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BSN HESI 366 RN Exit Exam V2 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale
Q: A client with a traumatic brain injury becomes progressively less respon- sive to stimuli. The client has a "Do Not Resuscitate" prescription, and the nurse observes t...
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BSN HESI 366 RN Exit Exams (Latest 2024/ 2025 Updates STUDY BUNDLE PACKAGE WITH SOLUTIONS) Questions and Verified Answers|100% Correct| Grade A- Nightingale
1. Tentamen (uitwerkingen) - Bsn hesi 366 rn exit exam review (latest 2024/ 2025 update) questions and verified an...
2. Tentamen (uitwerkingen) - Bsn hesi 366 rn exit exam (latest 2024/ 2025 update) questions and verified answers|1...
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BSNlHESIl366lRNlExitlExamlV2l(Latestl
Update)lQuestionslandlVerifiedlAnswers|
100%lCorrect|lGradelA-lNightingale
Q:lAlclientlwithlaltraumaticlbrainlinjurylbecomeslprogressivelyllesslrespon-
lsiveltolstimuli.lThelclientlhaslal"DolNotlResuscitate"lprescription,landlthelnurselobserveslthatlt
helunlicensedlassistivelpersonnell(UP)lhaslstoppedlturninglthelclientlfromlsideltolsidelaslprevio
uslylscheduled.lWhatlactionlshouldlthelnurseltake?
AlEncouragelthelUPltolprovidelcomfortlcarelmeasureslonly.
BlAssignlalpracticallnurseltolassistlthelUPlinlturninglthelclient.lClAdviselthelUPltolresumelposi
tioninglthelclientlonlschedule.
DlAssumeltotallcareloflthelclientltolmonitorlneurologiclfunction.
Answer:
lClAdviselthe
l
UPltolresumelpositioninglthelclientlonlschedule.
-
lThelDNRlprescriptionldoeslnotlmeanlthelclientlshouldlnotlreceivelroutinelcarelandlintervention
sltolmaintainltheirlcomfort.
Q:lWhichllaboratoryltestlresultlislmostlimportantlforlthelnurseltolreportltolthelsurgeonlpriorllo
lalclient'slscheduledlhernialrepair?
ReferencelRanges:
Bloodlglucosel[74ltol106lmg/dLl(4.1ltol5.9lmmol/L)]lSerumlcreatininel[0.5ltol1.1lmg/dLl(44lto
l97lµmol/L)]lPotassiuml[3.5ltol5.0lmEq/Ll(3.5ltol5.0lmmol/L)]lHemoglobinl(Hgb)l(12ltol16lg/
dLl(120ltol160lg/L)]
AlBloodlglucoselofl90lmg/dLl(5lmmol/L).
BlSerumlcreatininelofl5lmg/dl(442lµmol/L).lClPotassiumllevellofl4lmEq/Ll(4lmmol/L).
DlHemoglobinllevellofl13lg/dLl(130lg/L).
Answer:
lBlSerumlcreatininelofl5lmg/dl(442
µmol/L).
-
lAlserumlcreatininelofl5lmg/dllislindicativeloflseverelkidneylfailure,lwhichlcouldlpossiblylprom
ptlaldelayloflthelsurgery.
,Q:lThelnurselislprovidinglcareltolalclientlhavinglsurgeryltolrepairlalretinalldetachmentltolthell
eftleye.lWhichlinterventionlshouldlthelnurselimplementlduringlthelpostoperativelperiod?
AlProvidelanleyelshieldltolbelwornlwhilelsleeping.
BlEncourageldeeplbreathinglandlcoughinglexercises.lClTeachlalfamilylmemberltoladministerley
eldrops.
DlObtainlvitallsignsleveryl2lhourslduringlhospitalization.
Answer:
lAlProvidelanleyelshieldltolbelwornlwhilelsleeping.
-
lAfterlretinalldetachmentlsurgery,litlislcrucialltolprotectltheleyelandlthelsurgicallrepairlsitelfrom
laccidentalltraumalorlpressure.lProvidinglanleyelshieldlhelpsltolshieldltheleyelduringlsleeplwhe
nlthelclientlmaylnotlhavelconsciouslcontrolloverltheirlmovements.
Q:lWhenlteachinglalgrouploflschool-agedlchildrenlhowltolreducelthelrisklfor
Lymeldisease,lwhichlInstructionlshouldlthelcamplnurselinclude?lAlWearllonglsleeveslandlpants.
BlAvoidldrinkingllakelwater.lClWashlhandslfrequently.
DlDolnotlsharelpersonallproducts.
Answer:
lAlWearllonglsleeveslandlpants.
-
lLymeldiseaselisltransmittedlthroughlticklbites,landlsleeveslandlpantslcanlpreventlticklbites.Typi
callsymptomslincludelfever,lheadache,lfatigue,landlalcharacteristiclskinlrashlcalledlerythemalmi
grans.
l
Q:lThelnurseladministerslanlantibioticltolalclientlwithlalrespiratoryltractlinfection.lTolevaluate
lthelmedication'sleffectiveness,lwhichllaboratorylvalueslshouldlthelnurselmonitor?lSelectlallltha
tlapply.
AlWhitelbloodlcelll(WBC)lcount.lBlRedlbloodlcelll(RBC)lcount.
ClSputumlculturelandlsensitivity.lDlUrinalysis.
ElBloodlurealnitrogenl(BUN).
FlSerumlpotassium.
Answer:
lAlWhitelbloodlcelll(WBC)lcount.l-
lAlhighlWBClcountlcanlsignifylanlinfectionlorlinflammation.lIfltheltreatmentlisleffective,lthel
WBClcountlshouldlstartltolnormalizelaslthelinfectionlislcontrolled.
ClSputumlculturelandlsensitivity.l-
lThisltestlidentifieslthelspecificlbacterialcausinglthelrespiratoryltractlinfectionlandldetermineslw
hichlantibioticslareleffectivelagainstlit.lMonitoringlthelresultsloflsputumlculturelandlsensitivitylt
,estslcanlhelplevaluateliflthelprescribedlantibioticlisleffectivelagainstlthelidentifiedlpathogen.lAd
justmentsltolthelantibioticlregimenlmaylbelnecessarylbasedlonltheselresults.
Q:lThelnurselobserveslalpracticallnursel(PN)lpouringlwarmlwaterloverlthelperineallarealoflalf
emalelclientlwholhaslfrequentlurinarylincontinencelwhilelthelclientlislpositionedlonlalbedpan.l
Whichlactionlshouldlthelnurseltake?
AlSuggestlcontactinglthelhealthcarelproviderlforlalprescriptionlforlcatheterlinsertion.
BlRecommendlalcompletelbathltolcleanselthelperineallarealmorelfully.lClEvaluateltheleffective
nessloflthislmeasureltolstimulatelclientlvoiding.
DlInstructlthelPNlthatlthisltechniquelpromoteslinfectionlinlelderlylfemales.
Answer:
lClEvaluateltheleffectivenessloflthislmeasureltolstimulatelclientlvoiding.l-
lStimulationlmethodslcanlincludelpullinglonlthelpubiclhairs,lmassaginglthellowerlstomach,lorlth
elinnerlthighs.lProvidelthelpatientlwithlroutinelvoidinglmeasureslincludinglprivacy,lnormallvoid
inglpositions,lorlthelsoundloflrunninglwater.lAlsollightlyltappingloverlthelbladder.
Q:lAnlolderladultlclientlarrivesltolthelclinicldescribinglalnewlonsetloflurinarylincontinence.lW
hichlinterventionlshouldlthelnurselimplement?
AlProvidelprotectivelundergarmentslforlthelclient.
BlObtainlalclean,lvoidedlurinelspecimenlforlanalysis.
ClEvaluatelthelclient'slresponseltolbladderltraininglefforts.
DlEncouragelincreasedlfluidlintakelforl24lhours.
Answer:
lBlObtainlalclean,lvoidedlurinelspecimenlforlanalysis.
-lUrinalysislcanlhelplidentifylwhetherltherelislalurinaryltractlinfectionl(UTI),lhema-
lturia,lorlotherlabnormalitieslthatlmaylbelcontributingltolthelincontinence.
Thelotherloptionsldolnotladdresslthelunderlyinglcause.
l
Q:lThelnurse-managerlislinvolvedlinlagencylrestructuring.lDuringlthislre-en-
lgineeringlprocess,litlislmostlimportantlforlthelnurseltoladdresslwhichlemploy-leelconcern?
AlChangeslinljobldescriptions.
BlNewlmanagement'slexpectations.
ClPotentiallchangeslinlemployeelbenefits.
DlEmployeesljoblsecurity.
Answer:
lDlEmployeesljoblsecurity.l-
lAddressingljoblsecuritylcanlhelpltolalleviatelsomeloflthelstresslandluncertaintylthatlemployeesl
maylfeellduringlthelrestructuringlprocess.lBylensuringlthatlemployeeslfeellsecurelinltheirljobs,lt
, helnurse-
managerlcanlmaintainlmoralelandlproductivity,lwhichlarelcruciallforlalsuccessfulltransition
Q:lAlclientlisladmittedlwithltheldiagnosisloflWernicke'slsyndrome.lWhichlassessmentlfindingl
shouldlthelnurseluselinlplanninglthelclientslcare?
AlDepression.
BlPeripherallneuropathy.lClConfusion.
DlRightllowerlabdominallpain.
Answer:
lClConfusion.l-lWernicke'slsyndrome,lpartloflWernicke-
Korsakofflsyndrome,lislprimarilylcharacterizedlbylconfusionldueltolbrainldamage,lparticularlyli
nlthellowerlpartsloflthelbrainlsuchlaslthelthalamuslandlhypothalamus,lcausedlbylallackloflvitam
inlB1l(thiamine).lSymptomsloflWernickelencephalopathylincludelconfusionlandllossloflmentall
activitylthatlcanlprogressltolcomalandldeath.
Q:lAlpre-
schoollagelchildlwithlalcongenitallheartldefectlislbroughtltolthelcliniclbylthelparentlbecauselofla
lfeverlandlanlearache.lDuringlthelassessment,lthelparentlaskslthelnurselwhylthelchildlislatlthel5t
hlpercentilelforlweightlandlheightlforlage.lWhichlresponselIslbestlforlthelnurseltolprovide?
Al"Youlshouldlnotlworrylaboutlthelgrowthltables.lTheylarelonlylaverageslforlchildren."
Bl"Haven'tlyoulbeenlfeedinglaccordingltolrecommendedldailylallowanceslforlchildren?"
Cl"Doeslyourlchildlseemlmentallylslowerlthanlhislpeerslalso?"
Dl"Thelsmallerlsizelislprobablyldueltolthelheartldisease."
Answer:
lDl"Thelsmallerlsizelislprobablyldueltolthelheartldisease."
-lThislcanlbeldueltolseverallfactorslrelatedltoltheirlheartlcondition,lsuchlaslde-
lcreasedloxygenlandlnutrientldeliveryltoltissues,lincreasedlenergylexpenditure,landlpossiblylred
ucedlfoodlintakeldueltolincreasedlworkloflbreathinglorlfatigue.lProvidinglthelparentlwithlthislin
formationlhelpsltoladdressltheirlconcernlwithlalvalidlmedicallexplanation,lreassuringlthemlthatlt
helchild'slsmallerlsizelcanlbelalcommonlissuelrelatedltoltheirlheartlconditionlandlnotlnecessaril
ylindicativeloflinadequatelcare
l
orlotherlunrelatedlhealthlissues.lThislresponselislinformativelandlcompassionate,laimingltolallev
iatelthelparent'slworrieslbylexplaininglalpossiblelcauselforlthelchild'slgrowthlpattern.
Q:lAlclientlhaslalprescriptionlforlthelinsertionloflalnasogastricltubeltollowlintermittentlsuction
.lWhenlinsertinglthelnasogastricltube,lthelnurselobserveslanlimmediatelreturnlofl"coffee-
ground"ldrainage.lWhichlactionlshouldlthelnurselimplement?
AlImmediatelylremovelandlthenlreinsertlthelnasogastricltube.lBlConnectlthelnasogastricltubelto
lhighlcontinuouslsuction.