Science Medicine Nursing
BSN 225 HESI RN Specialty Nursing Exam Review
1
skin tenting a sign of fluid volume deficit (dehydration)
community-based nurse intervention for cocaine addiction Assess the frequency of abuse, Assess the nature of use, Assess the amount of
consumption
purpose of client's restraints The restraints discourage the client from ambulating alone.
proper order of abdominal assessment steps Inspections (eyes), auscultation, percussion, palpate
focused assessment assessment conducted to assess a specific problem; focuses on pertinent history and
body regions
initial action for abdominal pain assessment Assess the symptomatic quadrant last; start with furthest away from the problem and
work your way
subjective assessment finding in postoperative client pain description
nurse's legal responsibility when applying restraints Document the client's behavior, Document the type of restraint used, Obtain a written
order from the physician except in an emergency, when the client must be protected from
injury to himself or others.
priority intervention for indwelling catheter client Check to see if the catheter is patent
teaching plan for client with diarrhea Drinking at least eight glasses of fluid each day
techniques for administering a cleansing enema Assist the client to a left side-lying (Sims) position, Raise container, release clamps, and
allow solution to fill tubing before administration.
Clamp tubing after solution is instilled
1/7
, Raising the head of the bed Assists the patient into a more normal position that allows proper contraction of muscles
for elimination.
Peristalsis in the stomach Forces food into digestion (nervous)
Risk for increased peristalsis A 21-year-old college student with three final examinations on the same day
Loss of taste buds in older adults Especially for sweet and salt.
Encouraging a teenage girl during hospitalization Encourage her to write her feelings in a journal.
Factors affecting stress response Individual coping skills, Type of identified stressor, Amount of perceived stress, Personal
appraisal of the stressor
Effects of stress on the immune system Encouraging clients to avoid exposure to upper respiratory tract infections.
Nursing intervention for coping with illness Asking the client to describe previous stressful situations and how she managed to
resolve them.
Increased risk for body-image disturbances Mastectomy, Amputation, Stroke
Reasons clients avoid discussing sex with healthcare providers They are too embarrassed to discuss the topic of sex with a health care provider, They are
concerned that the health care professionals will be judgmental.
Client with pancreatic cancer A hospice nurse is caring for a client who is dying of pancreatic cancer.
Nurse's BEST response to client feeling disconnected from Ask if the client would like to talk about his feelings.
God
Stage of grief for client with stage IV lung cancer Bargaining.
2/7
BSN 225 HESI RN Specialty Nursing Exam Review
1
skin tenting a sign of fluid volume deficit (dehydration)
community-based nurse intervention for cocaine addiction Assess the frequency of abuse, Assess the nature of use, Assess the amount of
consumption
purpose of client's restraints The restraints discourage the client from ambulating alone.
proper order of abdominal assessment steps Inspections (eyes), auscultation, percussion, palpate
focused assessment assessment conducted to assess a specific problem; focuses on pertinent history and
body regions
initial action for abdominal pain assessment Assess the symptomatic quadrant last; start with furthest away from the problem and
work your way
subjective assessment finding in postoperative client pain description
nurse's legal responsibility when applying restraints Document the client's behavior, Document the type of restraint used, Obtain a written
order from the physician except in an emergency, when the client must be protected from
injury to himself or others.
priority intervention for indwelling catheter client Check to see if the catheter is patent
teaching plan for client with diarrhea Drinking at least eight glasses of fluid each day
techniques for administering a cleansing enema Assist the client to a left side-lying (Sims) position, Raise container, release clamps, and
allow solution to fill tubing before administration.
Clamp tubing after solution is instilled
1/7
, Raising the head of the bed Assists the patient into a more normal position that allows proper contraction of muscles
for elimination.
Peristalsis in the stomach Forces food into digestion (nervous)
Risk for increased peristalsis A 21-year-old college student with three final examinations on the same day
Loss of taste buds in older adults Especially for sweet and salt.
Encouraging a teenage girl during hospitalization Encourage her to write her feelings in a journal.
Factors affecting stress response Individual coping skills, Type of identified stressor, Amount of perceived stress, Personal
appraisal of the stressor
Effects of stress on the immune system Encouraging clients to avoid exposure to upper respiratory tract infections.
Nursing intervention for coping with illness Asking the client to describe previous stressful situations and how she managed to
resolve them.
Increased risk for body-image disturbances Mastectomy, Amputation, Stroke
Reasons clients avoid discussing sex with healthcare providers They are too embarrassed to discuss the topic of sex with a health care provider, They are
concerned that the health care professionals will be judgmental.
Client with pancreatic cancer A hospice nurse is caring for a client who is dying of pancreatic cancer.
Nurse's BEST response to client feeling disconnected from Ask if the client would like to talk about his feelings.
God
Stage of grief for client with stage IV lung cancer Bargaining.
2/7
