BSN 246 Week 5 HESI Prep Exam Questions and
Answers
1. Which client situation is most appropriate for the nurse to
consult with the Rapid Response Team (RRT)?
A.A 56-year-old client, fourth hospital day after coronary artery bypass
proce- dure, sore chest, pain with walking, temperature 97° F (36.1°
C), heart rate 84 beats/min, respirations 22 breaths/min, blood
pressure 122/78 mm Hg, bored with hospitalization.
B.A 45-year-old client, 2 years after kidney transplant, second hospital
day for treatment of pneumonia, no urine output for 6 hours,
temperature 101.4° F (38.6° C), heart rate 98 beats/min, respirations
20 breaths/min, blood pressure 168/94 mm Hg
C.A 72-year-old client, 24 hours after removal of a chest tube that
was used to drain pleural fluid (effusion), temperature 97.8° F
(36.6° C), heart rate 92 beats/min, respirations 28 breaths/min,
blood pressure 136/86 mm Hg, anx- ious about going home
D.An 86-year-old client, 48 hours after operative repair of fractured h
correct answer: B
2. A client is admitted to the hospital with a diagnosis of benign
prostatic hyperplasia, and a transurethral resection of the prostate
is performed. Four hours after surgery, the nurse takes the
client's vital signs and empties the urinary drainage bag. Which
assessment finding indicates the need to notify the primary health
care provider (PHCP)?
A. Red, Bloody Urine
B. Pain rated as 4 on a 0 to 10 scale
C. Urine out put of 150 ml higher than intake
D. Blood Pressure , 100/50 mm Hg; Pulse 130 beats per minute correct
answer: D
3. A client with severe coronary artery disease who had cardiac
surgery 24 hours ago has had a urine output averaging 20 mL/hour
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,BSN 246 Week 5 HESI Prep Exam Questions and
Answers
for 2 hours. The client received a single bolus of 500 mL of
intravenous fluid. Urine output for the subsequent hour was 25 mL.
Daily laboratory results indicate that the blood urea nitrogen level is
45 mg/dL (16 mmol/L) and the serum creatinine level
is 2.2 mg/dL (194 mcmol/L). On the basis of these findings, the nurse
would
2/
9
Answers
1. Which client situation is most appropriate for the nurse to
consult with the Rapid Response Team (RRT)?
A.A 56-year-old client, fourth hospital day after coronary artery bypass
proce- dure, sore chest, pain with walking, temperature 97° F (36.1°
C), heart rate 84 beats/min, respirations 22 breaths/min, blood
pressure 122/78 mm Hg, bored with hospitalization.
B.A 45-year-old client, 2 years after kidney transplant, second hospital
day for treatment of pneumonia, no urine output for 6 hours,
temperature 101.4° F (38.6° C), heart rate 98 beats/min, respirations
20 breaths/min, blood pressure 168/94 mm Hg
C.A 72-year-old client, 24 hours after removal of a chest tube that
was used to drain pleural fluid (effusion), temperature 97.8° F
(36.6° C), heart rate 92 beats/min, respirations 28 breaths/min,
blood pressure 136/86 mm Hg, anx- ious about going home
D.An 86-year-old client, 48 hours after operative repair of fractured h
correct answer: B
2. A client is admitted to the hospital with a diagnosis of benign
prostatic hyperplasia, and a transurethral resection of the prostate
is performed. Four hours after surgery, the nurse takes the
client's vital signs and empties the urinary drainage bag. Which
assessment finding indicates the need to notify the primary health
care provider (PHCP)?
A. Red, Bloody Urine
B. Pain rated as 4 on a 0 to 10 scale
C. Urine out put of 150 ml higher than intake
D. Blood Pressure , 100/50 mm Hg; Pulse 130 beats per minute correct
answer: D
3. A client with severe coronary artery disease who had cardiac
surgery 24 hours ago has had a urine output averaging 20 mL/hour
1/
9
,BSN 246 Week 5 HESI Prep Exam Questions and
Answers
for 2 hours. The client received a single bolus of 500 mL of
intravenous fluid. Urine output for the subsequent hour was 25 mL.
Daily laboratory results indicate that the blood urea nitrogen level is
45 mg/dL (16 mmol/L) and the serum creatinine level
is 2.2 mg/dL (194 mcmol/L). On the basis of these findings, the nurse
would
2/
9
