BSN 366 HESI RN EXIT EXAM 2 REVISION
HANDBOOK 2026 PATIENT SAFETY AND
CRITICAL THINKING STRATEGIES
◉ Hope in recovery.
Answer: The belief that improvement is possible, which can
motivate clients in treatment.
◉ Effective communication.
Answer: The ability to convey messages in a way that is understood
and supportive.
◉ Healthcare worker rights.
Answer: Entitlements and protections provided to healthcare
workers under federal regulations.
◉ Assess and document skin condition.
Answer: Assess and document skin condition around the incision
and IV site at each shift.
◉ Early identification of infection.
,Answer: Early identification of infection leads to prompt treatment
and decreased nosocomial transmission to others.
◉ Ileoanal reservoir (J pouch).
Answer: An ileal pouch-anal anastomosis (also known as the J
pouch) is a surgically created ileoanal reservoir in the anal canal that
preserves the rectal sphincter muscle.
◉ Transverse loop ostomy.
Answer: The transverse loop ostomy is permanent.
◉ Easily removable appliances.
Answer: Easily removable appliances allow independence in self-
care.
◉ Daily irrigation after J pouch heals.
Answer: Daily irrigation is started after the J pouch heals.
◉ Stool expulsion.
Answer: Stool is eventually expelled through the rectum.
◉ Cuff inflation on tracheostomy tube.
,Answer: Inject air until no air is auscultated over the larynx during a
deep breath.
◉ Minimal occlusion pressure.
Answer: To achieve minimal pressure against the tracheal wall,
inject air into the tracheostomy tube cuff while auscultating with a
stethoscope placed over the larynx.
◉ 10 mm induration after PPD test.
Answer: The PPD skin test results is indicative of exposure or latent
Mycobacterium tuberculosis infection (LTBI).
◉ Refer for further diagnostic evaluation.
Answer: Refer for further diagnostic evaluation for clients with a
positive PPD test.
◉ High-risk category for LTBI.
Answer: This client is in a high-risk category for exposure in a
homeless environment.
◉ External environmental influences.
Answer: Contextual factors considered external environmental
influences in the framework for occupational health programs and
, services include economics, workforce, technology, socio-economic
status, and legislation/regulation.
◉ Economics.
Answer: Economics is a contextual factor in occupational health
programs.
◉ Workforce.
Answer: Workforce is a contextual factor in occupational health
programs.
◉ Technology.
Answer: Technology is a contextual factor in occupational health
programs.
◉ Socio-economic status.
Answer: Socio-economic status is a contextual factor in occupational
health programs.
◉ Legislation/regulation.
Answer: Legislation/regulation is a contextual factor in occupational
health programs.
HANDBOOK 2026 PATIENT SAFETY AND
CRITICAL THINKING STRATEGIES
◉ Hope in recovery.
Answer: The belief that improvement is possible, which can
motivate clients in treatment.
◉ Effective communication.
Answer: The ability to convey messages in a way that is understood
and supportive.
◉ Healthcare worker rights.
Answer: Entitlements and protections provided to healthcare
workers under federal regulations.
◉ Assess and document skin condition.
Answer: Assess and document skin condition around the incision
and IV site at each shift.
◉ Early identification of infection.
,Answer: Early identification of infection leads to prompt treatment
and decreased nosocomial transmission to others.
◉ Ileoanal reservoir (J pouch).
Answer: An ileal pouch-anal anastomosis (also known as the J
pouch) is a surgically created ileoanal reservoir in the anal canal that
preserves the rectal sphincter muscle.
◉ Transverse loop ostomy.
Answer: The transverse loop ostomy is permanent.
◉ Easily removable appliances.
Answer: Easily removable appliances allow independence in self-
care.
◉ Daily irrigation after J pouch heals.
Answer: Daily irrigation is started after the J pouch heals.
◉ Stool expulsion.
Answer: Stool is eventually expelled through the rectum.
◉ Cuff inflation on tracheostomy tube.
,Answer: Inject air until no air is auscultated over the larynx during a
deep breath.
◉ Minimal occlusion pressure.
Answer: To achieve minimal pressure against the tracheal wall,
inject air into the tracheostomy tube cuff while auscultating with a
stethoscope placed over the larynx.
◉ 10 mm induration after PPD test.
Answer: The PPD skin test results is indicative of exposure or latent
Mycobacterium tuberculosis infection (LTBI).
◉ Refer for further diagnostic evaluation.
Answer: Refer for further diagnostic evaluation for clients with a
positive PPD test.
◉ High-risk category for LTBI.
Answer: This client is in a high-risk category for exposure in a
homeless environment.
◉ External environmental influences.
Answer: Contextual factors considered external environmental
influences in the framework for occupational health programs and
, services include economics, workforce, technology, socio-economic
status, and legislation/regulation.
◉ Economics.
Answer: Economics is a contextual factor in occupational health
programs.
◉ Workforce.
Answer: Workforce is a contextual factor in occupational health
programs.
◉ Technology.
Answer: Technology is a contextual factor in occupational health
programs.
◉ Socio-economic status.
Answer: Socio-economic status is a contextual factor in occupational
health programs.
◉ Legislation/regulation.
Answer: Legislation/regulation is a contextual factor in occupational
health programs.
