BSN 225 Hesi Prep Fundamentals of Nursing Exam Exam Study
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Exam Questions And Correct Answers (Verified Answers)
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While teaching a client how to perform a skill the nurse
determines that the client is experiencing sensory overload and
is unable to learn efficiently which action should the nurse
implement?
A. Reassure the client that the skill is not difficult to learn
B. provide the client with step by step written instructions
C. reduce the stimuli in the area before continuing the teaching
D. demonstrate the skill speaking slowly and using simple
terms - ANSWER Implement isolation precautions.
What should the nurse do first if a surgical incision
healing by secondary
intention develops a thick tan exudate? - ANSWER -Obtain a
wound culture.
What action should nurses take to protect client privacy in
a social media
project addressing heart failure outcomes? - ANSWER -
Remove client
,identifying information of those who
participate.
When assessing for skin damage related to a nasal cannula
delivering oxygen at 2 liters/minute, which areas should the
nurse observe? - ANSWER -Nostrils, bridge of nose, over the
cheeks, and ears.
What is the most important action for a nurse to take when
noticing an increased boundary of a wound with positive MRSA
results? - ANSWER Initiate contact precautions.
What should the nurse do when entering a client's room and
observing the client coughing non-productively into their
sleeve? - ANSWER -Obtain a face mask for the staff to wear
upon entering the room.
Based on trending heart rate and pain scale, which actions
should the nurse take? (Select all that apply) - ANSWER -Bring
an opioid reversal agent to the bedside, consult with the
surgeon about the pain level, lead the client in guided imagery,
assess for sources of pain other than the surgical site.
What is the most important content for a nurse to include in a
teaching plan for
an older adult woman with a vaginal tear? - ANSWER -
Methods used to
practice safe
sex.
, What assessment finding is likely contributing to an oxygen
saturation reading
of 91% obtained from a pulse oximeter? - ANSWER -2+ edema
of fingers and
hands.
What should the nurse do first if the computer system shuts
down while documenting wound care in a client's EMR? -
ANSWER -Notify the information services department for the
situation.
What should the nurse do if a client is holding up an arm and
coughing nonproductively into the upper sleeve? - ANSWER -
Provide a box of tissues for the client to use when coughing.
What is the appropriate action for a nurse when a client has a
positive MRSA
laboratory result? - ANSWER -Ensure the client's
environment is properly
cleaned and
disinfected.
What should the nurse assess when a client is immobile and
the dressing is being changed? - ANSWER -The boundary of
the wound for any changes.
What is the correct response when calculating a dose on
hand to match the
Guide || Most Recent Exam 2026-2027 Actual Complete Real
Exam Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! |
Newwest Exam | Just Released!!
While teaching a client how to perform a skill the nurse
determines that the client is experiencing sensory overload and
is unable to learn efficiently which action should the nurse
implement?
A. Reassure the client that the skill is not difficult to learn
B. provide the client with step by step written instructions
C. reduce the stimuli in the area before continuing the teaching
D. demonstrate the skill speaking slowly and using simple
terms - ANSWER Implement isolation precautions.
What should the nurse do first if a surgical incision
healing by secondary
intention develops a thick tan exudate? - ANSWER -Obtain a
wound culture.
What action should nurses take to protect client privacy in
a social media
project addressing heart failure outcomes? - ANSWER -
Remove client
,identifying information of those who
participate.
When assessing for skin damage related to a nasal cannula
delivering oxygen at 2 liters/minute, which areas should the
nurse observe? - ANSWER -Nostrils, bridge of nose, over the
cheeks, and ears.
What is the most important action for a nurse to take when
noticing an increased boundary of a wound with positive MRSA
results? - ANSWER Initiate contact precautions.
What should the nurse do when entering a client's room and
observing the client coughing non-productively into their
sleeve? - ANSWER -Obtain a face mask for the staff to wear
upon entering the room.
Based on trending heart rate and pain scale, which actions
should the nurse take? (Select all that apply) - ANSWER -Bring
an opioid reversal agent to the bedside, consult with the
surgeon about the pain level, lead the client in guided imagery,
assess for sources of pain other than the surgical site.
What is the most important content for a nurse to include in a
teaching plan for
an older adult woman with a vaginal tear? - ANSWER -
Methods used to
practice safe
sex.
, What assessment finding is likely contributing to an oxygen
saturation reading
of 91% obtained from a pulse oximeter? - ANSWER -2+ edema
of fingers and
hands.
What should the nurse do first if the computer system shuts
down while documenting wound care in a client's EMR? -
ANSWER -Notify the information services department for the
situation.
What should the nurse do if a client is holding up an arm and
coughing nonproductively into the upper sleeve? - ANSWER -
Provide a box of tissues for the client to use when coughing.
What is the appropriate action for a nurse when a client has a
positive MRSA
laboratory result? - ANSWER -Ensure the client's
environment is properly
cleaned and
disinfected.
What should the nurse assess when a client is immobile and
the dressing is being changed? - ANSWER -The boundary of
the wound for any changes.
What is the correct response when calculating a dose on
hand to match the
