BSN 366 HESI RN Exit 2025 Assessment Test Bank |
100% Verified Answers | Exam Success
The nurse is performing preoperative care of a client for an open reduction and internal
fixation (ORIF) of a fractured right tibia before the procedure, which action should the nurse
prioritize? - Verify clients signed consent.
A client receives a prescription for acetaminophen 1,000 mg by mouth every 8 hours as
needed for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per
15 mL." How many tablespoons should the nurse instruct the client to take with each dose?
(Enter numerical value only.) - 2
the nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to
discharge. which behaviors indicate the client understands how to maintain balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - a. brings a heavy can close to body
before lifting
c. widens stance while working near the sink
The RN is assigned to care for four surgical clients. After receiving the report, which client
should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder irrigation infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain medication.
c. Three days postoperative colon resection receiving a transfusion of packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the next 12
hours - c. Three days postoperative colon resection receiving a transfusion of packed
RBCs. .
,A client is receiving a continuous infusion of the anticoagulant, heparin, for treatment of a
deep vein thrombosis of the right calf. Which goal should the nurse include in this client's plan
of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right calf will
decrease. - a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a client's risk
for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the nurse implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
c. The client's need for pain medication should be determined
d. The nurse manager should be updated on the client's status - c. The client's need for
pain medication should be determined
Which information is more important for the nurse to obtain when determining a client's risk
for (OSAS)?
a. Body mass index
b. Level of consciousness
, c. Self-description of pain
d. Breath sounds - Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the
virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which
action is the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19
test results.
d. Move the client to a private room, keep the door closed, and initiate droplet precautions. -
d. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
The nurse is preparing an adult with Addison's disease for self-management. Which
information should the nurse include in the client's instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - a. events requiring steroid dose adjustments
The family of an older adult client who received a lung transplant asks if the 2-year-old
grandchild can visit. Which response should the nurse offer?
a. "Yes, grandchildren offer emotional support and positive diversion."
b. "No, protective precautions are required after a lung transplant."
c. "No, small children are often carriers of infectious organisms."
100% Verified Answers | Exam Success
The nurse is performing preoperative care of a client for an open reduction and internal
fixation (ORIF) of a fractured right tibia before the procedure, which action should the nurse
prioritize? - Verify clients signed consent.
A client receives a prescription for acetaminophen 1,000 mg by mouth every 8 hours as
needed for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per
15 mL." How many tablespoons should the nurse instruct the client to take with each dose?
(Enter numerical value only.) - 2
the nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to
discharge. which behaviors indicate the client understands how to maintain balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf - a. brings a heavy can close to body
before lifting
c. widens stance while working near the sink
The RN is assigned to care for four surgical clients. After receiving the report, which client
should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder irrigation infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain medication.
c. Three days postoperative colon resection receiving a transfusion of packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the next 12
hours - c. Three days postoperative colon resection receiving a transfusion of packed
RBCs. .
,A client is receiving a continuous infusion of the anticoagulant, heparin, for treatment of a
deep vein thrombosis of the right calf. Which goal should the nurse include in this client's plan
of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve. d. The circumference of the client's right calf will
decrease. - a. No further thrombus will form.
Which information is more important for the nurse to obtain when determining a client's risk
for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds - a. Body mass index
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the nurse implement?
a. The impending signs of death should be documented
b. The client's status should be conveyed to the chaplain
c. The client's need for pain medication should be determined
d. The nurse manager should be updated on the client's status - c. The client's need for
pain medication should be determined
Which information is more important for the nurse to obtain when determining a client's risk
for (OSAS)?
a. Body mass index
b. Level of consciousness
, c. Self-description of pain
d. Breath sounds - Body mass index.
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the
virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which
action is the most important for the nurse to take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
b. Assist the client to recall everyone possibly exposed since onset of symptoms
c. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19
test results.
d. Move the client to a private room, keep the door closed, and initiate droplet precautions. -
d. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
The nurse is preparing an adult with Addison's disease for self-management. Which
information should the nurse include in the client's instructions?
a. events requiring steroid dose adjustments
b. need to check temperature daily
c. importance of recording daily weights
d. adherence to a high fiber, low fat diet - a. events requiring steroid dose adjustments
The family of an older adult client who received a lung transplant asks if the 2-year-old
grandchild can visit. Which response should the nurse offer?
a. "Yes, grandchildren offer emotional support and positive diversion."
b. "No, protective precautions are required after a lung transplant."
c. "No, small children are often carriers of infectious organisms."
