ACCURATE EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) NEWEST UPDATED VERSION |ALREADY
GRADED A+ (BRAND NEW!) BSN 225 HESI EXAM
Which action would the nurse abode when assisting an older adult w/
dysphagia to eat?
A. thick liquids
B. sitting the patient upright during meal time
C. giving large bites to stimulate swallow reflex
D. keeping the patient upright for a minimum of 45 minutes after eating
Answer- C. Giving large bites to stimulate swallow reflex
Rationale: Bites should be small to help avoid aspiration. Thickened
liquids are easy to swallow. Making the patient sit upright while eating
helps the nurse prevent aspiration. Keeping the patient upright for 45
to 60 minutes after eating helps in gastric emptying and prevents
aspiration.
Which action by the nurse demonstrates humility?
A. a willingness to try new ideas
B. admission of mistakes
C. upholding high standards of care
D. always taking the suggestions of others
,Answer- B. Admission of mistakes
Rationale: A nurse who can admit mistakes and is aware of their own
limitation reflects humility. A nurse who is willing to try new ideas is a
risk taker. A nurse always follows the highest standards for patient care
even in the face of adversity; this is integrity. Nurses must be open-
minded and listen to others' opinions but also must be able to think
independently before coming to a final conclusion.
Which action will the nurse take when a patient has come to see the
nurse with her draught and husband to talk about her terminal cancer
diagnosis?
A. talk to the patient's husband first.
B. convince the patient that she will be fine.
C. inform the patient about palliative care options.
D. tell the patient that she only has a couple of months left to live.
Answer- C. inform the patient about palliative care options
Rationale: the nurse would not give false reassurances when a patient
is seriously ill or distressed. This may block the conversation once the
patient reaches an understanding and also may do more harm than
good. Therefore, it is important to give the facts and assure the patient
that health care providers are there to help. Information about the
patient is confidential and should not be given to any other person
including the husband unless authorized by the patient. It is also
,incorrect to tell the patient that she will be fine or that she has only a
couple of months left w/o knowing the details of her problem.
Which statement describes Magnet status hospitals? Select all that
apply. One, some, or all responses may be correct.
A. Nurse are involved in evidence-based practice.
B. Nurses make all of the decisions on the clinical units
C. Nurses are rewarded for advancing their nursing practice.
D. Patient outcomes are notably high due to quality nursing care
E. Nurse turnover rates are low compared to other hospitals.
Answer- A. Nurse are involved in evidence-based practice.
C. Nurses are rewarded for advancing their nursing practice.
D. Patient outcomes are notably high due to quality nursing care
E. Nurse turnover rates are low compared to other hospitals.
Rationale: Magnet status is a designation given by the American Nurses
Credentialing Center for hospitals demonstrating nurse involvement in
evidence-based practice; rewards for advancement of nursing research,
certifications, skills, and degrees; excellent patient outcomes due to
nursing; and high job satisfaction and low turnover rates among nursing
staff. Nurses in Magnet hospitals work collaboratively with other health
care professionals to make decisions on clinical units; they do not make
all of the decisions
, Which assessment finding is consistent with hypovolemia?
A. A 1lb (0.5kg) weight loss in 1 week, pale-yellow urine
B. Engorged neck veins when upright, bradycardia
C. Dry mucous membranes, thread pulse, tachycardia
D. Bounding radial pulls, flat neck veins when supine
Answer- C. Dry mucous membranes, thread pulse, tachycardia.
Rationale: Hypovolemia (isotonic fluid volume deficit) is characterized
by dry mucous membranes, thread pulse, and tachycardia, among
other indicators. Weight loss of 1 lb. (0.5kg) in 1 week with pale-yellow
urine could indicate fat loss instead of fluid loss. Hypovolemia causes
dark-yellow urine rather than pale yellow. Engorged neck veins when
upright, bradycardia, bounding radial pulse, and flat neck veins when
supine are not clinical manifestations of fluid volume deficit.
The nurse identifies a patient w/ diabetes has been skipping the
prescribed hypoglycemic drugs and is noncompliant with the diet
schedule provided by the dietician. Which cues suggests peripheral
neuropathy in this patient?
A. thickened toenails
B. decreased temperature sensitivity
C. decreased hair growth on the feet
D. paleness of the skin on limb elevation