BSN 246 HESI EXAM VERSIONS 1 & 2
EACH EXAM CONTAINS 50 QUESTIONS
WITH 100% CORRECT ANSWERS WITH
RATIONALES/ BSN 246 HESI LATEST
EXAM 2024-2025 (NEW!)
BSN 246 HESI EXAM 1
The registered nurse (RN) places an ice pack on a middle school student who
comes to the school clinic complaining of a sprained ankle. Which therapeutic
response should the RN anticipate?
Reduced pain and minimized bruising.
Lowering of body core temperature.
Increased circulation around injury.
Reabsorption of edema at injury.
Reduced pain and minimized bruising.
Rationale
Cold applications produce a topical anesthetic effect to reduce pain as well as
constricts blood vessels to minimize bruising.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is
taking a combination drug regimen. The client complains about taking "so
many pills." What information should the RN provide to the client about the
prescribed treatement?
The development of resistant strains of TB are decreased with a combination of
drugs.
Compliance to the medication regimen is challenging but should be maintained.
Side effects are minimized with the use of a single medication but is less effective.
pg. 1
,The treatment time is decreased from 6 months to 3 months with this standard
regimen.
The development of resistant strains of TB are decreased with a combination of
drugs.
Rationale
Combination therapy is necessary to decrease the development of resistant
strains of TB and ensure treatment efficacy.
The registered nurse (RN) is caring for a client who has taken atenolol for 2
years. The healthcare provider recently changed the medication to enalaprilto
manage the client's blood pressure. Which instruction should the RN provide
the client regarding the new medication?
Take the medication at bedtime.
Report presence of increased bruising.
Check pulse before taking medication.
Rise slowly when getting out of bed or chair.
Rise slowly when getting out of bed or chair.
Rationale
The client's new medication is an angiotensin-converting enzyme (ACE)
inhibitor, which has the side effect oforthostatic hypotension. Instructing the
client to rise slowly from a sitting or lying down position is important to teach
the client to avoid dizziness and potentially falling.
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary reason
for teaching the client this method of breathing?
Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination.
Promotes CO2 elimination.
pg. 2
,Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure
within the alveoli increasing the surface area of the alveoli making it easier for
the O2 and CO2 gas exchange to occur .
The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with
diminished peripheral circulation? (Select all that apply.)
Diminished hair on legs
Bruising on extremities
Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities
Diminished hair on legs
Skin cool to touch
Capillary refill less than 3 seconds
Rationale
Diminished hair on the legs and skin that is cool to touch are symptoms of
decreased arterial blood flow. The other options are not indicators for
impaired peripheral circulation.
The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which assessment findings should the RN document that are consistent
with diminished peripheral circulation? (Select all that apply.)
Diminished hair on legs.
Bruising on extremities.
Skin cool to touch.
Capillary refill less than 3 seconds.
Darkened skin on extremities.
Skin cool to touch.
pg. 3
, Capillary refill less than 3 seconds.
Rationale
Diminished hair on the legs and skin that is cool to touch are expectant signs
of decreased arterial blood flow.
The registered nurse (RN) is caring for a client who has a closed head injury
from a motor vehicle collision. Which finding should the RN assess the client
for the risk of diabetes insipidus (DI)?
High fever.
Low blood pressure.
Muscle rigidity.
Polydipsia.
Polydipsia.
Rationale
A characteristic finding of DI is excretion of large quantities of urine (5 to
20L/day), and most clients compensate for fluid loss by drinking large
amounts of water (polydipsia). DI can occur when there has been damage or
injury to the pituitary gland or hypothalamus as a result of head trauma,
tumor or an illness such as meningitis. This damage interrupts the ADH
production, storage and release causing the excessive urination and thirst.
The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess
when preparing the client for discharge? (Select all that apply.)
Native language.
Education level.
Type of lifestyle.
Financial resources.
Previous medical history.
Native language.
Education level.
pg. 4
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