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BSN 225 Hesi Practice Test 1 Questions and Complete Solutions Graded A+
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BSN 225 Hesi Practice Test 1 Questionsand Complete Solutions Graded A+
During the admission interview, which technique is most efficient for the nurse to use when obtaining
information about signs and symptoms of a client's primary health problem?
Restatement of responses.
Open-ended questions.
Closed-ended questions.
Problem-seeking responses. - Answer: Closed-ended questions.
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for
altered nutritional status?
Chocolate pudding.
Graham crackers.
Sugar free gelatin.
Apple slices. - Answer: Chocolate pudding.
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
It is more difficult to find a superficial vein in the feet and ankles.
A decreased flow rate could result in the formation of a thrombosis.
A cannulated extremity is more difficult to move when the leg or foot is used.
Veins are located deep in the feet and ankles, resulting in a more painful procedure. - Answer: A
decreased flow rate could result in the formation of a thrombosis.
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital signs from a very anxious client.
What instructions should the nurse give the UAP?
,Remain calm with the client and record abnormal results in the chart.
Notify the medication nurse immediately if the pulse or blood pressure is low.
Report the results of the vital signs to the nurse.
Reassure the client that the vital signs are normal. - Answer: Report the results of the vital signs to the
nurse.
Which assessment data provides the most accurate determination of proper placement of a nasogastric
tube?
Aspirating gastric contents to assure a pH value of 4 or less.
Hearing air pass in the stomach after injecting air into the tubing.
Examining a chest x-ray obtained after the tubing was inserted.
Checking the remaining length of tubing to ensure that the correct length was inserted. - Answer:
Examining a chest x-ray obtained after the tubing was inserted.
A young mother of three children complains of increased anxiety during her annual physical exam. What
information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors. - Answer: Nutritional history.
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a nutritional history (C) should be
obtained first so that health teaching can be initiated if indicated. (A and C) can be used for stress
management. Though (D) can be a source of anxiety, a nutritional history should be obtained first.
The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks the nurse to help
determine the safest way to transfer an older client with left-sided weakness from the bed to the chair.
Which method describes the correct transfer procedure for this client?
, Place the chair at a right angle to the bed on the client's left side before moving.
Assist the client to a standing position, then place the right hand on the armrest.
Have the client place the left foot next to the chair and pivot to the left before sitting.
Move the chair parallel to the right side of the bed, and stand the client on the right foot. - Answer:
Move the chair parallel to the right side of the bed, and stand the client on the right foot.
During shift change report, the nurse receives report that a client has abnormal heart sounds. Which
placement of the stethoscope should the nurse use to hear the client's heart sounds?
Place the stethoscope bell at random points on the posterior chest.
Use the stethoscope bell over the valvular areas of the anterior chest.
Move the diaphragm of the stethoscope over the left anterior chest.
Position the diaphragm of the stethoscope at Erb's point on the chest. - Answer: Use the stethoscope
bell over the valvular areas of the anterior chest.
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last two hours. Which
action should the nurse take first?
Irrigate the nasogastric tube with sterile normal saline.
Reposition the client on her side.
Advance the nasogastric tube an additional five centimeters.
Administer an intravenous antiemetic prescribed for PRN use. - Answer: Reposition the client on her
side.
The nurse is evaluating a client learning about a low-sodium diet. Selection of which meal would indicate
to the nurse that this client understands the dietary restrictions?
Tossed salad, low-sodium dressing, bacon and tomato sandwich.
New England clam chowder, no-salt crackers, fresh fruit salad.
Skim milk, turkey salad, roll, vanilla ice cream.
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