary
conditions, improper handling of food, poor hygiene and crowded conditions. Spending time at a
missionary site and being from a low socioeconomic area places client at high risk.
Missouri. Elsevier. Pg. 976.
C. Hepatitis D.
Hepatitis D is transmitted percutaneously. Client has no history to support this.
D. Hepatitis B.
Hepatitis B is transmitted perinatally by infected mothers, percutaneously, or horizontally by mucosal
exposure to infectious blood or blood products, or
B. Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking water, poor sanitary
conditions, improper handling of food, poor hygiene and crowded conditions. Spending time at a
missionary site and being from a low socioeconomic area places client at high risk.
, When client receives the diagnosis, she is upset and asks, "I am scared, does this mean I am dying?"
What is the best response by the nurse?
A. Express to the client that you would feel that way too if it were you.
This is a non-therapeutic response, and does not address the client's concern.
B. Ask the client why she would think something like that.
This is a non-therapeutic response and ask that the patient describe feelings that she may be unable to
do at this time.
C. See if the client would like her roommate contacted.
This response is non-therapeutic and cuts off communication.
D. Tell the client that she must feel scared and afraid and allow her to express her feelings.
This reflects the client's feelings and encourages more exploration of concerns.
D. Tell the client that she must feel scared and afraid and allow her to express her feelings.
This reflects the client’s feelings and encourages more exploration of concerns.
The HCP prescribes sodium chloride 0.9% for hydration. The nurse sets up a 1000 mL bag of sodium
chloride 0.9% to administer the prescribed dose of 100 mL/hr per IV. The IV tubing has a drop factor
(gtt) of 12 drops (gtts)/mL/min. The IV should infuse at how many drops per minute? (Enter the
numerical value only. If rounding is required, round to the whole number.)
20
Using the formula: Volume/Time in minutes x the drop factor (gtt/mL) = X (gtts/min) 100 mL/60 x 12 =
20 gtts/minute
