BSN 225 Hesi 140 Practice Test 1
with correct answers graded A+
Which snack food is best for the nurse to provide a client with myasthenia
gravis who is at risk for altered nutritional status?
Chocolate pudding.
Graham crackers.
Sugar free gelatin.
Apple slices.
Chocolate pudding.
°•`
What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
It is more difficult to find a superficial vein in the feet and ankles.
A decreased flow rate could result in the formation of a thrombosis.
A cannulated extremity is more difficult to move when the leg or foot is used.
,Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
A decreased flow rate could result in the formation of a thrombosis.
°•`
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. What instructions should the nurse give the
UAP?
Remain calm with the client and record abnormal results in the chart.
Notify the medication nurse immediately if the pulse or blood pressure is low.
Report the results of the vital signs to the nurse.
Reassure the client that the vital signs are normal.
Report the results of the vital signs to the nurse.
During the admission interview, which technique is most efficient for the
nurse to use when obtaining information about signs and symptoms of a
client's primary health problem?
Restatement of responses.
,Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
Closed-ended questions.
Which assessment data provides the most accurate determination of proper
placement of a nasogastric tube?
Aspirating gastric contents to assure a pH value of 4 or less.
Hearing air pass in the stomach after injecting air into the tubing.
Examining a chest x-ray obtained after the tubing was inserted.
Checking the remaining length of tubing to ensure that the correct length
was inserted.
Examining a chest x-ray obtained after the tubing was inserted.
°•`
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
, Nutritional history.
Leisure activities.
Financial stressors.
Nutritional history.
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though
(D) can be a source of anxiety, a nutritional history should be obtained first.
The unlicensed assistive personnel (UAP) working on a chronic neuro unit
asks the nurse to help determine the safest way to transfer an older client
with left-sided weakness from the bed to the chair. Which method describes
the correct transfer procedure for this client?
Place the chair at a right angle to the bed on the client's left side before
moving.
Assist the client to a standing position, then place the right hand on the
armrest.
Have the client place the left foot next to the chair and pivot to the left
before sitting.
with correct answers graded A+
Which snack food is best for the nurse to provide a client with myasthenia
gravis who is at risk for altered nutritional status?
Chocolate pudding.
Graham crackers.
Sugar free gelatin.
Apple slices.
Chocolate pudding.
°•`
What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
It is more difficult to find a superficial vein in the feet and ankles.
A decreased flow rate could result in the formation of a thrombosis.
A cannulated extremity is more difficult to move when the leg or foot is used.
,Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
A decreased flow rate could result in the formation of a thrombosis.
°•`
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. What instructions should the nurse give the
UAP?
Remain calm with the client and record abnormal results in the chart.
Notify the medication nurse immediately if the pulse or blood pressure is low.
Report the results of the vital signs to the nurse.
Reassure the client that the vital signs are normal.
Report the results of the vital signs to the nurse.
During the admission interview, which technique is most efficient for the
nurse to use when obtaining information about signs and symptoms of a
client's primary health problem?
Restatement of responses.
,Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
Closed-ended questions.
Which assessment data provides the most accurate determination of proper
placement of a nasogastric tube?
Aspirating gastric contents to assure a pH value of 4 or less.
Hearing air pass in the stomach after injecting air into the tubing.
Examining a chest x-ray obtained after the tubing was inserted.
Checking the remaining length of tubing to ensure that the correct length
was inserted.
Examining a chest x-ray obtained after the tubing was inserted.
°•`
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
, Nutritional history.
Leisure activities.
Financial stressors.
Nutritional history.
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though
(D) can be a source of anxiety, a nutritional history should be obtained first.
The unlicensed assistive personnel (UAP) working on a chronic neuro unit
asks the nurse to help determine the safest way to transfer an older client
with left-sided weakness from the bed to the chair. Which method describes
the correct transfer procedure for this client?
Place the chair at a right angle to the bed on the client's left side before
moving.
Assist the client to a standing position, then place the right hand on the
armrest.
Have the client place the left foot next to the chair and pivot to the left
before sitting.
