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BSN 246 Hesi Review Exam – 25 Questions with Answers
BSN 246 Hesi Review Exam – 25 Questions with Answers
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BSN 246 Hesi Review Exam – 25Questions with Answers
The registered nurse (RN) recognizes which client group is at the greatest
risk for developing a urinary tract infection (UTI)? (Rank from highest risk to
lowest risk.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - -correct Answer:
1.Older females.
2.School-age female.
3.Older males.
4.Adolescent males.
Rationale
Hypoestrogenism and alkalotic urine are other age-related factors put older
women at the highest risk for UTIs. School age girls (6 to 12 years) are at risk
for UTIs due to a higher prevalence to taking baths instead of showers, but
these risks can be controlled in this population as well as hypoestrogenism
and alkalotic urine. Older men are at risk due to possible obstruction of the
bladder due to benign prostatic hypertrophy (BPH). Adolescent males (12 to
19 years) are the lowest at risk for a UTI.
All individuals regardless of gender and/or age are at risk if the following
conditions exist: vesicoureteral reflux, neuromuscular conditions, like
Parkinson's disease, previous brain attacks, or the use of anticholinergic
medications can all cause incomplete bladder emptying which can create
bacterial overgrowth. Fecal and urinary incontinence contributes to poor
perineal hygiene and bacterial growth.
-A male client is admitted after falling from his bed. The healthcare provider
(HCP) tells the family that he has an incomplete fracture of the humerus. The
family ask the RN what this means. Which type of fracture should the RN
explain from these findings?
-Straignt fracture line that is also a simple, closed fracture.
-Nondisplaced fracture line that wraps around the bone.
-A complete fracture that also punctures the skin.
-A fracture that bends or splinters part of the bone. - -A fracture that bends
or splinters part of the bone.
Rationale
An incomplete fracture occurs when part of the bone is splintered (broken)
and it has not gone completely through the thickness of the bone.
, -The registered nurse (RN) is assisting the healthcare provider (HCP) with
the removal of a chest tube. Which intervention has the highest priority and
should be anticipated by the RN after the removal of the chest tube?
-Prepare the client for chest x-ray at the bedside.
-Review arterial blood gases after removal.
-Elevate the head of bed to 45 degrees.
-Assist with disassembling the drainage system. - -Prepare the client for
chest x-ray at the bedside.
Rationale
A chest x-ray should be performed immediately after the removal of a chest
tube to ensure lung expansion has been maintained after its removal.
-The registered nurse (RN) did not note that a prescription dose was recently
changed and did not note the updated medication administration record
(MAR). After giving the client the original dose, the RN reports the
medication error to the nurse manager. What consequences will the RN
experience due to this error in medication administration?
-The incident will be reported to the state's Board of Nursing (BON).
-A medication error report will be completed and risk management will be
notified.
-The RN will be suspended from medication administration until the error is
investigated.
-The incident will be documented in the RN's personnel file. - -A medication
error report will be completed and risk management will be notified.
Rationale
By reviewing quality of care internally, steps of care can be evaluated and
staff can be educated where gaps are identified. The medication report and
notification of management is the responsibility of the RN who made the
mistake, so an internal review of the steps of the occurrence can be
completed to determine further risk potentials.
-A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use?
Select all that apply
-Face the client so the client can see the RN's mouth.
-Increase one's speech volume when interacting with the client.
-Repeat information to the client if misunderstood.
-Check if the client's hearing aides are working properly.
-Reduce environmental noise surrounding the client. - --Face the client so
the client can see the RN's mouth.
-Check if the client's hearing aides are working properly.
-Reduce environmental noise surrounding the client.
Rationale
A client with hearing loss can develop the ability to read "lips," so facing the
client during conversation allows visualization of the lips and directs the
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