BSN 246 HESI: EXAM REVIEW QUESTIONS WITH CORRECT
ANSWERS
1) The registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers
that the client has had 14 to 20 loose stools with rectal bleeding. Which
condition should the RN ask the client about his medical history?
- Irritable bowel syndrome.
- Diverticulitis.
- Crohn's disease.
- Ulcerative colitis. -- Answer ✔✔ Ulcerative colitis.
Rationale: The RN should ask the client if he has a history of ulcerative colitis,
which is characterized by severe abdominal cramping, pain, tenesmus, and
dehydration .
2) The registered nurse (RN) is caring for a client who has a closed head injury from
a motor vehicle collision. Which finding should the RN assess the client for the
risk of diabetes insipidus (DI)?
- High fever.
, - Low blood pressure.
- Muscle rigidity.
- Polydipsia. -- Answer ✔✔ Polydipsia.
Rationale: A characteristic finding of DI is excretion of large quantities of urine (5
to 20L/day), and most clients compensate for fluid loss by drinking large amounts
of water (polydipsia). DI can occur when there has been damage or injury to the
pituitary gland or hypothalamus as a result of head trauma, tumor or an illness
such as meningitis. This damage interrupts the ADH production, storage and
release causing the excessive urination and thirst.
3) The registered nurse (RN) is caring for a client with acute pancreatitis and
assesses the admission laboratory results. What laboratory value should the RN
anticipate being elevated with this diagnosis?
- Triglycerides.
- Amylase.
- Creatinine.
- Uric acid. -- Answer ✔✔ Amylase.
Rationale: An elevated amylase level is associated with acute pancreatitis.
4) The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance tests (OGTT). Which laboratory result should the RN assess as
a normal value for the two hour postprandial result?
- 140 mg/dl.
- 160 mg/dl.
- 180 mg/dl.
- 200 mg/dl. -- Answer ✔✔ 140 mg/dl.
Rationale: The two hour postprandial level should be less 140 mg/dl for a young
adult client.
ANSWERS
1) The registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers
that the client has had 14 to 20 loose stools with rectal bleeding. Which
condition should the RN ask the client about his medical history?
- Irritable bowel syndrome.
- Diverticulitis.
- Crohn's disease.
- Ulcerative colitis. -- Answer ✔✔ Ulcerative colitis.
Rationale: The RN should ask the client if he has a history of ulcerative colitis,
which is characterized by severe abdominal cramping, pain, tenesmus, and
dehydration .
2) The registered nurse (RN) is caring for a client who has a closed head injury from
a motor vehicle collision. Which finding should the RN assess the client for the
risk of diabetes insipidus (DI)?
- High fever.
, - Low blood pressure.
- Muscle rigidity.
- Polydipsia. -- Answer ✔✔ Polydipsia.
Rationale: A characteristic finding of DI is excretion of large quantities of urine (5
to 20L/day), and most clients compensate for fluid loss by drinking large amounts
of water (polydipsia). DI can occur when there has been damage or injury to the
pituitary gland or hypothalamus as a result of head trauma, tumor or an illness
such as meningitis. This damage interrupts the ADH production, storage and
release causing the excessive urination and thirst.
3) The registered nurse (RN) is caring for a client with acute pancreatitis and
assesses the admission laboratory results. What laboratory value should the RN
anticipate being elevated with this diagnosis?
- Triglycerides.
- Amylase.
- Creatinine.
- Uric acid. -- Answer ✔✔ Amylase.
Rationale: An elevated amylase level is associated with acute pancreatitis.
4) The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance tests (OGTT). Which laboratory result should the RN assess as
a normal value for the two hour postprandial result?
- 140 mg/dl.
- 160 mg/dl.
- 180 mg/dl.
- 200 mg/dl. -- Answer ✔✔ 140 mg/dl.
Rationale: The two hour postprandial level should be less 140 mg/dl for a young
adult client.
