BSN 246 HESI QUESTIONS AND CORRECT VERIFIED ANSWERS

BSN 246 HESI QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhichA2actionA2canA2beA2assignedA2toA2theA2unlicensedA2assistiveA2personnelA2(UAP)?A2-
A2Ans--MeasureA2theA2client'sA2urinaryA2output.


WhatA2isA2theA2bestA2initialA2responseA2byA2theA2nurse?A2-A2Ans--
DescribeA2theA2locationA2andA2typeA2ofA2painA2youA2areA2having

BasedA2onA2theA2nurse'sA2assessment,A2whichA2assessmentA2dataA2supportsA2theA2decisi
onA2toA2administerA2painA2medicationA2asA2theA2firstA2intervention?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
PainA2ratingA2ofA26/10A2-A2HeartA2rateA2ofA2102A2beats/minuteA2-
A2BloodA2pressureA2ofA2132/76A2mmHg


WhichA2actionA2shouldA2theA2nurseA2implementA2first?A2-A2Ans--
AdministerA2anA2analgesic.

WhichA2interventionsA2areA2importantA2toA2includeA2inA2theA2client'sA2planA2ofA2careA2while
A2receivingA2multipleA2immunosuppressants?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
InstructA2clientA2toA2wearA2aA2maskA2whenA2walkingA2inA2theA2halls.A2-
A2InstructA2visitorsA2thatA2freshA2flowersA2shouldA2notA2beA2takenA2intoA2theA2room.A2-
A2MonitorA2immunosuppressionA2drugA2levelsA2regularly.


WhichA2interventionA2shouldA2theA2nurseA2ensureA2isA2includedA2inA2theA2planA2ofA2careA2d
uringA2theA2immediateA2postoperativeA2period?
a.A2MonitorA2Judy'sA2urinaryA2outputA2hourlyA2usingA2anA2urimeter.
b.A2AssessA2Judy'sA2surgicalA2incisionA2everyA2shift.
c.A2MonitorA2Judy'sA2nasogastricA2tubeA2everyA24A2hours.
d.A2EncourageA2JudyA2toA2useA2theA2incentiveA2spirometerA2daily.A2-A2Ans--a

WhichA2isA2theA2priorityA2nursingA2assessmentA2duringA2theA2firstA224-
hourA2postoperativeA2period?A2-A2Ans--VitalA2signs

TheA2nurseA2isA2teachingA2theA2patientA2aboutA2fluidA2managementA2betweenA2dialysisA2tr
eatments.A2WhichA2instructionA2byA2theA2nurseA2isA2theA2mostA2accurate?A2-A2Ans--
LimitA2fluidsA2inA2betweenA2treatmentsA2toA2minimizeA2theA2amountA2ofA2fluidA2thatA2needs
A2toA2beA2removedA2duringA2dialysis.


WhichA2expectedA2outcomeA2shouldA2beA2includedA2inA2theA2nurse'sA2teachingA2plan?A2-
A2Ans--ClientA2willA2avoidA2cannedA2andA2processedA2foods.

,TheA2nurseA2assessesA2theA2dialysisA2graft.A2WhichA2assessmentA2shouldA2beA2reportedA
2toA2theA2healthcareA2providerA2(HCP)A2immediately?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
Yellow,A2purulentA2drainageA2fromA2graftA2incisionA2site.A2-
A2AbsenceA2ofA2aA2thrillA2overA2theA2graftA2site.A2-
A2CapillaryA2refillA2>10A2secondsA2inA2theA2handA2whereA2theA2graftA2isA2placed.


WhichA2interventionA2shouldA2theA2nurseA2ensureA2hasA2beenA2includeA2inA2theA2client'sA2
planA2ofA2care?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)
A.A2InstructA2labA2personnelA2toA2obtainA2bloodA2specimensA2fromA2theA2dual-
lumenA2catheter.
B.A2PerformA2sterileA2dressingA2changesA2atA2theA2dual-lumenA2catheterA2site.
C.A2EmptyA2andA2recordA2theA2drainageA2fromA2theA2graftA2tubingA2regularly.
D.A2RegularlyA2rotateA2IVA2insertionA2sitesA2aboveA2andA2belowA2theA2graftA2site.
E.A2AssessA2Judy'sA2distalA2pulsesA2andA2circulationA2inA2theA2armA2withA2theA2accessA2-
A2Ans--B.A2PerformA2sterileA2dressingA2changesA2atA2theA2dualA2lumenA2catheterA2siteA2-
A2E.A2AssessA2theA2client'sA2distalA2pulsesA2andA2circulationA2inA2theA2armA2withA2theA2acc
ess.

TheA2nurseA2documentsA2theA2assessmentA2ofA2theA2arteriovenousA2(AV)A2graft.A2WhichA
2documentationA2bestA2describesA2aA2properlyA2functioningA2AVA2graft?A2-A2Ans--
ThrillA2presentA2andA2palpated

TheA2clientA2asksA2theA2nurseA2toA2clarifyA2whatA2palliativeA2careA2involves.A2WhichA2expl
anationA2providesA2theA2clientA2theA2bestA2educationA2regardingA2palliativeA2care?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
PalliativeA2careA2providesA2reliefA2fromA2symptomsA2includingA2pain.A2-
A2PalliativeA2careA2supportsA2holisticA2careA2andA2improvesA2qualityA2ofA2life.A2-


WhatA2complicationA2wouldA2theA2clientA2beA2mostA2concernedA2aboutA2ifA2choosingA2perit
onealA2dialysis?A2-A2Ans--AbdominalA2infection/Peritonitis

TheA2nurseA2preparesA2andA2instructsA2theA2clientA2forA2hemodialysis.A2WhichA2statement
sA2byA2theA2clientA2indicateA2theA2needA2forA2furtherA2education?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
HemodialysisA2willA2helpA2restoreA2kidneyA2functionA2backA2toA2aA2normalA2level.A2-
A2BowelA2orA2bladderA2perforationA2mayA2occurA2withA2hemodialysisA2catheterA2placement
.

WhatA2actionA2shouldA2theA2nurseA2takeA2basedA2onA2theA2responseA2fromA2theA2healthca
reA2providerA2(HCP)A2phoneA2call?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
DocumentA2bothA2phoneA2callsA2andA2theA2HCP'sA2prescriptions.A2-
A2NotifyA2theA2chargeA2nurseA2andA2activateA2theA2chainA2ofA2commandA2-
A2HoldA2theA2potassiumA2chloride

,WhichA2interventionA2shouldA2theA2nurseA2implement?A2-A2Ans--
CallA2andA2speakA2directlyA2withA2theA2healthcareA2providerA2(HCP).

WhichA2interventionA2isA2mostA2importantA2forA2theA2nurseA2toA2implement?A2-A2Ans--
HoldA2theA2doseA2ofA2potassiumA2chlorideA2andA2contactA2theA2HCPA2toA2reportA2theA2seru
mA2potassiumA2level.

BasedA2onA2theseA2problems,A2whichA2nursingA2interventionA2shouldA2beA2includedA2inA2t
heA2client'sA2planA2ofA2care?A2-A2Ans--
EncourageA2theA2clientA2toA2askA2questionsA2andA2discussA2fearsA2aboutA2diagnosis

WhichA2assessmentA2dataA2indicatesA2toA2theA2nurseA2thatA2theA2desiredA2outcomeA2ofA2t
heA2epoetinA2alfaA2hasA2beenA2achieved?A2-A2Ans--
ConjunctivalA2sacA2returnsA2toA2aA2reddishA2pinkA2color

WhichA2assessmentA2shouldA2theA2nurseA2performA2toA2determineA2ifA2theA2desiredA2outc
omeA2ofA2theA2losartanA2hasA2beenA2achieved?A2-A2Ans--BloodA2pressure

WhichA2assessmentA2findingA2indicatesA2toA2theA2nurseA2thatA2theA2desiredA2outcomeA2ofA
2theA2calciumA2acetateA2hasA2beenA2achieved?A2-A2Ans--
SerumA2phosphorousA2ofA24.0A2mg/dLA2(1.29A2mmol/L)5

AfterA2theA2nurseA2completesA2theA2assessment,A2whatA2findingsA2areA2mostA2importantA2
toA2reportA2toA2theA2healthcareA2providerA2(HCP)A2?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans--
BloodA2pressureA2ofA2178/92A2mmHgA2-
A2RespiratoryA2rateA2ofA228A2breathsA2perA2minute-A2BibasilarA2cracklesA2-A2Edema


TheA2client'sA2hemoglobinA2levelA2isA27.8A2g/dLA2(78A2g/
L).A2WhatA2actionA2shouldA2theA2nurseA2take?A2-A2Ans--
ObtainA2anA2orderA2toA2startA2anA2erythropoietinA2stimulatingA2agentA2(ESA)

WhatA2assessmentA2dataA2supportsA2theA2diagnosisA2ofA2acuteA2organA2rejection?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans---
A2BloodA2pressureA2ofA2178/96A2mmA2Hg.A2
-A2SubA2therapeuticA2immunosuppressionA2levelsA2
-A2AcuteA2painA2ratedA26/10A2
-A2TemperatureA2ofA2100.6A2F(38.1A2C).A2
-A2BUNA2ofA256A2mg/dLA2(19.99A2mmol/L)A2
-A2CreatinineA2ofA21.9A2mg/dLA2(167.96A2mcmol/L

WhatA2isA2theA2correctA2interpretationA2ofA2theseA2ABG's?A2-A2Ans--
MetabolicA2acidosisA2(compensated)

, WhichA2labA2valueA2wouldA2theA2nurseA2beA2MOSTA2concernedA2about?A2-A2Ans--
GlomerularA2filtrationA2rateA2(GFR)A2ofA29mL/min/1.73m2.

TheA2nurseA2isA2teachingA2theA2clientA2aboutA2progressionA2ofA2chronicA2kidneyA2diseaseA
2(CKD).A2WhichA2evaluationA2statementA2documentedA2byA2theA2nurseA2indicatesA2theA2cli
ent'sA2understandingA2ofA2theA2diseaseA2process?A2-A2Ans--
TheA2clientA2acknowledgesA2thatA2renalA2replacementA2therapyA2willA2needA2toA2beA2initiat
edA2immediatelyA2toA2ridA2theA2bodyA2ofA2wasteA2andA2maintainA2fluidA2balance.

BasedA2onA2theA2client'sA2symptoms,A2whatA2shouldA2theA2nurseA2suspect?A2-A2Ans--
TheA2clientA2hasA2uremiaA2andA2mayA2needA2toA2startA2dialysis.

WhichA2additionalA2symptomsA2shouldA2theA2nurseA2askA2about?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans---
A2NauseaA2-A2DecreasedA2attentionA2spanA2-A2Itching


TheA2nurseA2reviewsA2theA2client'sA2medicalA2history.A2WhatA2partA2ofA2theA2medicalA2hist
oryA2shouldA2theA2nurseA2considerA2relevantA2toA2theA2client'sA2currentA2history?
A2(SelectA2allA2thatA2apply.A2One,A2some,A2orA2allA2optionsA2mayA2beA2correct.)A2-A2Ans---
A2HypertensionA2-A2PolycysticA2kidneyA2diseaseA2-A2DiabetesA2Mellitus-


TheA2nurseA2palpatesA2aA2weakA2pedalA2pulseA2inA2theA2client'sA2rightA2foot.A2WhichA2asse
ssmentA2findingsA2shouldA2theA2RNA2documentA2thatA2areA2consistentA2withA2diminishedA2
peripheralA2circulation?A2(SelectA2allA2thatA2apply.)
DiminishedA2hairA2onA2legs

BruisingA2onA2extremities

SkinA2coolA2toA2touch

CapillaryA2refillA2lessA2thanA23A2seconds

DarkenedA2skinA2onA2extremitiesA2-A2Ans--DiminishedA2hairA2onA2legs

SkinA2coolA2toA2touch

TheA2registeredA2nurseA2(RN)A2usesA2theA2mini-
mentalA2stateA2examinationA2(MMSE)A2whenA2assessingA2aA2clientA2forA2admissionA2toA2a
nA2assistedA2livingA2facility.A2WhichA2findingA2isA2theA2RNA2assessingA2whenA2requestingA2
theA2clientA2toA2countA2byA27s?
A.A2RecallA2ofA2information.
B.A2OrientationA2toA2surroundings.
C.A2AttentionA2toA2details.
D.A2AbilityA2toA2followA2complexA2commands.A2-A2Ans--C