BSN 246 HESI REVIEW QUESTIONS AND CORRECT VERIFIED ANSWERS

BSN 246 HESI REVIEW QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2registeredA2nurseA2(RN)A2recognizesA2whichA2clientA2groupA2isA2atA2theA2greatestA2ri
skA2forA2developingA2aA2urinaryA2tractA2infectionA2(UTI)?
A2(RankA2fromA2highestA2riskA2toA2lowestA2risk.)
1.OlderA2males.
2.School-ageA2female.
3.OlderA2females.
4.AdolescentA2males.A2-A2Ans--orrectA2Answer:
1.OlderA2females.
2.School-ageA2female.
3.OlderA2males.
4.AdolescentA2males.
Rationale
HypoestrogenismA2andA2alkaloticA2urineA2areA2otherA2age-
relatedA2factorsA2putA2olderA2womenA2atA2theA2highestA2riskA2forA2UTIs.A2SchoolA2ageA2girl
sA2(6A2toA212A2years)A2areA2atA2riskA2forA2UTIsA2dueA2toA2aA2higherA2prevalenceA2toA2taking
A2bathsA2insteadA2ofA2showers,A2butA2theseA2risksA2canA2beA2controlledA2inA2thisA2populati
onA2asA2wellA2asA2hypoestrogenismA2andA2alkaloticA2urine.A2OlderA2menA2areA2atA2riskA2du
eA2toA2possibleA2obstructionA2ofA2theA2bladderA2dueA2toA2benignA2prostaticA2hypertrophyA2(
BPH).A2AdolescentA2malesA2(12A2toA219A2years)A2areA2theA2lowestA2atA2riskA2forA2aA2UTI.
AllA2individualsA2regardlessA2ofA2genderA2and/
orA2ageA2areA2atA2riskA2ifA2theA2followingA2conditionsA2exist:A2vesicoureteralA2reflux,A2neur
omuscularA2conditions,A2likeA2Parkinson'sA2disease,A2previousA2brainA2attacks,A2orA2theA2
useA2ofA2anticholinergicA2medicationsA2canA2allA2causeA2incompleteA2bladderA2emptyingA2
whichA2canA2createA2bacterialA2overgrowth.A2FecalA2andA2urinaryA2incontinenceA2contribut
esA2toA2poorA2perinealA2hygieneA2andA2bacterialA2growth.

AA2maleA2clientA2isA2admittedA2afterA2fallingA2fromA2hisA2bed.A2TheA2healthcareA2providerA2
(HCP)A2tellsA2theA2familyA2thatA2heA2hasA2anA2incompleteA2fractureA2ofA2theA2humerus.A2T
heA2familyA2askA2theA2RNA2whatA2thisA2means.A2WhichA2typeA2ofA2fractureA2shouldA2theA2
RNA2explainA2fromA2theseA2findings?
-StraigntA2fractureA2lineA2thatA2isA2alsoA2aA2simple,A2closedA2fracture.
-NondisplacedA2fractureA2lineA2thatA2wrapsA2aroundA2theA2bone.
-AA2completeA2fractureA2thatA2alsoA2puncturesA2theA2skin.
-AA2fractureA2thatA2bendsA2orA2splintersA2partA2ofA2theA2bone.A2-A2Ans--
AA2fractureA2thatA2bendsA2orA2splintersA2partA2ofA2theA2bone.
Rationale
AnA2incompleteA2fractureA2occursA2whenA2partA2ofA2theA2boneA2isA2splinteredA2(broken)A2a
ndA2itA2hasA2notA2goneA2completelyA2throughA2theA2thicknessA2ofA2theA2bone.

, TheA2registeredA2nurseA2(RN)A2isA2assistingA2theA2healthcareA2providerA2(HCP)A2withA2the
A2removalA2ofA2aA2chestA2tube.A2WhichA2interventionA2hasA2theA2highestA2priorityA2andA2sh
ouldA2beA2anticipatedA2byA2theA2RNA2afterA2theA2removalA2ofA2theA2chestA2tube?
-PrepareA2theA2clientA2forA2chestA2x-rayA2atA2theA2bedside.
-ReviewA2arterialA2bloodA2gasesA2afterA2removal.
-ElevateA2theA2headA2ofA2bedA2toA245A2degrees.
-AssistA2withA2disassemblingA2theA2drainageA2system.A2-A2Ans--
PrepareA2theA2clientA2forA2chestA2x-rayA2atA2theA2bedside.
Rationale
AA2chestA2x-
rayA2shouldA2beA2performedA2immediatelyA2afterA2theA2removalA2ofA2aA2chestA2tubeA2toA2e
nsureA2lungA2expansionA2hasA2beenA2maintainedA2afterA2itsA2removal.

TheA2registeredA2nurseA2(RN)A2didA2notA2noteA2thatA2aA2prescriptionA2doseA2wasA2recently
A2changedA2andA2didA2notA2noteA2theA2updatedA2medicationA2administrationA2recordA2(MA
R).A2AfterA2givingA2theA2clientA2theA2originalA2dose,A2theA2RNA2reportsA2theA2medicationA2e
rrorA2toA2theA2nurseA2manager.A2WhatA2consequencesA2willA2theA2RNA2experienceA2dueA2t
oA2thisA2errorA2inA2medicationA2administration?
-TheA2incidentA2willA2beA2reportedA2toA2theA2state'sA2BoardA2ofA2NursingA2(BON).
-
AA2medicationA2errorA2reportA2willA2beA2completedA2andA2riskA2managementA2willA2beA2not
ified.
-
TheA2RNA2willA2beA2suspendedA2fromA2medicationA2administrationA2untilA2theA2errorA2isA2i
nvestigated.
-TheA2incidentA2willA2beA2documentedA2inA2theA2RN'sA2personnelA2file.A2-A2Ans--
AA2medicationA2errorA2reportA2willA2beA2completedA2andA2riskA2managementA2willA2beA2not
ified.
Rationale
ByA2reviewingA2qualityA2ofA2careA2internally,A2stepsA2ofA2careA2canA2beA2evaluatedA2andA2
staffA2canA2beA2educatedA2whereA2gapsA2areA2identified.A2TheA2medicationA2reportA2andA2
notificationA2ofA2managementA2isA2theA2responsibilityA2ofA2theA2RNA2whoA2madeA2theA2mis
take,A2soA2anA2internalA2reviewA2ofA2theA2stepsA2ofA2theA2occurrenceA2canA2beA2completed
A2toA2determineA2furtherA2riskA2potentials.


AA2clientA2withA2progressiveA2hearingA2lossA2appearsA2distressedA2whenA2theA2registeredA
2nurseA2(RN)A2asksA2open-
endedA2questionsA2aboutA2theA2client'sA2healthA2history.A2WhichA2formsA2ofA2communicati
onA2shouldA2theA2RNA2use?
SelectA2allA2thatA2apply
-FaceA2theA2clientA2soA2theA2clientA2canA2seeA2theA2RN'sA2mouth.
-IncreaseA2one'sA2speechA2volumeA2whenA2interactingA2withA2theA2client.
-RepeatA2informationA2toA2theA2clientA2ifA2misunderstood.
-CheckA2ifA2theA2client'sA2hearingA2aidesA2areA2workingA2properly.
-ReduceA2environmentalA2noiseA2surroundingA2theA2client.A2-A2Ans---
FaceA2theA2clientA2soA2theA2clientA2canA2seeA2theA2RN'sA2mouth.