BSN 246 Practice HESI (1 & 2)
Study online at https://quizlet.com/_bqdk5c
1. The registered nurse (RN) is caring 140 mg/dl.
for a young adult who is having an
oral glucose tolerance tests (OGTT). Rationale
Which laboratory result should the The two hour postprandial level should be less 140
RN assess as a normal value for the mg/dl for a young adult client.
two hour postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl.
2. The registered nurse (RN) is caring Polydipsia.
for a client who has a closed head
injury from a motor vehicle collision. Rationale
Which finding should the RN assess A characteristic finding of DI is excretion of large quan-
the client for the risk of diabetes in- tities of urine (5 to 20L/day), and most clients com-
sipidus (DI)? pensate for fluid loss by drinking large amounts of
water (polydipsia). DI can occur when there has been
High fever. damage or injury to the pituitary gland or hypothal-
Low blood pressure. amus as a result of head trauma, tumor or an illness
Muscle rigidity. such as meningitis. This damage interrupts the ADH
Polydipsia. production, storage and release causing the excessive
urination and thirst.
3. The registered nurse (RN) is caring Urine output of 40 mL/hour.
for a client who developed oliguria
and was diagnosed with sepsis and Rationale
dehydration 48 hours ago. Which A decrease in urinary output is a sign of dehydration.
assessment finding indicates to the When the urine output returns to a normal range, 40
RN that the client is stabilizing? mL/hour, the client's kidneys are perfusing adequately
and indicates the client's status is stablizing.
, BSN 246 Practice HESI (1 & 2)
Study online at https://quizlet.com/_bqdk5c
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure
76/42.
Urine specific gravity 1.001.
Tented skin on dorsal surface of
hands.
4. A client who is uses ipratropium Withhold medication and report symptoms and vital
reports having nausea, blurred vi- signs to healthcare provider.
sion, headaches, and insomnia af-
ter using the inhaler. Which action Rationale
should the registered nurse (RN) im- Headache, nausea, blurred vision and insomnia are
plement first? symptoms of excessive use of ipratropium, so with-
holding the medication until the healthcare provider is
Withhold medication and report notified should be initiated to maintain client safety.
symptoms and vital signs to health-
care provider.
Give PRN medication for nausea
and vomiting and evaluate client in
30 minutes.
Reassure client that the ipratropium
given will alleviate the symptoms.
Delay administration of ipratropium
until next maintenance medication
is scheduled.
5. The registered nurse (RN) is assess- Sphygmomanometer.
ing a client who was discharged
home after management of chron- Rationale
ic hypertension. Which equipment Self-awareness is the best way for a client to manage
, BSN 246 Practice HESI (1 & 2)
Study online at https://quizlet.com/_bqdk5c
should the RN instruct the client to chronic hypertension, so the client should obtain a
use at home? sphygmomanometer and learn how to monitor blood
Exercise bicycle. pressure daily and maintain a record.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
6. The registered nurse (RN) is teach- Promotes CO2 elimination.
ing a client who is newly diagnosed
with emphysema how to perform Rationale
pursed lip breathing. What is the pri- Pursed lip breathing helps eliminate CO2 by increas-
mary reason for teaching the client ing positive pressure within the alveoli increasing the
this method of breathing? surface area of the alveoli making it easier for the O2
Decreases respiratory rate. and CO2 gas exchange to occur .
Increases O2 saturation throughout
the body.
Conserves energy while ambulat-
ing.
Promotes CO2 elimination.
7. The registered nurse (RN) reviews Consumption of any alcohol or tyramine-rich foods
the new prescription, phenelzine
(Nardil), a monoamine oxidase in- Rationale
hibitor (MAOI), for a client on the The consumption of any type of tyramine containing
psychiatric unit with depression. foods such as aged cheeses, fermented fruits and
Which information is most impor- vegetables, smoked or cured meats, dark wines and
tant for the RN to assess? other alcoholic products should be avoided when a
Consumption of any alcohol or tyra- client is prescribed a MAOIs due to the a food-drug
mine-rich foods. interaction causing a hypertensive crisis which can lead
Complaints of nausea or vomiting. to a hemorrhagic stroke.
Therapeutic serum drug levels.
Study online at https://quizlet.com/_bqdk5c
1. The registered nurse (RN) is caring 140 mg/dl.
for a young adult who is having an
oral glucose tolerance tests (OGTT). Rationale
Which laboratory result should the The two hour postprandial level should be less 140
RN assess as a normal value for the mg/dl for a young adult client.
two hour postprandial result?
140 mg/dl.
160 mg/dl.
180 mg/dl.
200 mg/dl.
2. The registered nurse (RN) is caring Polydipsia.
for a client who has a closed head
injury from a motor vehicle collision. Rationale
Which finding should the RN assess A characteristic finding of DI is excretion of large quan-
the client for the risk of diabetes in- tities of urine (5 to 20L/day), and most clients com-
sipidus (DI)? pensate for fluid loss by drinking large amounts of
water (polydipsia). DI can occur when there has been
High fever. damage or injury to the pituitary gland or hypothal-
Low blood pressure. amus as a result of head trauma, tumor or an illness
Muscle rigidity. such as meningitis. This damage interrupts the ADH
Polydipsia. production, storage and release causing the excessive
urination and thirst.
3. The registered nurse (RN) is caring Urine output of 40 mL/hour.
for a client who developed oliguria
and was diagnosed with sepsis and Rationale
dehydration 48 hours ago. Which A decrease in urinary output is a sign of dehydration.
assessment finding indicates to the When the urine output returns to a normal range, 40
RN that the client is stabilizing? mL/hour, the client's kidneys are perfusing adequately
and indicates the client's status is stablizing.
, BSN 246 Practice HESI (1 & 2)
Study online at https://quizlet.com/_bqdk5c
Urine output of 40 mL/hour.
Apical pulse 100 and blood pressure
76/42.
Urine specific gravity 1.001.
Tented skin on dorsal surface of
hands.
4. A client who is uses ipratropium Withhold medication and report symptoms and vital
reports having nausea, blurred vi- signs to healthcare provider.
sion, headaches, and insomnia af-
ter using the inhaler. Which action Rationale
should the registered nurse (RN) im- Headache, nausea, blurred vision and insomnia are
plement first? symptoms of excessive use of ipratropium, so with-
holding the medication until the healthcare provider is
Withhold medication and report notified should be initiated to maintain client safety.
symptoms and vital signs to health-
care provider.
Give PRN medication for nausea
and vomiting and evaluate client in
30 minutes.
Reassure client that the ipratropium
given will alleviate the symptoms.
Delay administration of ipratropium
until next maintenance medication
is scheduled.
5. The registered nurse (RN) is assess- Sphygmomanometer.
ing a client who was discharged
home after management of chron- Rationale
ic hypertension. Which equipment Self-awareness is the best way for a client to manage
, BSN 246 Practice HESI (1 & 2)
Study online at https://quizlet.com/_bqdk5c
should the RN instruct the client to chronic hypertension, so the client should obtain a
use at home? sphygmomanometer and learn how to monitor blood
Exercise bicycle. pressure daily and maintain a record.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
6. The registered nurse (RN) is teach- Promotes CO2 elimination.
ing a client who is newly diagnosed
with emphysema how to perform Rationale
pursed lip breathing. What is the pri- Pursed lip breathing helps eliminate CO2 by increas-
mary reason for teaching the client ing positive pressure within the alveoli increasing the
this method of breathing? surface area of the alveoli making it easier for the O2
Decreases respiratory rate. and CO2 gas exchange to occur .
Increases O2 saturation throughout
the body.
Conserves energy while ambulat-
ing.
Promotes CO2 elimination.
7. The registered nurse (RN) reviews Consumption of any alcohol or tyramine-rich foods
the new prescription, phenelzine
(Nardil), a monoamine oxidase in- Rationale
hibitor (MAOI), for a client on the The consumption of any type of tyramine containing
psychiatric unit with depression. foods such as aged cheeses, fermented fruits and
Which information is most impor- vegetables, smoked or cured meats, dark wines and
tant for the RN to assess? other alcoholic products should be avoided when a
Consumption of any alcohol or tyra- client is prescribed a MAOIs due to the a food-drug
mine-rich foods. interaction causing a hypertensive crisis which can lead
Complaints of nausea or vomiting. to a hemorrhagic stroke.
Therapeutic serum drug levels.
