BSN 366 HESI RN Exit Exam V1 (Latest Update 2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A - Nightingale
Question:
The nurse is performing preoperative care of a client for an open reduction and internal fixation (ORIF) of a fractured right tibia before the procedure, ...
Question:
The nurse is performing preoperative care of a client for an open reduction
and internal fixation (ORIF) of a fractured right tibia before the procedure,
which action should the nurse prioritize?
Answer:
Verify clients signed consent
Question:
A client receives a prescription for acetaminophen 1,000 mg by mouth every 8
hours as needed for pain. The bottle is labeled "Acetaminophen for Oral
Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse
instruct the client to take with each dose? (Enter numerical value only.)
Answer:
2
,Question:
the nurse observes a client prepare a meal in the kitchen of a rehabilitation
facility prior to discharge. which behaviors indicate the client understands
how to maintain balance safely?
a. brings a heavy can close to body before lifting
b. locks knees while preparing food on the counter
c. widens stance while working near the sink
d. bends from the waist to pick trash off the floor
e. leans forward to pull a pan from a high shelf
Answer:
- brings a heavy can close to body before lifting
- widens stance while working near the sink
Question:
The RN is assigned to care for four surgical clients. After receiving the report,
which client should the nurse see first?
a. Two days postoperative bladder surgery with continuous bladder irrigation
infusing.
b. One-day postoperative laparoscopic cholecystectomy requesting pain
medication.
c. Three days postoperative colon resection receiving a transfusion of packed
RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within
the next 12 hours
Answer:
c. Three days postoperative colon resection receiving a transfusion of packed
RBCs.
,Question:
A client is receiving a continuous infusion of the anticoagulant, heparin, for
treatment of a deep vein thrombosis of the right calf. Which goal should the
nurse include in this client's plan of care?
a. No further thrombus will form.
b. The client's INR (international normalized ratio) will be 2.
c. The existing thrombosis will dissolve.
d. The circumference of the client's right calf will decrease.
Answer:
A No further thrombus will form.
Question:
Which information is more important for the nurse to obtain when
determining a client's risk for (OSAS)?
a. Body mass index
b. Level of consciousness
c. Self-description of pain
d. Breath sounds
Answer:
A. Body mass index
Question:
A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status,
what priority action should the nurse implement?
a. The impending signs of death should be documented
, b. The client's status should be conveyed to the chaplain
c. The client's need for pain medication should be determined
d. The nurse manager should be updated on the client's status
Answer:
C. The client's need for pain medication should be determined
Question:
The nurse is preparing to obtain a rapid COVID-19 test for a client who was
exposed to the virus eight days ago. The client is experiencing fever, cough,
and shortness of breath. Which action is the most important for the nurse to
take?
a. Counsel family members to monitor for illness symptoms for 2 weeks after
last contact with patient
b. Assist the client to recall everyone possibly exposed since onset of
symptoms
c. Start an intravenous infusion for antiviral drug to be administered for
positive COVID-19 test results.
d. Move the client to a private room, keep the door closed, and initiate
droplet precautions.
Answer:
D. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
Question:
The nurse is preparing an adult with Addison's disease for self-management.
Which information should the nurse include in the client's instructions?
a. events requiring steroid dose adjustments
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