BSN 246 HESI GOOD REVISION EXAM
WITH QUESTION AND CORRECT
ANSWERS
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
-The development of resistant strains of TB are decreased with a combination of drugs.
-Compliance to the medication regimen is challenging but should be maintained.
-Side effects are minimized with the use of a single medication but is less effective.
-The treatment time is decreased from 6 months to 3 months with this standard
regimen. - CORRECT ANSWER The development of resistant strains of TB are
decreased with a combination of drugs..
Rationale
Combination therapy is necessary to decrease the development of resistant strains of
TB and ensure treatment efficacy.
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
-Urine output of 40 mL/hour.
-Apical pulse 100 and blood pressure 76/42.
-Urine specific gravity 1.001.
-Tented skin on dorsal surface of hands. - CORRECT ANSWER Urine output of 40
mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the urine output returns to a
normal range, 40 mL/hour, the client's kidneys are perusing adequately and indicates
the client's status is stabilizing.
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home?
-Exercise bicycle.
-Sphygmomanometer.
-Blood glucose monitor.
-Weekly medication box. - CORRECT ANSWER Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension, so the
client should obtain a sphygmomanometer and learn how to monitor blood pressure
daily and maintain a record.
, The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
-Consumption of any alcohol or tyramine-rich foods.
-Complaints of nausea or vomiting.
-Therapeutic serum drug levels.
-Blood pressure and pulse prior to taking each dose. - CORRECT ANSWER
Consumption of any alcohol or tyramine-rich foods.
Rationale
The consumption of any type of tyramine containing foods such as aged cheeses,
fermented fruits and vegetables, smoked or cured meats, dark wines and other
alcoholic products should be avoided when a client is prescribed a MAOIs due to a
food-drug interaction causing a hypertensive crisis which can lead to a hemorrhagic
stroke.
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort, itching, and a white discharge. The RN should discuss which action with the
client?
-Discontinue the antibiotic because original symptoms have subsided.
-Continue taking medication until finished until the symptoms subside.
-Consult with healthcare provider about another treatment for this effect.
-Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - CORRECT
ANSWER Consult with healthcare provider about another treatment for this effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic therapy. If
suspected, the new onset of findings should be reported to the healthcare provider for
another prescribed treatment to treat the superinfection.
The registered nurse (RN) is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important for the RN to
report the healthcare provider?
-Lower back pain.
-Headache of 7 on scale 1 to 10.
-Blood pressure of 140/98.
-Dyspnea. - CORRECT ANSWER Dyspnea.
Rationale
A client with a large bone fracture is at risk for intramedullary fat leaking into the blood
stream and becoming embolic. Dyspnea is an indication of fat embolism to the lungs
and should be reported to the healthcare provider immediately.
The registered nurse (RN) recognizes which client group is at the greatest risk for
developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - CORRECT ANSWER school-age female:
WITH QUESTION AND CORRECT
ANSWERS
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
-The development of resistant strains of TB are decreased with a combination of drugs.
-Compliance to the medication regimen is challenging but should be maintained.
-Side effects are minimized with the use of a single medication but is less effective.
-The treatment time is decreased from 6 months to 3 months with this standard
regimen. - CORRECT ANSWER The development of resistant strains of TB are
decreased with a combination of drugs..
Rationale
Combination therapy is necessary to decrease the development of resistant strains of
TB and ensure treatment efficacy.
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
-Urine output of 40 mL/hour.
-Apical pulse 100 and blood pressure 76/42.
-Urine specific gravity 1.001.
-Tented skin on dorsal surface of hands. - CORRECT ANSWER Urine output of 40
mL/hour.
Rationale
A decrease in urinary output is a sign of dehydration. When the urine output returns to a
normal range, 40 mL/hour, the client's kidneys are perusing adequately and indicates
the client's status is stabilizing.
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home?
-Exercise bicycle.
-Sphygmomanometer.
-Blood glucose monitor.
-Weekly medication box. - CORRECT ANSWER Sphygmomanometer.
Rationale
Self-awareness is the best way for a client to manage chronic hypertension, so the
client should obtain a sphygmomanometer and learn how to monitor blood pressure
daily and maintain a record.
, The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
-Consumption of any alcohol or tyramine-rich foods.
-Complaints of nausea or vomiting.
-Therapeutic serum drug levels.
-Blood pressure and pulse prior to taking each dose. - CORRECT ANSWER
Consumption of any alcohol or tyramine-rich foods.
Rationale
The consumption of any type of tyramine containing foods such as aged cheeses,
fermented fruits and vegetables, smoked or cured meats, dark wines and other
alcoholic products should be avoided when a client is prescribed a MAOIs due to a
food-drug interaction causing a hypertensive crisis which can lead to a hemorrhagic
stroke.
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort, itching, and a white discharge. The RN should discuss which action with the
client?
-Discontinue the antibiotic because original symptoms have subsided.
-Continue taking medication until finished until the symptoms subside.
-Consult with healthcare provider about another treatment for this effect.
-Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - CORRECT
ANSWER Consult with healthcare provider about another treatment for this effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic therapy. If
suspected, the new onset of findings should be reported to the healthcare provider for
another prescribed treatment to treat the superinfection.
The registered nurse (RN) is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important for the RN to
report the healthcare provider?
-Lower back pain.
-Headache of 7 on scale 1 to 10.
-Blood pressure of 140/98.
-Dyspnea. - CORRECT ANSWER Dyspnea.
Rationale
A client with a large bone fracture is at risk for intramedullary fat leaking into the blood
stream and becoming embolic. Dyspnea is an indication of fat embolism to the lungs
and should be reported to the healthcare provider immediately.
The registered nurse (RN) recognizes which client group is at the greatest risk for
developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - CORRECT ANSWER school-age female:
