BSN 266 03-26-25 HESI Final EXAM
QUESTIONS & VERIFIED CORECT
ANSWERS 100%
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which
instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates
B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of the kidneys.
This can manifest as nephritic syndrome, where there is significant hematuria, and/or nephrotic
syndrome, where edema is pronounced. In this disease the nurse should include restriction of
sodium intake as part of dietary adjustments because the kidneys are not able to filter blood
well if inflamed. Thus buildup of sodium may occur if intake is not lowered.
An older client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine
health assessment. Which assessment would the nurse complete to determine if a patient with
type 2 DM is experiencing long term complications? SATA
A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN)
A: Helps identify complications like diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emergency medical
services (EMS) with reports of chest pain. The client was mowing his lawn and noticed chest
pain presenting as tightness and pressure. The pain continued to increase over about 30
minutes when the client decided to rest. The clients wife called EMS when the pain was
,unrelieved after 20 minutes of rest. The client reports no other incidents of experiencing this
pain, The clients medical history includes hypertension, obesity, and a 20 year history of
smoking, having quite about 5 years ago. Medications: Metoprolol 25 mg PO once daily.
Answer on next card
Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that is unrelieved with
rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilateral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest, started approximately 2
hours ago and got progressively worse, unrelieved by rest.
*Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin
Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
, Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement by selecting
from the list of options provided. The nurse determines that the client has ________ as
evidenced by ST depression on electrocardiogram and normal__________
New onset angina
Troponin
Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while performing a percutaneous coronary
intervention (PIC), they may perform a balloon angioplasty to compress the plaque against the
vessel and hold it there with a stent, which will lessen_______ and_________
Vaso
Pain
Scenario 1 Chest pain:
For each medication, choose the drug classification and medication action:
A. Amlodipine
B. Aspirin
C. Lisinopril
D. Nitroglycerin
Classification
Nitrate
Ace Inhibitor
Calcium channel blocker
antiplatelet
Medication action:
Promotes peripheral dilation
Lessens contractility of smooth muscle
Results in vasodilation
Inhibits cyclooxygenase and thromboxane A2
QUESTIONS & VERIFIED CORECT
ANSWERS 100%
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which
instruction should the nurse include in the dietary teaching?
A. Select protein rich food daily
B. Restrict sodium intake
C. Eat high potassium foods
D. Avoid foods high in carbohydrates
B. Restrict sodium intake
Acute glomerulonephritis (AGN) is a condition of inflammation of the glomeruli of the kidneys.
This can manifest as nephritic syndrome, where there is significant hematuria, and/or nephrotic
syndrome, where edema is pronounced. In this disease the nurse should include restriction of
sodium intake as part of dietary adjustments because the kidneys are not able to filter blood
well if inflamed. Thus buildup of sodium may occur if intake is not lowered.
An older client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine
health assessment. Which assessment would the nurse complete to determine if a patient with
type 2 DM is experiencing long term complications? SATA
A. Skin condition of lower extremities
B. Sensation in feet and legs
C. Visual acuity
D. Signs of respiratory tract infection
E. Serum Creatinine and Blood Urea Nitrogen (BUN)
A: Helps identify complications like diabetic ulcers
B: Assessing sensation in feet and legs helps detect neuropathy.
C: Helps identify diabetic retinopathy.
E: Helps assess kidney function and identify nephropathy.
NGN: Scenario 1
A 57 year old male client is brought to the emergency department by emergency medical
services (EMS) with reports of chest pain. The client was mowing his lawn and noticed chest
pain presenting as tightness and pressure. The pain continued to increase over about 30
minutes when the client decided to rest. The clients wife called EMS when the pain was
,unrelieved after 20 minutes of rest. The client reports no other incidents of experiencing this
pain, The clients medical history includes hypertension, obesity, and a 20 year history of
smoking, having quite about 5 years ago. Medications: Metoprolol 25 mg PO once daily.
Answer on next card
Scenario 1: Click to highlight findings for follow up:
Neurological: Alert and orientated. Agitated. Denies headaches
Cardiovascular: Reported chest pain described as pressure and tightness that is unrelieved with
rest.
Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilateral lungs.
Gastrointestinal: Within normal limits (WNL)
Musculoskeletal: WNL
Pain reported 7 on a 0 to 10 pain scale, tightness and pressure in chest, started approximately 2
hours ago and got progressively worse, unrelieved by rest.
*Neurological: Agitation
*Cardiovascular: Chest pain described as tightness and pressure, rapid regular rhythm.
*Respiratory: Rapid and shallow breathing
*Pain: Reported 7 on a 0-10 scale, tightness and pressure in chest.
Scenario 1:
Select which one or both if they are angina or myocardial infarction:
Epigastric distress
Chest Pain radiating down arm
Pain only relieved by opioids
Occurring without cause
Feelings of fear
Pain relieved by nitroglycerin
Epigastric distress: MI
Chest Pain radiating down arm: Both
Pain only relieved by opioids: MI
Occurring without cause: MI
Feelings of fear: MI
Pain relieved by nitroglycerin: Angina
, Scenario 1: Chest pain
Choose the most likely options for the information missing from the statement by selecting
from the list of options provided. The nurse determines that the client has ________ as
evidenced by ST depression on electrocardiogram and normal__________
New onset angina
Troponin
Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while performing a percutaneous coronary
intervention (PIC), they may perform a balloon angioplasty to compress the plaque against the
vessel and hold it there with a stent, which will lessen_______ and_________
Vaso
Pain
Scenario 1 Chest pain:
For each medication, choose the drug classification and medication action:
A. Amlodipine
B. Aspirin
C. Lisinopril
D. Nitroglycerin
Classification
Nitrate
Ace Inhibitor
Calcium channel blocker
antiplatelet
Medication action:
Promotes peripheral dilation
Lessens contractility of smooth muscle
Results in vasodilation
Inhibits cyclooxygenase and thromboxane A2
