BSN 246 Practice HESI ASSESSMENT (VERSION 1
& 2) NEWEST COMPLETE VERSION QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+.
Save
Terms in this set (50)
The registered nurse (RN) Polydipsia.
is caring for a client who
has a closed head injury Rationale
from a motor vehicle A characteristic finding of DI is excretion of large
collision. Which finding quantities of urine (5 to 20L/day), and most clients
should the RN assess the compensate for fluid loss by drinking large amounts
client for the risk of of water (polydipsia). DI can occur when there has
diabetes insipidus (DI)? been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or
High fever. an illness such as meningitis. This damage interrupts
Low blood pressure. the ADH production, storage and release causing
Muscle rigidity. the excessive urination and thirst.
Polydipsia.
,The registered nurse (RN) Urine output of 40 mL/hour.
is caring for a client who
developed oliguria and Rationale
was diagnosed with A decrease in urinary output is a sign of
sepsis and dehydration dehydration. When the urine output returns to a
48 hours ago. Which normal range, 40 mL/hour, the client's kidneys are
assessment finding perfusing adequately and indicates the client's
indicates to the RN that status is stablizing.
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.
,A client who is uses Withhold medication and report symptoms and vital
ipratropium reports signs to healthcare provider.
having nausea, blurred
vision, headaches, and Rationale
insomnia after using the Headache, nausea, blurred vision and insomnia are
inhaler. Which action symptoms of excessive use of ipratropium, so
should the registered withholding the medication until the healthcare
nurse (RN) implement provider is notified should be initiated to maintain
first? client safety.
Withhold medication and
report symptoms and vital
signs to healthcare
provider.
Give PRN medication for
nausea and vomiting and
evaluate client in 30
minutes.
Reassure client that the
ipratropium given will
alleviate the symptoms.
Delay administration of
ipratropium until next
maintenance medication is
scheduled.
, The registered nurse (RN) Sphygmomanometer.
is assessing a client who
was discharged home Rationale
after management of Self-awareness is the best way for a client to
chronic hypertension. manage chronic hypertension, so the client should
Which equipment should obtain a sphygmomanometer and learn how to
the RN instruct the client monitor blood pressure daily and maintain a record.
to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
The registered nurse (RN) Promotes CO2 elimination.
is teaching a client who is
newly diagnosed with Rationale
emphysema how to Pursed lip breathing helps eliminate CO2 by
perform pursed lip increasing positive pressure within the alveoli
breathing. What is the increasing the surface area of the alveoli making it
primary reason for easier for the O2 and CO2 gas exchange to occur .
teaching the client this
method of breathing?
Decreases respiratory
rate.
Increases O2 saturation
throughout the body.
Conserves energy while
ambulating.
Promotes CO2 elimination.
& 2) NEWEST COMPLETE VERSION QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+.
Save
Terms in this set (50)
The registered nurse (RN) Polydipsia.
is caring for a client who
has a closed head injury Rationale
from a motor vehicle A characteristic finding of DI is excretion of large
collision. Which finding quantities of urine (5 to 20L/day), and most clients
should the RN assess the compensate for fluid loss by drinking large amounts
client for the risk of of water (polydipsia). DI can occur when there has
diabetes insipidus (DI)? been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or
High fever. an illness such as meningitis. This damage interrupts
Low blood pressure. the ADH production, storage and release causing
Muscle rigidity. the excessive urination and thirst.
Polydipsia.
,The registered nurse (RN) Urine output of 40 mL/hour.
is caring for a client who
developed oliguria and Rationale
was diagnosed with A decrease in urinary output is a sign of
sepsis and dehydration dehydration. When the urine output returns to a
48 hours ago. Which normal range, 40 mL/hour, the client's kidneys are
assessment finding perfusing adequately and indicates the client's
indicates to the RN that status is stablizing.
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.
,A client who is uses Withhold medication and report symptoms and vital
ipratropium reports signs to healthcare provider.
having nausea, blurred
vision, headaches, and Rationale
insomnia after using the Headache, nausea, blurred vision and insomnia are
inhaler. Which action symptoms of excessive use of ipratropium, so
should the registered withholding the medication until the healthcare
nurse (RN) implement provider is notified should be initiated to maintain
first? client safety.
Withhold medication and
report symptoms and vital
signs to healthcare
provider.
Give PRN medication for
nausea and vomiting and
evaluate client in 30
minutes.
Reassure client that the
ipratropium given will
alleviate the symptoms.
Delay administration of
ipratropium until next
maintenance medication is
scheduled.
, The registered nurse (RN) Sphygmomanometer.
is assessing a client who
was discharged home Rationale
after management of Self-awareness is the best way for a client to
chronic hypertension. manage chronic hypertension, so the client should
Which equipment should obtain a sphygmomanometer and learn how to
the RN instruct the client monitor blood pressure daily and maintain a record.
to use at home?
Exercise bicycle.
Sphygmomanometer.
Blood glucose monitor.
Weekly medication box.
The registered nurse (RN) Promotes CO2 elimination.
is teaching a client who is
newly diagnosed with Rationale
emphysema how to Pursed lip breathing helps eliminate CO2 by
perform pursed lip increasing positive pressure within the alveoli
breathing. What is the increasing the surface area of the alveoli making it
primary reason for easier for the O2 and CO2 gas exchange to occur .
teaching the client this
method of breathing?
Decreases respiratory
rate.
Increases O2 saturation
throughout the body.
Conserves energy while
ambulating.
Promotes CO2 elimination.
