HESI BSN 266 FINAL EXAM
Questions and Answers
1. 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.
2. 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.
3. NGN: Scenario 1
A 57 year old male client is brought to the emergency department
by emer- gency 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
4. 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+. Capil- lary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds
throughout bilat- eral 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.
5. 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
6. 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
7. Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while
performing a percu- taneous 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
Questions and Answers
1. 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.
2. 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.
3. NGN: Scenario 1
A 57 year old male client is brought to the emergency department
by emer- gency 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
4. 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+. Capil- lary refill 2 sec.
Respiratory: Rapid and shallow breaths. Clear breath sounds
throughout bilat- eral 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.
5. 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
6. 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
7. Scenario 1: Chest Pain
Drag and drop word choices to complete the sentence.
If healthcare providers see a narrowed heart vessel while
performing a percu- taneous 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
