BSN 266 HESI UPDATED QUESTIONS
& VERIFIED ANSWERS PASSED 100%
NEWEST VERSION
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
B. Assist client to an upright position
A client with multiple sclerosis (MS) is admitted to the medical unit, The client reports fatigue,
muscle weakness, and diplopia. Which action should the nurse implement to reduce the clients
risk for falls? SATA
A. Provide assistance to bedside commode
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
A client arrives to the ED following a motor vehicle collision, The nurse observes the client
experiencing increasing dyspnea and notes absent breath sounds on the left side, which
procedure should the nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
B. Chest tube insertion
Following a transurethral resection of the prostate (TURP) a client is discharged from the
hospital with an indwelling urinary catheter, Which instruction is most important for the nurse
,to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
An adult woman with Graves disease is admitted with severe dehydration and malnutrition, She
is currently restless and refusing to eat. Which action is most important for the nurse to
implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
C. Maintain a paten intravenous site
A client tells the clinic nurse about experiencing burning on urination, and assessment reveals
that the client had sexual intercourse four days ago with a person who was a casual
acquaintance, Which action should the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation
A. Obtain a specimen of urethral drainage for culture
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial
meningitis, which diagnostic procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
A Lumbar puncture
An older adult client with long term type 2 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. Sensation in feet and legs
B. Skin condition of lower extremities
, C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and legs, and
massive ascites, Which mechanism contributes to edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
C. Decreased renin angiotensin response related to an increase in renal blood flow
D. Hyperaldosteronism causing an increased sodium absorption in renal tubes
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
Hypoalbuminemia that results in a decreased colloidal oncotic pressure, this is correct, in
cirrhosis liver damage leads to decreased synthesis of albumin, Albumin plays a crucial role in
maintaining colloidal oncotic pressure and when it is decreased (hypoalbuminemia) fluid is
more likely to leak out of blood vessels resulting n edema, the same mechanism contributes to
the development of ascites in the abdominal cavity.
D: Incorrect hyperaldosteronism is characterized by an excess of aldosterone a hormone that
regulates sodium and water balance in cirrhosis sodium retention is often related to other
mechanisms such as portal hypertension and hypoalbuminemia rather than
hyperaldosteronism.
C. Cirrhosis is more commonly associated with an activated renin angiotensin aldosterone
system, leading to increased sodium and water retention, the increased renin angiotensin
response is a compensatory mechanism to maintain perfusion in the setting o cirrhosis and
does not contribute to decreased renal blood flow
The nurse is planning care for an older adult client who experiences a cerebrovascular accident
several weeks ago. The client has expressive aphasia (Broca's aphasia) and often becomes
frustrated with the nursing staff. Which intervention should the nurse implement?
A. Encourage clients use of picture charts
B. Speak slowly to the client
& VERIFIED ANSWERS PASSED 100%
NEWEST VERSION
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is
admitted with progressive shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
B. Assist client to an upright position
A client with multiple sclerosis (MS) is admitted to the medical unit, The client reports fatigue,
muscle weakness, and diplopia. Which action should the nurse implement to reduce the clients
risk for falls? SATA
A. Provide assistance to bedside commode
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
A. Provide assistance to bedside commode\
C. Schedule frequent rest periods.
E. Teach to patch one eye while walking
A client arrives to the ED following a motor vehicle collision, The nurse observes the client
experiencing increasing dyspnea and notes absent breath sounds on the left side, which
procedure should the nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
B. Chest tube insertion
Following a transurethral resection of the prostate (TURP) a client is discharged from the
hospital with an indwelling urinary catheter, Which instruction is most important for the nurse
,to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
B. Drink 3 liters of water each day
An adult woman with Graves disease is admitted with severe dehydration and malnutrition, She
is currently restless and refusing to eat. Which action is most important for the nurse to
implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
C. Maintain a paten intravenous site
A client tells the clinic nurse about experiencing burning on urination, and assessment reveals
that the client had sexual intercourse four days ago with a person who was a casual
acquaintance, Which action should the nurse implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation
A. Obtain a specimen of urethral drainage for culture
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial
meningitis, which diagnostic procedure should the nurse prepare the client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
A Lumbar puncture
An older adult client with long term type 2 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. Sensation in feet and legs
B. Skin condition of lower extremities
, C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D. Serum Creatinine and blood urea nitrogen (BUN)
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and legs, and
massive ascites, Which mechanism contributes to edema and ascites in a client with cirrhosis?
A. Decreased portacaval pressure with greater collateral circulation
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
C. Decreased renin angiotensin response related to an increase in renal blood flow
D. Hyperaldosteronism causing an increased sodium absorption in renal tubes
B. Hypoalbuminemia that results in decreased colloidal oncotic pressure
Hypoalbuminemia that results in a decreased colloidal oncotic pressure, this is correct, in
cirrhosis liver damage leads to decreased synthesis of albumin, Albumin plays a crucial role in
maintaining colloidal oncotic pressure and when it is decreased (hypoalbuminemia) fluid is
more likely to leak out of blood vessels resulting n edema, the same mechanism contributes to
the development of ascites in the abdominal cavity.
D: Incorrect hyperaldosteronism is characterized by an excess of aldosterone a hormone that
regulates sodium and water balance in cirrhosis sodium retention is often related to other
mechanisms such as portal hypertension and hypoalbuminemia rather than
hyperaldosteronism.
C. Cirrhosis is more commonly associated with an activated renin angiotensin aldosterone
system, leading to increased sodium and water retention, the increased renin angiotensin
response is a compensatory mechanism to maintain perfusion in the setting o cirrhosis and
does not contribute to decreased renal blood flow
The nurse is planning care for an older adult client who experiences a cerebrovascular accident
several weeks ago. The client has expressive aphasia (Broca's aphasia) and often becomes
frustrated with the nursing staff. Which intervention should the nurse implement?
A. Encourage clients use of picture charts
B. Speak slowly to the client
