100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
BSN HESI 366 RN Exit Exam V2 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale $11.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. Nightingale College
  4.  
  5. BSN HESI 366 RN Exit (BSN366)

Exam (elaborations)

BSN HESI 366 RN Exit Exam V2 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale
 0 view  0 purchase

BSN HESI 366 RN Exit Exam V2 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale Q: A client with a traumatic brain injury becomes progressively less respon- sive to stimuli. The client has a "Do Not Resuscitate" prescription, and the nurse observes t...

[Show more]

Preview 4 out of 103  pages

Document information

  • November 19, 2024
  • 103
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nightingale hesi rn exit
  • a client with
  • nightingale bsn 366 hesi rn exit
  • nightingale bsn 366 rn exit
  • bsn hesi 366 rn exit exam v2 latest update quest
  • a pre school age child with a congenital heart def

Written for

All documents for this subject (5)

Seller

avatar-seller
nurse_steph

Reviews received

Content preview

BSNlHESIl366lRNlExitlExamlV2l(Latestl
Update)lQuestionslandlVerifiedlAnswers|
100%lCorrect|lGradelA-lNightingale

Q:lAlclientlwithlaltraumaticlbrainlinjurylbecomeslprogressivelyllesslrespon-
lsiveltolstimuli.lThelclientlhaslal"DolNotlResuscitate"lprescription,landlthelnurselobserveslthatlt
helunlicensedlassistivelpersonnell(UP)lhaslstoppedlturninglthelclientlfromlsideltolsidelaslprevio
uslylscheduled.lWhatlactionlshouldlthelnurseltake?
AlEncouragelthelUPltolprovidelcomfortlcarelmeasureslonly.
BlAssignlalpracticallnurseltolassistlthelUPlinlturninglthelclient.lClAdviselthelUPltolresumelposi
tioninglthelclientlonlschedule.
DlAssumeltotallcareloflthelclientltolmonitorlneurologiclfunction.

Answer:
lClAdviselthe
l
UPltolresumelpositioninglthelclientlonlschedule.
-
lThelDNRlprescriptionldoeslnotlmeanlthelclientlshouldlnotlreceivelroutinelcarelandlintervention
sltolmaintainltheirlcomfort.


Q:lWhichllaboratoryltestlresultlislmostlimportantlforlthelnurseltolreportltolthelsurgeonlpriorllo
lalclient'slscheduledlhernialrepair?
ReferencelRanges:
Bloodlglucosel[74ltol106lmg/dLl(4.1ltol5.9lmmol/L)]lSerumlcreatininel[0.5ltol1.1lmg/dLl(44lto
l97lµmol/L)]lPotassiuml[3.5ltol5.0lmEq/Ll(3.5ltol5.0lmmol/L)]lHemoglobinl(Hgb)l(12ltol16lg/
dLl(120ltol160lg/L)]
AlBloodlglucoselofl90lmg/dLl(5lmmol/L).
BlSerumlcreatininelofl5lmg/dl(442lµmol/L).lClPotassiumllevellofl4lmEq/Ll(4lmmol/L).
DlHemoglobinllevellofl13lg/dLl(130lg/L).

Answer:
lBlSerumlcreatininelofl5lmg/dl(442
µmol/L).
-
lAlserumlcreatininelofl5lmg/dllislindicativeloflseverelkidneylfailure,lwhichlcouldlpossiblylprom
ptlaldelayloflthelsurgery.

,Q:lThelnurselislprovidinglcareltolalclientlhavinglsurgeryltolrepairlalretinalldetachmentltolthell
eftleye.lWhichlinterventionlshouldlthelnurselimplementlduringlthelpostoperativelperiod?
AlProvidelanleyelshieldltolbelwornlwhilelsleeping.
BlEncourageldeeplbreathinglandlcoughinglexercises.lClTeachlalfamilylmemberltoladministerley
eldrops.
DlObtainlvitallsignsleveryl2lhourslduringlhospitalization.

Answer:
lAlProvidelanleyelshieldltolbelwornlwhilelsleeping.
-
lAfterlretinalldetachmentlsurgery,litlislcrucialltolprotectltheleyelandlthelsurgicallrepairlsitelfrom
laccidentalltraumalorlpressure.lProvidinglanleyelshieldlhelpsltolshieldltheleyelduringlsleeplwhe
nlthelclientlmaylnotlhavelconsciouslcontrolloverltheirlmovements.


Q:lWhenlteachinglalgrouploflschool-agedlchildrenlhowltolreducelthelrisklfor
Lymeldisease,lwhichlInstructionlshouldlthelcamplnurselinclude?lAlWearllonglsleeveslandlpants.
BlAvoidldrinkingllakelwater.lClWashlhandslfrequently.
DlDolnotlsharelpersonallproducts.

Answer:
lAlWearllonglsleeveslandlpants.
-
lLymeldiseaselisltransmittedlthroughlticklbites,landlsleeveslandlpantslcanlpreventlticklbites.Typi
callsymptomslincludelfever,lheadache,lfatigue,landlalcharacteristiclskinlrashlcalledlerythemalmi
grans.
l


Q:lThelnurseladministerslanlantibioticltolalclientlwithlalrespiratoryltractlinfection.lTolevaluate
lthelmedication'sleffectiveness,lwhichllaboratorylvalueslshouldlthelnurselmonitor?lSelectlallltha
tlapply.
AlWhitelbloodlcelll(WBC)lcount.lBlRedlbloodlcelll(RBC)lcount.
ClSputumlculturelandlsensitivity.lDlUrinalysis.
ElBloodlurealnitrogenl(BUN).
FlSerumlpotassium.

Answer:
lAlWhitelbloodlcelll(WBC)lcount.l-
lAlhighlWBClcountlcanlsignifylanlinfectionlorlinflammation.lIfltheltreatmentlisleffective,lthel
WBClcountlshouldlstartltolnormalizelaslthelinfectionlislcontrolled.
ClSputumlculturelandlsensitivity.l-
lThisltestlidentifieslthelspecificlbacterialcausinglthelrespiratoryltractlinfectionlandldetermineslw
hichlantibioticslareleffectivelagainstlit.lMonitoringlthelresultsloflsputumlculturelandlsensitivitylt

,estslcanlhelplevaluateliflthelprescribedlantibioticlisleffectivelagainstlthelidentifiedlpathogen.lAd
justmentsltolthelantibioticlregimenlmaylbelnecessarylbasedlonltheselresults.


Q:lThelnurselobserveslalpracticallnursel(PN)lpouringlwarmlwaterloverlthelperineallarealoflalf
emalelclientlwholhaslfrequentlurinarylincontinencelwhilelthelclientlislpositionedlonlalbedpan.l
Whichlactionlshouldlthelnurseltake?
AlSuggestlcontactinglthelhealthcarelproviderlforlalprescriptionlforlcatheterlinsertion.
BlRecommendlalcompletelbathltolcleanselthelperineallarealmorelfully.lClEvaluateltheleffective
nessloflthislmeasureltolstimulatelclientlvoiding.
DlInstructlthelPNlthatlthisltechniquelpromoteslinfectionlinlelderlylfemales.

Answer:
lClEvaluateltheleffectivenessloflthislmeasureltolstimulatelclientlvoiding.l-
lStimulationlmethodslcanlincludelpullinglonlthelpubiclhairs,lmassaginglthellowerlstomach,lorlth
elinnerlthighs.lProvidelthelpatientlwithlroutinelvoidinglmeasureslincludinglprivacy,lnormallvoid
inglpositions,lorlthelsoundloflrunninglwater.lAlsollightlyltappingloverlthelbladder.


Q:lAnlolderladultlclientlarrivesltolthelclinicldescribinglalnewlonsetloflurinarylincontinence.lW
hichlinterventionlshouldlthelnurselimplement?
AlProvidelprotectivelundergarmentslforlthelclient.
BlObtainlalclean,lvoidedlurinelspecimenlforlanalysis.
ClEvaluatelthelclient'slresponseltolbladderltraininglefforts.
DlEncouragelincreasedlfluidlintakelforl24lhours.

Answer:
lBlObtainlalclean,lvoidedlurinelspecimenlforlanalysis.
-lUrinalysislcanlhelplidentifylwhetherltherelislalurinaryltractlinfectionl(UTI),lhema-
lturia,lorlotherlabnormalitieslthatlmaylbelcontributingltolthelincontinence.
Thelotherloptionsldolnotladdresslthelunderlyinglcause.
l


Q:lThelnurse-managerlislinvolvedlinlagencylrestructuring.lDuringlthislre-en-
lgineeringlprocess,litlislmostlimportantlforlthelnurseltoladdresslwhichlemploy-leelconcern?
AlChangeslinljobldescriptions.
BlNewlmanagement'slexpectations.
ClPotentiallchangeslinlemployeelbenefits.
DlEmployeesljoblsecurity.

Answer:
lDlEmployeesljoblsecurity.l-
lAddressingljoblsecuritylcanlhelpltolalleviatelsomeloflthelstresslandluncertaintylthatlemployeesl
maylfeellduringlthelrestructuringlprocess.lBylensuringlthatlemployeeslfeellsecurelinltheirljobs,lt

, helnurse-
managerlcanlmaintainlmoralelandlproductivity,lwhichlarelcruciallforlalsuccessfulltransition


Q:lAlclientlisladmittedlwithltheldiagnosisloflWernicke'slsyndrome.lWhichlassessmentlfindingl
shouldlthelnurseluselinlplanninglthelclientslcare?
AlDepression.
BlPeripherallneuropathy.lClConfusion.
DlRightllowerlabdominallpain.

Answer:
lClConfusion.l-lWernicke'slsyndrome,lpartloflWernicke-
Korsakofflsyndrome,lislprimarilylcharacterizedlbylconfusionldueltolbrainldamage,lparticularlyli
nlthellowerlpartsloflthelbrainlsuchlaslthelthalamuslandlhypothalamus,lcausedlbylallackloflvitam
inlB1l(thiamine).lSymptomsloflWernickelencephalopathylincludelconfusionlandllossloflmentall
activitylthatlcanlprogressltolcomalandldeath.


Q:lAlpre-
schoollagelchildlwithlalcongenitallheartldefectlislbroughtltolthelcliniclbylthelparentlbecauselofla
lfeverlandlanlearache.lDuringlthelassessment,lthelparentlaskslthelnurselwhylthelchildlislatlthel5t
hlpercentilelforlweightlandlheightlforlage.lWhichlresponselIslbestlforlthelnurseltolprovide?
Al"Youlshouldlnotlworrylaboutlthelgrowthltables.lTheylarelonlylaverageslforlchildren."
Bl"Haven'tlyoulbeenlfeedinglaccordingltolrecommendedldailylallowanceslforlchildren?"
Cl"Doeslyourlchildlseemlmentallylslowerlthanlhislpeerslalso?"
Dl"Thelsmallerlsizelislprobablyldueltolthelheartldisease."

Answer:
lDl"Thelsmallerlsizelislprobablyldueltolthelheartldisease."
-lThislcanlbeldueltolseverallfactorslrelatedltoltheirlheartlcondition,lsuchlaslde-
lcreasedloxygenlandlnutrientldeliveryltoltissues,lincreasedlenergylexpenditure,landlpossiblylred
ucedlfoodlintakeldueltolincreasedlworkloflbreathinglorlfatigue.lProvidinglthelparentlwithlthislin
formationlhelpsltoladdressltheirlconcernlwithlalvalidlmedicallexplanation,lreassuringlthemlthatlt
helchild'slsmallerlsizelcanlbelalcommonlissuelrelatedltoltheirlheartlconditionlandlnotlnecessaril
ylindicativeloflinadequatelcare
l
orlotherlunrelatedlhealthlissues.lThislresponselislinformativelandlcompassionate,laimingltolallev
iatelthelparent'slworrieslbylexplaininglalpossiblelcauselforlthelchild'slgrowthlpattern.


Q:lAlclientlhaslalprescriptionlforlthelinsertionloflalnasogastricltubeltollowlintermittentlsuction
.lWhenlinsertinglthelnasogastricltube,lthelnurselobserveslanlimmediatelreturnlofl"coffee-
ground"ldrainage.lWhichlactionlshouldlthelnurselimplement?
AlImmediatelylremovelandlthenlreinsertlthelnasogastricltube.lBlConnectlthelnasogastricltubelto
lhighlcontinuouslsuction.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller nurse_steph. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75759 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart