BSN 225 Hesi Practice Test 1
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.
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.
Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
, Move the chair parallel to the right side of the bed, and stand the client on the right
foot.
During shift change report, the nurse receives report that a client has abnormal heart
sounds. Which placement of the stethoscope should the nurse use to hear the client's
heart sounds?
Place the stethoscope bell at random points on the posterior chest.
Use the stethoscope bell over the valvular areas of the anterior chest.
Move the diaphragm of the stethoscope over the left anterior chest.
Position the diaphragm of the stethoscope at Erb's point on the chest.
Use the stethoscope bell over the valvular areas of the anterior chest.
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 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.
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.
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.
Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
, Move the chair parallel to the right side of the bed, and stand the client on the right
foot.
During shift change report, the nurse receives report that a client has abnormal heart
sounds. Which placement of the stethoscope should the nurse use to hear the client's
heart sounds?
Place the stethoscope bell at random points on the posterior chest.
Use the stethoscope bell over the valvular areas of the anterior chest.
Move the diaphragm of the stethoscope over the left anterior chest.
Position the diaphragm of the stethoscope at Erb's point on the chest.
Use the stethoscope bell over the valvular areas of the anterior chest.
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 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.
