BSN 266 HESI V2 EXAM | QUESTIONS
& ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
While caring for a client with full thickness burns covering
40% of the body, the nurse observes purulent drainage from
the wounds. Before reporting the finding, what is the best lab
value to evaluate?
Correct Answer: Neutrophil count- The patient is
experiencing infection, so a nurse should review the
neutrophil count before contacting the HCP.
An older woman who experienced a cerebrovascular accident
(CVA) has difficulty with visual perception and she only eats
half of the food on her meal tray. Her family expresses
,concern about her nutritional status. How should the nurse
respond to the family's concern?
Correct Answer: Demonstrate the use of visual scanning
during meals to the client and family.
Best position for respiratory distress?
Correct Answer: High Fowler's Position- High fowlers helps to
decrease venous return, which decreases fluid volume in the
heart that results in decreased cardiac workload.
A patient with peripheral artery disease has marked
peripheral neuropath. An appropriate nursing diagnosis for
the patient is
Correct Answer: High risk for injury
Type 2 diabetes patient discharge teaching patient and family
Correct Answer: Check feet every day for cuts or injuries.
, A patient with lung cancer who has a constant dry cough and
is exhausted from coughing. Which medication should the
nurse administer to this patient?
Correct Answer: Guaifenesin
Plan of care for patient with skin lesions of lower extremities
with possible MRSA. SATA
Correct Answer: Institute Contact precautions for staff and
visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
& ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
While caring for a client with full thickness burns covering
40% of the body, the nurse observes purulent drainage from
the wounds. Before reporting the finding, what is the best lab
value to evaluate?
Correct Answer: Neutrophil count- The patient is
experiencing infection, so a nurse should review the
neutrophil count before contacting the HCP.
An older woman who experienced a cerebrovascular accident
(CVA) has difficulty with visual perception and she only eats
half of the food on her meal tray. Her family expresses
,concern about her nutritional status. How should the nurse
respond to the family's concern?
Correct Answer: Demonstrate the use of visual scanning
during meals to the client and family.
Best position for respiratory distress?
Correct Answer: High Fowler's Position- High fowlers helps to
decrease venous return, which decreases fluid volume in the
heart that results in decreased cardiac workload.
A patient with peripheral artery disease has marked
peripheral neuropath. An appropriate nursing diagnosis for
the patient is
Correct Answer: High risk for injury
Type 2 diabetes patient discharge teaching patient and family
Correct Answer: Check feet every day for cuts or injuries.
, A patient with lung cancer who has a constant dry cough and
is exhausted from coughing. Which medication should the
nurse administer to this patient?
Correct Answer: Guaifenesin
Plan of care for patient with skin lesions of lower extremities
with possible MRSA. SATA
Correct Answer: Institute Contact precautions for staff and
visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
