EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
A client presents at the ED complaining of a raspy voice, cold intolerance, and
fatigue. Lab tests indicate an elevated TSH and low T3 and T4 levels. After the
client is admitted to the telemetry unit, which intervention is most important
for the nurse to implement?
A) Assess for presence of non-pitting edema.
B) Administer the prescribed dose of
levothyroxine. C) Offer additional blankets
and a warm drink.
D) Note client's most recent hemoglobin levels. - ANSWER-B)
Administer the prescribed dose of levothyroxine.
Rationale: In the negative feedback mechanism of hypothyroidism, a low
level of thyroid hormone stimulates TSH production by the hypothalamus
and results in an elevated TSH level, but the thyroid gland does not respond
with adequate production of T3 and T4 to regulate basal metabolic rate.
These serum hormone levels indicate the need to administer supplementary
thyroid hormone as soon as possible to avert possible myxedema coma.
Non-pitting edema is seen in chronic hypothyroidism and assessment of the
presence and location of the edema (A) is not a top priority. Providing
warmth (C) is beneficial but of less priority than (B). Anemia is common in
hypothyroidism, but (D) is of lower priority than initiating treatment to
prevent myxedema coma.
The nurse suspects that a client might be hemorrhaging internally. Which
findings of an orthostatic tilt test are a most likely indication of a major bleed
(> 1000 ml)?
A) A decrease in the systolic BP of 10 mm Hg with a corresponding increase
in the HR of 20.
B) A decrease in the systolic BP of 10 mm Hg with a corresponding decrease
in the HR of 20.
C) A decrease in the systolic BP of 20 mm Hg with a corresponding decrease
in the HR of 10.
D) A decrease in the systolic BP of 20 mm Hg with a corresponding increase
in the HR of 10. - ANSWER-Ans: A) A decrease in the systolic BP of 10 mm
Hg with a corresponding increase in the HR of 20.
Rationale: The loss of circulatory volume results in a 10 mm Hg drop in the
systolic pressure, while the HR increases by 20 % above normal as a
compensatory response to the low pressure.
,EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
When conducting diet teaching for a client who is on a postoperative full
liquid diet, which foods should the nurse encourage the client to eat? SATA.
A) Canned fruit
cocktail B) Creamy
peanut butter
,EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
C) Vegetable juice
D) Vanilla frozen yogurt
E) Clear beef broth - ANSWER-Ans: C, D, E
A full liquid diet includes all liquids that are not clear such as vegetable juice
and frozen yogurt, as well as clear liquids. Pieces of fruit as found in fruit
cocktail and peanut butter are not considered liquids.
A client is receiving ophthalmic drops preoperatively for a cataract
extraction and asks the nurse why he is prescribed all these medications?
SATA.
A) One of the medications is used to anesthetize the corneal surface.
B) The iris must be paralyzed during the surgery to prevent it from
reacting to light. C) Medication is used to induce sleep during the
procedure.
D) Pupillary dilation is necessary to access the eye chamber for lens removal.
E) These meds assist in obstructing the client's vision during the surgery. -
ANSWER- Ans: A, B, D
Cataract surgery is accessed through the cornea using eyelid retractors
while the client is awake. It is necessary to anesthetize the corneal surface
(A), paralyze the ciliary body (B), and provide pupil dilation (D)(mydriasis) to
facilitate access to the lens which ties behind the iris (posterior chamber of
the anterior cavity). A sedative may be administered to reduce anxiety but
it is not used to induce sleep. (C) Cloudy vision may be a side effect of these
agents, but the client will still be able to see during the surgery (E).
When assessing an IV site that is sued for fluid replacement and
medication administration, the client complains of the tenderness when
the arm is touched above the site. Which additional assessment warrants
immediate intervention by the nurse?
A) Sluggish blood return
B) Client uses the arm cautiously
C) Spot of dried blood at the insertion site
D) Red streak tracking the vein - ANSWER-Ans: D
A red streak (D) indicates vein irritation and necessitates discontinuing
the IV at the present site. A, B, and C are indications for relocating the IV
site or other immediate intervention.
A client with a liver abscess develops septic shock. A sepsis resuscitation
bundle protocol is initiated and the client receives a bolus of IV fluids. Which
parameter should the nurse monitor to assess effectiveness of the fluid
bolus?
, EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
A) Blood cultures.
B) Oxygen
saturation. C)
White blood count.
D) Mean arterial pressure (MAP). - ANSWER-D) Mean arterial pressure (MAP)
QUESTIONS WITH ANSWERS GRADED
A+2022
A client presents at the ED complaining of a raspy voice, cold intolerance, and
fatigue. Lab tests indicate an elevated TSH and low T3 and T4 levels. After the
client is admitted to the telemetry unit, which intervention is most important
for the nurse to implement?
A) Assess for presence of non-pitting edema.
B) Administer the prescribed dose of
levothyroxine. C) Offer additional blankets
and a warm drink.
D) Note client's most recent hemoglobin levels. - ANSWER-B)
Administer the prescribed dose of levothyroxine.
Rationale: In the negative feedback mechanism of hypothyroidism, a low
level of thyroid hormone stimulates TSH production by the hypothalamus
and results in an elevated TSH level, but the thyroid gland does not respond
with adequate production of T3 and T4 to regulate basal metabolic rate.
These serum hormone levels indicate the need to administer supplementary
thyroid hormone as soon as possible to avert possible myxedema coma.
Non-pitting edema is seen in chronic hypothyroidism and assessment of the
presence and location of the edema (A) is not a top priority. Providing
warmth (C) is beneficial but of less priority than (B). Anemia is common in
hypothyroidism, but (D) is of lower priority than initiating treatment to
prevent myxedema coma.
The nurse suspects that a client might be hemorrhaging internally. Which
findings of an orthostatic tilt test are a most likely indication of a major bleed
(> 1000 ml)?
A) A decrease in the systolic BP of 10 mm Hg with a corresponding increase
in the HR of 20.
B) A decrease in the systolic BP of 10 mm Hg with a corresponding decrease
in the HR of 20.
C) A decrease in the systolic BP of 20 mm Hg with a corresponding decrease
in the HR of 10.
D) A decrease in the systolic BP of 20 mm Hg with a corresponding increase
in the HR of 10. - ANSWER-Ans: A) A decrease in the systolic BP of 10 mm
Hg with a corresponding increase in the HR of 20.
Rationale: The loss of circulatory volume results in a 10 mm Hg drop in the
systolic pressure, while the HR increases by 20 % above normal as a
compensatory response to the low pressure.
,EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
When conducting diet teaching for a client who is on a postoperative full
liquid diet, which foods should the nurse encourage the client to eat? SATA.
A) Canned fruit
cocktail B) Creamy
peanut butter
,EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
C) Vegetable juice
D) Vanilla frozen yogurt
E) Clear beef broth - ANSWER-Ans: C, D, E
A full liquid diet includes all liquids that are not clear such as vegetable juice
and frozen yogurt, as well as clear liquids. Pieces of fruit as found in fruit
cocktail and peanut butter are not considered liquids.
A client is receiving ophthalmic drops preoperatively for a cataract
extraction and asks the nurse why he is prescribed all these medications?
SATA.
A) One of the medications is used to anesthetize the corneal surface.
B) The iris must be paralyzed during the surgery to prevent it from
reacting to light. C) Medication is used to induce sleep during the
procedure.
D) Pupillary dilation is necessary to access the eye chamber for lens removal.
E) These meds assist in obstructing the client's vision during the surgery. -
ANSWER- Ans: A, B, D
Cataract surgery is accessed through the cornea using eyelid retractors
while the client is awake. It is necessary to anesthetize the corneal surface
(A), paralyze the ciliary body (B), and provide pupil dilation (D)(mydriasis) to
facilitate access to the lens which ties behind the iris (posterior chamber of
the anterior cavity). A sedative may be administered to reduce anxiety but
it is not used to induce sleep. (C) Cloudy vision may be a side effect of these
agents, but the client will still be able to see during the surgery (E).
When assessing an IV site that is sued for fluid replacement and
medication administration, the client complains of the tenderness when
the arm is touched above the site. Which additional assessment warrants
immediate intervention by the nurse?
A) Sluggish blood return
B) Client uses the arm cautiously
C) Spot of dried blood at the insertion site
D) Red streak tracking the vein - ANSWER-Ans: D
A red streak (D) indicates vein irritation and necessitates discontinuing
the IV at the present site. A, B, and C are indications for relocating the IV
site or other immediate intervention.
A client with a liver abscess develops septic shock. A sepsis resuscitation
bundle protocol is initiated and the client receives a bolus of IV fluids. Which
parameter should the nurse monitor to assess effectiveness of the fluid
bolus?
, EDUCATION BNS 001 HESI PRACTICE EXAM
QUESTIONS WITH ANSWERS GRADED
A+2022
A) Blood cultures.
B) Oxygen
saturation. C)
White blood count.
D) Mean arterial pressure (MAP). - ANSWER-D) Mean arterial pressure (MAP)
