BSN 246 HESI GOOD QUESTIONS AND
ANSWERS FOR EXAM REVISION
The registered nurse (RN) is caring for a client with
peptic ulcer disease (PUD). What assessment should
the RN identify and document that is consistent with
PUD? (Select all that apply).
Hematemesis
Gastric pain on an empty stomach
Colic-like pain w/fatty food ingestion
intolerance of spicy foods
Diarrhea and Stearrhea
Gastric pain on an empty stomach
Intolerance of spicy foods
Rationale
Manifestations of PUD include hematemesis, gastric
pain, and spicy food intolerance.
A client with cirrhosis of the liver asks the registered
nurse (RN) to explain how varicose veins can occur in
the esophagus. Which statement should the RN
provide to teach the client about the physiological
etiology?
The enlarged liver presses on the lower half of the
esophagus which weakens blood vessels
Abnrml vessels form as a result of liver damage that
causes chronic low serum protein levels
,Esophageal swelling and tissue damage causes blood
to circulate blood back through the stomach
Increased portal pressure causes blood flow through
liver to be shunted to the esophageal vessels
Increased portal pressure causes blood flow through liver
to be shunted to the esophageal vessels
Rationale
Cirrhotic and fibrosed liver damage causes obstructed
blood flow through portal vessels to the liver which
increases the portal pressurecausing the blood flow
through the liver to be shunted to the esophageal
vessels. The result of this shunting of blood causes
the esophageal vessels (veins) to balloon out and
weaken. As the portal hypertension increases, these
esophageal varices can rupture and cause bleeding
resulting in bloody emesis and black tarry stools.
An infant with heart failure receives a prescription,
digoxin 35 mcg PO. The registered nurse (RN)
calcuates the desired dose for administration using
the available concentration of digoxin labeled, 0.05
mg/mL. How many millilitersshould the registered
nurse (RN) prepare for administration?(Enter the
numerical value only. If rounding is required round to
the nearest tenth.)
0.7
Rationale
Desired dose, 35 mcg converts to 0.035 mg because
the equivalent is 1 mg = 1,000 mcgUsing the formula,
D/H x A = 0.035 mg / 0.05 mg x 1 mL = 0.7 mLor use
the ratio proportion method of: 35mcg/X ml ::
, 1000mcg/1mL = 0.035mg; 0.035mg/XmL :: 0.05mg/mL
=0.035mg/0.7mL
The registered nurse (RN) is teaching a client who is
newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for
teaching the client this method of breathing?
Decreases respiratory rate
Increases O2 saturation throughout the body
Conserves energy while ambulating
Promotes CO2 elimination
Promotes CO2 elimination
Rationale
Pursed lip breathing helps eliminate CO2 by
increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it
easier for the O2 and CO2 gas exchange to occur .
A client is admitted for dehydration, weight loss, and a
flat affect. After reviewing the client's history, the
registered nurse (RN) discovers that the client's
spouse died 2 weeks ago. Which nursing
interventions should the RN implement to help the
client begin the process of dealing with loss?
Select all that apply
Establish trust by creating a safe atmosphere for
sharing
Share personal stories about how other clients deal
with grief
Help the client identify ways to adapt lifestyle to
accommodate loss
Assure the client that their grief will last a short period
of time
ANSWERS FOR EXAM REVISION
The registered nurse (RN) is caring for a client with
peptic ulcer disease (PUD). What assessment should
the RN identify and document that is consistent with
PUD? (Select all that apply).
Hematemesis
Gastric pain on an empty stomach
Colic-like pain w/fatty food ingestion
intolerance of spicy foods
Diarrhea and Stearrhea
Gastric pain on an empty stomach
Intolerance of spicy foods
Rationale
Manifestations of PUD include hematemesis, gastric
pain, and spicy food intolerance.
A client with cirrhosis of the liver asks the registered
nurse (RN) to explain how varicose veins can occur in
the esophagus. Which statement should the RN
provide to teach the client about the physiological
etiology?
The enlarged liver presses on the lower half of the
esophagus which weakens blood vessels
Abnrml vessels form as a result of liver damage that
causes chronic low serum protein levels
,Esophageal swelling and tissue damage causes blood
to circulate blood back through the stomach
Increased portal pressure causes blood flow through
liver to be shunted to the esophageal vessels
Increased portal pressure causes blood flow through liver
to be shunted to the esophageal vessels
Rationale
Cirrhotic and fibrosed liver damage causes obstructed
blood flow through portal vessels to the liver which
increases the portal pressurecausing the blood flow
through the liver to be shunted to the esophageal
vessels. The result of this shunting of blood causes
the esophageal vessels (veins) to balloon out and
weaken. As the portal hypertension increases, these
esophageal varices can rupture and cause bleeding
resulting in bloody emesis and black tarry stools.
An infant with heart failure receives a prescription,
digoxin 35 mcg PO. The registered nurse (RN)
calcuates the desired dose for administration using
the available concentration of digoxin labeled, 0.05
mg/mL. How many millilitersshould the registered
nurse (RN) prepare for administration?(Enter the
numerical value only. If rounding is required round to
the nearest tenth.)
0.7
Rationale
Desired dose, 35 mcg converts to 0.035 mg because
the equivalent is 1 mg = 1,000 mcgUsing the formula,
D/H x A = 0.035 mg / 0.05 mg x 1 mL = 0.7 mLor use
the ratio proportion method of: 35mcg/X ml ::
, 1000mcg/1mL = 0.035mg; 0.035mg/XmL :: 0.05mg/mL
=0.035mg/0.7mL
The registered nurse (RN) is teaching a client who is
newly diagnosed with emphysema how to perform
pursed lip breathing. What is the primary reason for
teaching the client this method of breathing?
Decreases respiratory rate
Increases O2 saturation throughout the body
Conserves energy while ambulating
Promotes CO2 elimination
Promotes CO2 elimination
Rationale
Pursed lip breathing helps eliminate CO2 by
increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it
easier for the O2 and CO2 gas exchange to occur .
A client is admitted for dehydration, weight loss, and a
flat affect. After reviewing the client's history, the
registered nurse (RN) discovers that the client's
spouse died 2 weeks ago. Which nursing
interventions should the RN implement to help the
client begin the process of dealing with loss?
Select all that apply
Establish trust by creating a safe atmosphere for
sharing
Share personal stories about how other clients deal
with grief
Help the client identify ways to adapt lifestyle to
accommodate loss
Assure the client that their grief will last a short period
of time
