Exam (elaborations)
BSN366 EXIT HESI QUESTIONS AND ANSWERS
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BSN366 EXIT HESI QUESTIONS AND ANSWERS
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BSN366 EXIT HESI QUESTIONS AND ANSWERSThe nurse is providing teaching to a client with type 2 DM about important points for
disease and symptom management. Which statement by the client indicates
understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses - answer- B) Get an
eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to informations about
prescribed medications and administration, which instruction should the nurse include in
the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - answer- C) Practice using muscle
relaxation techniques
The nurse is caring for a client who arrives to the ED with reports of experiencing
dizziness and difficulty walking to the bathroom. The nurse observes R-sided weakness
and sluggish enunciation of speech. The nurse should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV fibrinolytic
therapy. - answer- D) Start two large-bore IV catheters and review inclusion criteria for
IV fibrinolytic therapy
A male client with a brain tumor is scheduled for a biopsy in the morning. During the
admission procedure, the client has a tonic colonic seizure that last 50 seconds.
Following the seizure, the client is lethargic and confused, and his wife tells the nurse
that her husband has never had a seizure before and has always been alert and
communicative. Which action should the nurse take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures - answer- D) explain the
postical state that usually follows seizures
,A nurse is providing lifestyle change education for a client to slow the progression of
coronary artery disease. Which statement made by the client should the nurse
recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
E) Include oatmeal for breakfast.
F) Use a salt substitute - answer- B) Eat more canned vegetables.
C) Consume foods with saturated fats.
While caring for a toddler receiving oxygen via facemask, the nurse observes that the
child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips. - answer- A) use a water-soluble
lubricant on affected oral and nasal mucosa
When assessing a multigravida on the first postpartum day, the nurse finds a moderate
amount of lochia rubra, with the uterus firm, and three finger breaths above the
umbilicus. What action should the nurse implement first?
A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder. - answer- D) Check for a distended bladder
The nurse is caring for a client on the first day post-operative for a descending aortic
aneurysm repair. Which assessment finding should the nurse prioritize reporting to the
healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80 - answer- B) Electrocardiogram ST segment elevation
The charge nurse is planning for the shift and has a RN and a PN on the team. Which
client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
,D) An adolescent with multiple contusions due to a fall that occurred 2 days ago -
answer- C) A 30-year old depresses client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks. (For each
assessment finding, click to indicate whether the findings are associated with an infant
of a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - answer- Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1 mother,
who was diagnosed with gestational diabetes. Following a spontaneous vaginal birth,
she received Apgar scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a moderate
amount of subcutaneous fat. She is noted to be slightly jittery at 30min of age. Axillary
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin seven, fontanelles
soft, mongolian spot noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for _________ ,
_____________ , and _________________ - answer- Hyperbilirubinemia , Resppiratory
Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed breastmilk
via orogastric tube. If two feeding attempts failed to increase the glucose levels or if
, symptoms of hypoglycemia develop, apply dextrose gel inside the babies cheek. If the
above are ineffective, IV glucose should be administered to maintain glucose levels
above 45. Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose perfusion of
6 to 8mg/kg/min, maintain glycemic levels over 40.
The nurse on a pediatric unit observes a distraught mother in the hallway scolding her
three year old son for wedding his pants. What initial action should the nurse take?
A) Inform the mother that toilet training is slower for boys.
B) Refer the mother to a community parent education program.
C) Suggest that the mother consult a pediatric nephrologist.
D) Provide disposable training pants while calming the mother. - answer- D) Provide
disposable training pants while calming the mother.
NGN: the client is an 81-year-old female who is in the hospital for treatment of a blood
clot. She has a history of type two diabetes mellitus and takes Met Forman. She is
active at home and performs activities of daily living independently but has required
assistance from her son for the last couple of weeks due to weakness and fatigue.
(Complete the diagram by dragging from the choices to specify which condition the
client is most likely experiencing, to actions the nurse should take, and two parameters
the nurse should monitor.) - answer- ????
When is it most important for the nurse to assess a pregnant clients deep tendon
reflexes?
A) When the client has ankle edema.
B) During admission to labor and delivery.
C) If the client has an elevated blood pressure.
D) Within the first trimester of pregnancy. - answer- C) If the client has an elevated
blood pressure.
Situation indicates a need for the nurse to discuss the use of mitten restraints with the
healthcare provider?
A) The client is walking the halls at night rubbing his hands together.
B) A family member expresses concern about their relative picking at the NG tube.
C) A 16 year old boy swung his fist at the nurse.
D) A disoriented client removed the mesh wrapped IV for the second time. - answer- D)
A disoriented client removed the mesh wrapped IV for the second time.
Audio of lung sounds. The nurse is auscultating a client lung sounds which description
should the nurse use to document this sound?
A) High-pitched wheeze.
B) Low-pitched or coarse crackles.
C) Stridor.
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