BSN 266 HESI V2 EXAM STUDY QUETSIONS AND ANSWERS 2024
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BSN 266 HESI V2
Institution
BSN 266 HESI V2
Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. -Answer- While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding...
BSN 266 HESI V2 EXAM STUDY
QUETSIONS AND ANSWERS 2024
Neutrophil count- The patient is experiencing infection, so a nurse should review the
neutrophil count before contacting the HCP. -Answer- ✔While caring for a client with full
thickness burns covering 40% of the body, the nurse observes purulent drainage from
the wounds. Before reporting the finding, what is the best lab value to evaluate?
Demonstrate the use of visual scanning during meals to the client and family. -Answer-
✔An older woman who experienced a cerebrovascular accident (CVA) has difficulty with
visual perception and she only eats half of the food on her meal tray. Her family
expresses concern about her nutritional status. How should the nurse respond to the
family's concern?
High Fowler's Position- High fowlers helps to decrease venous return, which decreases
fluid volume in the heart that results in decreased cardiac workload. -Answer- ✔Best
position for respiratory distress?
High risk for injury -Answer- ✔A patient with peripheral artery disease has marked
peripheral neuropath. An appropriate nursing diagnosis for the patient is
Check feet every day for cuts or injuries. -Answer- ✔Type 2 diabetes patient discharge
teaching patient and family
Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count -Answer- ✔Plan of care for patient with skin lesions of
lower extremities with possible MRSA. SATA
Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis. -
Answer- ✔A patient with acute anterior wall MI 1 week ago is given low-dose aspirin.
The medication is related to which problem and HCP should be notified?
Elevated blood urea nitrogen (BUN) -Answer- ✔For a patient with SLE exacerbation
what is the most important to report which assessment finding?
Rate of pain on a scale from 0-10. -Answer- ✔Before selecting a medication to
administer, which action should the nurse implement in the post-op patient who reports
incisional pain and has 2 PRN analgesia available in MAR?
Keep patient NPO- Patient should be kept NPO until procedure is successfully
completed. The patient should not take anything by mouth. -Answer- ✔Patient had
bariatric surgery 2 months ago who developed post-op strictures who is experiencing
BSN 266 HESI V2
, BSN 266 HESI V2
nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which
intervention should the nurse implement?
Vital sign changes and ECGs- Priority parameters are vital sign changes related to
hypovolemia and ECG changes due to serum electrolyte loss, which can be life
threatening. -Answer- ✔Acute Kidney Injury due to aminoglycoside antibiotic moved
from oliguric phase to the diuretic phase. Which parameters are most important to
monitor?
Nuts, chocolate, dark greens, and spinach. -Answer- ✔Patient has a calcium oxalate
renal stone. Which food are you going to teach the patient to avoid?
Pancreatitis- complications include pancreatitis that may manifest with upper left
quadrant or mid-epigastric pain which radiates to the back and accompanied by nausea,
vomiting, and fever. -Answer- ✔A patient had a cholecystectomy 2 days ago, the patient
is febrile, abdominal pain radiating to the back and has had 3 episodes of vomiting in
the last 8 hours. The patient is exhibiting symptoms for which condition?
Uncompensated Metabolic Alkalosis -Answer- ✔Patient has a bowel obstruction and
ABGs read ph- 7.50 PaCO2-42 and HCO3-33. How would you define this acid base
balance?
Prescription strength Corticosteroids- decrease inflammation and help manage
psoriasis plaques. Psoriasis is a skin cell proliferation of the surface of the skin causing
thick silvery scales or itchy red patches. -Answer- ✔Psoriasis with silvery, scaly areas
on elbows and palms that burn and bleed. Which prescription should the nurse teach
the client to use for skin condition?
Provide a soft bristled toothbrush- allows for gentle cleaning with less risk of trauma
than a hard bristled brush. Candidiasis often called oral thrush which is a fungal
infection of the mouth, it is common in babies, people with immune deficiency, and
those who use steroid sprays for asthma. -Answer- ✔Patient with AIDs and oral
candidiasis has several painful mouth ulcers. The nurse delegates oral care to the UAP
and discusses how to assist client. What instructions do you give to the UAP?
Continue maintenance regimen and walks -Answer- ✔A young adult with osteoarthritis
of both knee's desires to continue daily walks at the park with friends. how should the
nurse respond?
Increase insulin dose. -Answer- ✔Patient with diabetes mellitus with upper respiratory
infection. Which changes in blood glucose management should the nurse tell the client
to expect?
** -Answer- ✔What discharge instructions does the nurse provide for a patient with BPH
following transurethral needle ablation (TUNA)?
BSN 266 HESI V2
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