BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2024 / 2025) | 100% Correct | Grade A - Nightingale
Question:
While caring for a child and mother from Cambodia, what action should the nurse implement to accommodate the clients' c...
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam
Prep Practice Questions with
Rationales (Latest Update 2024 /
2025) |100% Correct | Grade A -
Nightingale
Question:
While caring for a child and mother from Cambodia, what action should the
nurse implement to accommodate the clients' cultural needs?
a. Speak initially with the oldest family member to show respect.
b. Realize that Southeast Asians may not take Western medications.
c. Ask the husband to step out during the mother's pelvic examination.
d. Tell the family that planning health care is provided in private with the
client.
Answer:
Speak initially with the oldest family member to show respect.
Rationale
Members of the Asian culture have high respect for others, especially those in
positions of authority. Extended family members need to be included in the
nursing care plan (A). Southeast Asians do not necessarily refuse Western
medications (B). Asians also believe that touching strangers is not acceptable,
,particularly health professionals whom they have not previously known, so
the husband should be allowed to remain with his wife during the pelvic exam
(C). Provided that the presence of other family members is not harmful to the
client's well-being, (D) is not correct.
Question:
A male client with venous incompetence stands up and his blood pressure
subsequently drops. Which finding should the nurse identify as a
compensatory response?
a. Bradycardia.
b. Increase in pulse rate.
c. Peripheral vasodilation.
d. Increase in cardiac output.
Answer:
Increase in pulse rate.
Rationale
When postural hypotension occurs, the body attempts to restore arterial
pressure by stimulating the baro-receptors to increase the heart rate (B), not
decrease it (A). Peripheral vasoconstriction, not dilation (C), of the veins and
arterioles occurs with venous incompetence through the baro-receptor reflex.
A decrease in cardiac output, not an increase (D), occurs when orthostatic
hypotension occurs.
,Question:
Erikson's framework
Answer:
fill in
Question:
While preparing to insert a rectal suppository in a male adult client, the nurse
observes that the client is holding his breath while bearing down. What
action should the nurse implement?
a. Advise the client to continue to bear down without holding his breath.
b. Gently insert the lubricated suppository four inches into the rectum.
c. Perform a digital exam to determine if a fecal impaction is present.
d. Instruct the client to take slow deep breaths and stop bearing down.
Answer:
Instruct the client to take slow deep breaths and stop bearing down.
Rationale
During administration of a rectal suppository, the client is asked to take slow
deep breaths through the mouth to relax the anal sphincter (D). Bearing
down (A) will push the suppository out of the rectum, so the suppository
should not be inserted while the client is bearing down (B). Further data is
needed before performing an invasive digital exam to check for fecal
impaction (C).
, Question:
A client with Raynaud's disease asks the nurse about using biofeedback for
self-management of symptoms. What response is best for the nurse to
provide?
a. The responses to biofeedback have not been well established and may be a
waste of time and money.
b. Biofeedback requires extensive training to retrain voluntary muscles, not
involuntary responses.
c. Although biofeedback is easily learned, it is most often used to manage
exacerbation of symptoms.
d. Biofeedback allows the client to control involuntary responses to promote
peripheral vasodilation.
Answer:
Biofeedback allows the client to control involuntary responses to promote
peripheral vasodilation.
Rationale
Biofeedback involves the use of various monitoring devices that help people
become more aware and able to control their own physiologic responses, such
as heart rate, body temperature, muscle tension, and brain waves. (D) is an
accurate statement concerning its use for clients with Raynaud's disease. (A,
B, and C) do not provide correct information about biofeedback.
Question:
Raynaud's disease
Answer:
recurrent episodes of pallor and cyanosis primarily in fingers and toes
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