BSN 366 HESI EXIT PROFESSIONAL
ROLE AND TRANSITION 178
QUESTIONS TESTBANK WITH ALL
CORRECT ANSWERS
1. The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting Exenatide. Which information should be
included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain.: D.
Notify your healthcare provider if you start having abdominal pain.
2. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
1. Click to highlight the aspects of the assessment that require urgent
attention:
The client's pain is 2/10. The client requests sleeping medication for the
night. She states she has horrible thoughts and memories about the house
collapsing all the time, and that it is keeping her from falling asleep. She
states "I used to be so happy before all of this happened. Now I can;t seem
to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses station and hears talking
and alarms constantly.: -She states she has horrible thoughts and memories
about the house collapsing all the time.
,- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
3. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
2. Drag from the options to complete the sentence:
After listening to the clients symptoms, the nurse realizes that she likely
has______________ related to _______________: Acute Stress Disorder,
Traumatic Stress exposure
4. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
3. Click to specify which client statement of behaviors is most likely
associated with each of the listed defense mechanism. Some statements or
behaviors may be consistent with more than one mechanism. Each column
must have at least one but may have more than one answer selected.:
5. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
4. What nursing reviews the physicians orders for Clonazepam and gives the
medication as ordered. (SATA) a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside: b. assist the client to the bathroom d.
assess mental status regularly
6. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
,today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy: a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
7. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
6. For each client statement, click to highlight the statement(s) below that
require follow up teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my symptoms"
d. "Many people have the same response to a stressful situation as I am
having right"
e. "I am at high risk for post-traumatic-stress disorder because I have acute
stress disorder"
f. " I will probably need to be on medication for the rest of my life": a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
f. " I will probably need to be on medication for the rest of my life"
8. A client with foul-smelling drainage from an incision on the upper left arm
is admitted with a suspected methicillin-resistant Staphylococcus aureus
(MRSA). What nursing interventions should the nurse include in the plan of
care? Select all that apply
, a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensitivity
c. Institute contact precautions for staff and visitors
d. Use standard precautions and wear a mask
e. Monitor the clients white blood cell count: b. Send wound drainage for
culture and sensitivity
c. Institute contact precautions for staff and visitors
e. Monitor the clients white blood cell count
9. An older adult client who has difficulty hearing is being discharged form
surgery following cataract extraction and lens implantation. Which
intervention is most important for the nurse to implement to ensure the
clients compliance with self-care.
a. Provide written instructions for eye drop administration
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instructions provided
d. Ensure that someone will stay with the client for 24 hours: a. Provide
written instructions for eye drop administration
10. When assessing a client with an ionized calcium level of 15 mg/dL (4.25
mmol/L), which intervention is most important for the nurse to implement
Reference Range Ionized calcium [ adult 4.6 to 5.1 mg/dL (1.15 to 1.35
mmol/L)
a. Compare muscle strength bilaterally b. Assess strength of deep tendon
reflexes
c. Determine apical pulse rate and rhythm
d. Observe color and amount of urine: c. Determine apical pulse rate and
rhythm 11. While changing a client postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this to the
healthcare provider, the nurse should note which of the client's laboratory
results a. Creatinine level
b. Platelet count
c. Hematocrit
d. White blood cell (WBC) count: d. White blood cell (WBC) count
ROLE AND TRANSITION 178
QUESTIONS TESTBANK WITH ALL
CORRECT ANSWERS
1. The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting Exenatide. Which information should be
included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other medications.
D. Notify your healthcare provider if you start having abdominal pain.: D.
Notify your healthcare provider if you start having abdominal pain.
2. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
1. Click to highlight the aspects of the assessment that require urgent
attention:
The client's pain is 2/10. The client requests sleeping medication for the
night. She states she has horrible thoughts and memories about the house
collapsing all the time, and that it is keeping her from falling asleep. She
states "I used to be so happy before all of this happened. Now I can;t seem
to get out of this funk I am in." The client would also prefer to be in a quieter
area of the unit as she is currently by the nurses station and hears talking
and alarms constantly.: -She states she has horrible thoughts and memories
about the house collapsing all the time.
,- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
3. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
2. Drag from the options to complete the sentence:
After listening to the clients symptoms, the nurse realizes that she likely
has______________ related to _______________: Acute Stress Disorder,
Traumatic Stress exposure
4. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
3. Click to specify which client statement of behaviors is most likely
associated with each of the listed defense mechanism. Some statements or
behaviors may be consistent with more than one mechanism. Each column
must have at least one but may have more than one answer selected.:
5. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
4. What nursing reviews the physicians orders for Clonazepam and gives the
medication as ordered. (SATA) a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside: b. assist the client to the bathroom d.
assess mental status regularly
6. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
,today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy: a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
7. Case Study: The client is in the hospital after her house collapsed during
a hurricane. She has been in the intensive care unit for 2 weeks and moved
today to the surgical floor to continue monitoring her respiratory function
and to complete intravenous antibiotic administration.
6. For each client statement, click to highlight the statement(s) below that
require follow up teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my symptoms"
d. "Many people have the same response to a stressful situation as I am
having right"
e. "I am at high risk for post-traumatic-stress disorder because I have acute
stress disorder"
f. " I will probably need to be on medication for the rest of my life": a. "this
diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
f. " I will probably need to be on medication for the rest of my life"
8. A client with foul-smelling drainage from an incision on the upper left arm
is admitted with a suspected methicillin-resistant Staphylococcus aureus
(MRSA). What nursing interventions should the nurse include in the plan of
care? Select all that apply
, a. Explain the purpose of a low-bacteria diet
b. Send wound drainage for culture and sensitivity
c. Institute contact precautions for staff and visitors
d. Use standard precautions and wear a mask
e. Monitor the clients white blood cell count: b. Send wound drainage for
culture and sensitivity
c. Institute contact precautions for staff and visitors
e. Monitor the clients white blood cell count
9. An older adult client who has difficulty hearing is being discharged form
surgery following cataract extraction and lens implantation. Which
intervention is most important for the nurse to implement to ensure the
clients compliance with self-care.
a. Provide written instructions for eye drop administration
b. Speak clearly and face the client for lip reading
c. Have the client vocalize the instructions provided
d. Ensure that someone will stay with the client for 24 hours: a. Provide
written instructions for eye drop administration
10. When assessing a client with an ionized calcium level of 15 mg/dL (4.25
mmol/L), which intervention is most important for the nurse to implement
Reference Range Ionized calcium [ adult 4.6 to 5.1 mg/dL (1.15 to 1.35
mmol/L)
a. Compare muscle strength bilaterally b. Assess strength of deep tendon
reflexes
c. Determine apical pulse rate and rhythm
d. Observe color and amount of urine: c. Determine apical pulse rate and
rhythm 11. While changing a client postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this to the
healthcare provider, the nurse should note which of the client's laboratory
results a. Creatinine level
b. Platelet count
c. Hematocrit
d. White blood cell (WBC) count: d. White blood cell (WBC) count
