BSN 225 Hesi Prep Fundamentals of Nursing Exam Exam Study
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Which assessment data reflects the need for the nurse to include the problem,
"risk for falls" in a client's plan of care?
Reference range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago
D. Opioid analgesic received one hour ago.
What action should the nurse take when preparing to obtain a stool specimen
for occult blood from a client with soft, solid, light brown feces?
A. Wait to obtain the specimen until the observable blood is pre- sent
B. Withhold the specimen collection until tarry black stool is ob- served
C. Obtain the specimen from the client's current bowel movement
D. Contact the healthcare provider before obtaining the specimen
C. Obtain the specimen from the client's current bowel movement.
,When administering a new medication to a patient, the nurse logs in the
electronic medication administration record (eMAR). Which action should the
nurse take next?
A. Reconcile the medication to be administered with the initial client prescription
B. Scan the medication barcode to document administration on the eMAR
C. verify the clients identification by scanning the barcode on the armband
D. remove the mediation from the unit dose packaging while verifying the dose
B. Scan the medication barcode to document administration on the eMAR.
The nurse educator is conducting a class for UAP. Which action indicates that a
UAP understands gloving procedures?
A. don sterile gloves when caring for clients with HIV
B. Keeps a pair of gloves in uniform pocket
C. puts on new gloves when entering a client's room
D. Uses sterile gloves when handling bodily fluids
C. puts on new gloves when entering a client's room
The nurse is caring for a client with type 2 diabetes who had surgery for a
large bowel resection with a colostomy placement. The client has developed
hyperglycemia which requires self injections of insulin after discharge When
designing the postoperative plan of care, which outcome statement should
the nurse use?
A. the client will adhere to medication regimen after discharge
B. the client's breath sounds will be auscultated by the nurse every 4 hours
C. the client will demonstrate the ability to change the ostomy bag in two days
D. the client attempts to self administer insulin but is unable to perform injection
C. The client will demonstrate the ability to change the ostomy bag in two days.
, A client is in contact isolation due to a stage IV coccyx wound infection with
MRSA. The nurse plans interventions to prevent multiple re-entries into the
client's room. In which order should the nurse perform the interventions?
A. restart IV line, perform trach care, change coccyx dressing
B. Change coccyx dressing, restart the IV line, perform trach care
C. change coccyx dressing, perform trach care restart IV line
D. perform trach care, change coccyx dressing, restart the IV line
A. restart IV line, perform trach care, change coccyx dressing
The nurse is caring for a client who is overweight and easily becomes
diaphoretic. In resonance to this finding which assess- ment(s) should the
nurse include while assisting the client with personal care?
Select all that apply.
A. Assess skin folds of perineal area
B. monitor color of nail beds
C. palpate mucous membranes of cracks
D. check skin for usual bruising
E. observe skin under the breasts
A. Assess skin folds of perineal area
D. check skin for usual bruising
E. observe skin under the breasts
Guide || Most Recent Exam Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! |2026-2027
Which assessment data reflects the need for the nurse to include the problem,
"risk for falls" in a client's plan of care?
Reference range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago
D. Opioid analgesic received one hour ago.
What action should the nurse take when preparing to obtain a stool specimen
for occult blood from a client with soft, solid, light brown feces?
A. Wait to obtain the specimen until the observable blood is pre- sent
B. Withhold the specimen collection until tarry black stool is ob- served
C. Obtain the specimen from the client's current bowel movement
D. Contact the healthcare provider before obtaining the specimen
C. Obtain the specimen from the client's current bowel movement.
,When administering a new medication to a patient, the nurse logs in the
electronic medication administration record (eMAR). Which action should the
nurse take next?
A. Reconcile the medication to be administered with the initial client prescription
B. Scan the medication barcode to document administration on the eMAR
C. verify the clients identification by scanning the barcode on the armband
D. remove the mediation from the unit dose packaging while verifying the dose
B. Scan the medication barcode to document administration on the eMAR.
The nurse educator is conducting a class for UAP. Which action indicates that a
UAP understands gloving procedures?
A. don sterile gloves when caring for clients with HIV
B. Keeps a pair of gloves in uniform pocket
C. puts on new gloves when entering a client's room
D. Uses sterile gloves when handling bodily fluids
C. puts on new gloves when entering a client's room
The nurse is caring for a client with type 2 diabetes who had surgery for a
large bowel resection with a colostomy placement. The client has developed
hyperglycemia which requires self injections of insulin after discharge When
designing the postoperative plan of care, which outcome statement should
the nurse use?
A. the client will adhere to medication regimen after discharge
B. the client's breath sounds will be auscultated by the nurse every 4 hours
C. the client will demonstrate the ability to change the ostomy bag in two days
D. the client attempts to self administer insulin but is unable to perform injection
C. The client will demonstrate the ability to change the ostomy bag in two days.
, A client is in contact isolation due to a stage IV coccyx wound infection with
MRSA. The nurse plans interventions to prevent multiple re-entries into the
client's room. In which order should the nurse perform the interventions?
A. restart IV line, perform trach care, change coccyx dressing
B. Change coccyx dressing, restart the IV line, perform trach care
C. change coccyx dressing, perform trach care restart IV line
D. perform trach care, change coccyx dressing, restart the IV line
A. restart IV line, perform trach care, change coccyx dressing
The nurse is caring for a client who is overweight and easily becomes
diaphoretic. In resonance to this finding which assess- ment(s) should the
nurse include while assisting the client with personal care?
Select all that apply.
A. Assess skin folds of perineal area
B. monitor color of nail beds
C. palpate mucous membranes of cracks
D. check skin for usual bruising
E. observe skin under the breasts
A. Assess skin folds of perineal area
D. check skin for usual bruising
E. observe skin under the breasts
