BSN 366 Exit HESI (Spring 2025) |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
The nurse is planning discharge instructions for a client with type
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2 diabetes who will be starting Exenatide. Which information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be included in the discharge instructions?
|\ |\ |\ |\ |\ |\
A. Exenatide acts in the same way as insulin in lowering blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
glucose.
B. Inject exenatide within 30 minutes before or after a meal.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. There are no precautions when taking Exenatide with other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications.
D. Notify your healthcare provider if you start having abdominal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain. - CORRECT ANSWERS ✔✔D. Notify your healthcare provider
|\ |\ |\ |\ |\ |\ |\ |\ |\
if you start having abdominal pain.
|\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\ |\
1. Click to highlight the aspects of the assessment that require
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urgent attention: |\
The client's pain is 2/10. The client requests sleeping medication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for the night. She states she has horrible thoughts and memories
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about the house collapsing all the time, and that it is keeping
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,her from falling asleep. She states "I used to be so happy before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
all of this happened. Now I can;t seem to get out of this funk I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
am in." The client would also prefer to be in a quieter area of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit as she is currently by the nurses station and hears talking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and alarms constantly. - CORRECT ANSWERS ✔✔-She states she
|\ |\ |\ |\ |\ |\ |\ |\ |\
has horrible thoughts and memories about the house collapsing
|\ |\ |\ |\ |\ |\ |\ |\ |\
all the time.
|\ |\
- it is keeping her from falling asleep.
|\ |\ |\ |\ |\ |\ |\
-prefers to be in a quieter area of the unit. |\ |\ |\ |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
2. Drag from the options to complete the sentence:
|\ |\ |\ |\ |\ |\ |\ |\
After listening to the clients symptoms, the nurse realizes that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she likely has______________ related to _______________ - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Acute Stress Disorder, Traumatic Stress exposure |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
3. Click to specify which client statement of behaviors is most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
likely associated with each of the listed defense mechanism.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Some statements or behaviors may be consistent with more than
|\ |\ |\ |\ |\ |\ |\ |\ |\
,one mechanism. Each column must have at least one but may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have more than one answer selected. - CORRECT ANSWERS ✔✔
|\ |\ |\ |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous
|\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
4. What nursing reviews the physicians orders for Clonazepam
|\ |\ |\ |\ |\ |\ |\ |\ |\
and gives the medication as ordered. (SATA)
|\ |\ |\ |\ |\ |\
a. monitor calcium levels
|\ |\ |\
b. assist the client to the bathroom
|\ |\ |\ |\ |\ |\
c. screen for orthostatic hypotension
|\ |\ |\ |\
d. assess mental status regularly
|\ |\ |\ |\
e. provide oral care at least twice a day
|\ |\ |\ |\ |\ |\ |\ |\
f. have an opioid agonist at the bedside - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔b. assist the client to the bathroom
|\ |\ |\ |\ |\ |\
d. assess mental status regularly
|\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous
|\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
5. What other treatment might be helpful for this client? SATA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, a. animal therapy
|\ |\
b. administration of lithium
|\ |\ |\
c. consciousness-raising
|\
d. phototherapy
|\
e. electroconvulsive therapy
|\ |\
f. cognitive behavioral therapy - CORRECT ANSWERS ✔✔a. animal
|\ |\ |\ |\ |\ |\ |\ |\
therapy
|\
c. consciousness-raising
|\
f. cognitive behavioral therapy
|\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
6. For each client statement, click to highlight the statement(s)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
below that require follow up teaching by the nurse.
|\ |\ |\ |\ |\ |\ |\ |\
a. "this diagnosis means that I am crazy"
|\ |\ |\ |\ |\ |\ |\
b. " I can learn to manage my thoughts better through therapy"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. "I can use holistic approaches like medication to help my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptoms"
d. "Many people have the same response to a stressful situation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as I am having right"
|\ |\ |\ |\
e. "I am at high risk for post-traumatic-stress disorder because I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have acute stress disorder" |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
The nurse is planning discharge instructions for a client with type
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2 diabetes who will be starting Exenatide. Which information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be included in the discharge instructions?
|\ |\ |\ |\ |\ |\
A. Exenatide acts in the same way as insulin in lowering blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
glucose.
B. Inject exenatide within 30 minutes before or after a meal.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. There are no precautions when taking Exenatide with other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications.
D. Notify your healthcare provider if you start having abdominal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain. - CORRECT ANSWERS ✔✔D. Notify your healthcare provider
|\ |\ |\ |\ |\ |\ |\ |\ |\
if you start having abdominal pain.
|\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\ |\
1. Click to highlight the aspects of the assessment that require
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urgent attention: |\
The client's pain is 2/10. The client requests sleeping medication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for the night. She states she has horrible thoughts and memories
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about the house collapsing all the time, and that it is keeping
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,her from falling asleep. She states "I used to be so happy before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
all of this happened. Now I can;t seem to get out of this funk I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
am in." The client would also prefer to be in a quieter area of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit as she is currently by the nurses station and hears talking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and alarms constantly. - CORRECT ANSWERS ✔✔-She states she
|\ |\ |\ |\ |\ |\ |\ |\ |\
has horrible thoughts and memories about the house collapsing
|\ |\ |\ |\ |\ |\ |\ |\ |\
all the time.
|\ |\
- it is keeping her from falling asleep.
|\ |\ |\ |\ |\ |\ |\
-prefers to be in a quieter area of the unit. |\ |\ |\ |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
2. Drag from the options to complete the sentence:
|\ |\ |\ |\ |\ |\ |\ |\
After listening to the clients symptoms, the nurse realizes that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she likely has______________ related to _______________ - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Acute Stress Disorder, Traumatic Stress exposure |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
3. Click to specify which client statement of behaviors is most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
likely associated with each of the listed defense mechanism.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Some statements or behaviors may be consistent with more than
|\ |\ |\ |\ |\ |\ |\ |\ |\
,one mechanism. Each column must have at least one but may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have more than one answer selected. - CORRECT ANSWERS ✔✔
|\ |\ |\ |\ |\ |\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous
|\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
4. What nursing reviews the physicians orders for Clonazepam
|\ |\ |\ |\ |\ |\ |\ |\ |\
and gives the medication as ordered. (SATA)
|\ |\ |\ |\ |\ |\
a. monitor calcium levels
|\ |\ |\
b. assist the client to the bathroom
|\ |\ |\ |\ |\ |\
c. screen for orthostatic hypotension
|\ |\ |\ |\
d. assess mental status regularly
|\ |\ |\ |\
e. provide oral care at least twice a day
|\ |\ |\ |\ |\ |\ |\ |\
f. have an opioid agonist at the bedside - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔b. assist the client to the bathroom
|\ |\ |\ |\ |\ |\
d. assess mental status regularly
|\ |\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous
|\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
5. What other treatment might be helpful for this client? SATA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, a. animal therapy
|\ |\
b. administration of lithium
|\ |\ |\
c. consciousness-raising
|\
d. phototherapy
|\
e. electroconvulsive therapy
|\ |\
f. cognitive behavioral therapy - CORRECT ANSWERS ✔✔a. animal
|\ |\ |\ |\ |\ |\ |\ |\
therapy
|\
c. consciousness-raising
|\
f. cognitive behavioral therapy
|\ |\ |\
Case Study: The client is in the hospital after her house collapsed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during a hurricane. She has been in the intensive care unit for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks and moved today to the surgical floor to continue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitoring her respiratory function and to complete intravenous |\ |\ |\ |\ |\ |\ |\ |\
antibiotic administration. |\
6. For each client statement, click to highlight the statement(s)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
below that require follow up teaching by the nurse.
|\ |\ |\ |\ |\ |\ |\ |\
a. "this diagnosis means that I am crazy"
|\ |\ |\ |\ |\ |\ |\
b. " I can learn to manage my thoughts better through therapy"
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. "I can use holistic approaches like medication to help my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptoms"
d. "Many people have the same response to a stressful situation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as I am having right"
|\ |\ |\ |\
e. "I am at high risk for post-traumatic-stress disorder because I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have acute stress disorder" |\ |\ |\
