BSN 266 Practice HESI
Save
Students also studied
Flashcard sets Study guides
BSN HESI 266 HESI Practice exam Fundamentals Final
79 terms 61 terms 50 terms
EEEYAHHHH Preview julizabrego02 Preview Morgaine_is
A client with a completed D. Give an antihypertensive medication.
ischemic stroke has a blood Rationale
pressure of 180/90 mm Hg. Most ischemic strokes occur during sleep when baseline blood
Which action should the nurse pressure declines or blood viscosity increases due to minimal
implement? fluid intake. Completed strokes usually produce neurologic
A. Position the head of the bed deficits within an hour, and the client's current elevated blood
(HOB) flat. pressure requires antihypertensive medication.
B. Withhold intravenous fluids.
C. Administer a bolus of IV
fluids.
D. Give an antihypertensive
medication.
A client who is receiving A. "Chemotherapy affects the cells of the body that grow rapidly,
chemotherapy asks the nurse, both normal and malignant."
"Why is so much of my hair Rationale
falling out each day?" Which The common adverse effects of chemotherapy (nausea,
response by the nurse best vomiting, alopecia, bone marrow depression) are due to
explains the reason for chemotherapy's effect on the rapidly reproducing cells, both
alopecia? normal and malignant.
A. "Chemotherapy affects the
cells of the body that grow
rapidly, both normal and
malignant."
B. "Alopecia is a common side
effect you will experience
during long-term steroid
therapy."
C. "Your hair will grow back
completely after your course of
chemotherapy is completed."
D. "The chemotherapy causes
permanent alterations in your
hair follicles that lead to hair
loss."
,After checking the urinary A. Report the findings to the surgeon.
drainage system for kinks in the Rationale
tubing, the nurse determines An adult who weighs 132 pounds (60 kg) should produce about
that a client who has returned 60 ml of urine hourly (1 ml/kg/hour). Dark, concentrated, and low
from the post-anesthesia care volume of urine output should be reported to the surgeon.
has a dark, concentrated urinary
output of 54 ml for the last 2
hours. What priority nursing
action should be implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the
bladder.
D. Increase the IV flow rate for
15 minutes.
A male client who smokes two B, C and D
packs of cigarettes a day states Rationale
he understands that smoking Use of tobacco, alcohol, and marijuana may affect sperm counts.
cigarettes is contributing to the Sperm count is also negatively affected by low testerone levels
difficulty that he and his wife are and obesity.
having in getting pregnant and
wants to know if other factors
could be contributing to their
difficulty. What information is
best for the nurse to provide?
(Select all that apply.)
Select all that apply
A. Marijuana cigarettes do not
affect sperm count.
B. Alcohol consumption can
cause erectile dysfunction.
C. Low testosterone levels affect
sperm production.
D. Cessation of smoking
improves general health and
fertility.
E. Obesity has no effect on
sperm production.
A client with gastroesophageal D. Raising the head of the bed on blocks.
reflux disease (GERD) has been Rationale
experiencing severe reflux Raising the head of the bed on blocks (reverse Trendelenburg
during sleep. Which position) to reduce reflux and subsequent aspiration is the most
recommendation by the nurse is non-pharmacological effective recommendation for a client
most effective to assist the experiencing severe gastroesophageal reflux during sleep.
client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed
on blocks.
,A 51-year-old truck driver who A. Information about smoking cessation.
smokes two packs of cigarettes Rationale
a day and is 30 pounds Smoking has been associated with ulcer formation, and stopping
overweight is diagnosed with or decreasing the number of cigarettes smoked per day is an
having a gastric ulcer. What important aspect of ulcer management.
content is most important for
the nurse to include in the
discharge teaching for this
client?
A. Information about smoking
cessation.
B. Diet instructions for a low-
residue diet.
C. Instructions on a weight-loss
program.
D. The importance of increasing
milk in the diet.
See an expert-written answer!
What types of medications D. Bronchodilators and steroids.
should the nurse expect to Rationale
administer to a client during an Besides supplemental oxygen, this client with ARDS needs
acute respiratory distress medications to widen air passages, increase air space, and
episode? reduce alveolar membrane inflammation, such as
A. Vasodilators and hormones. bronchodilators and steroids.
B. Analgesics and sedatives.
C. Anticoagulants and
expectorants.
D. Bronchodilators and steroids.
See an expert-written answer!
, A female client is brought to the D. Collect further data to determine whether self-neglect is
clinic by her daughter for a flu occurring.
shot. She has lost significant Rationale
weight since the last visit. She Changes in weight and hygiene may be indicators of self-neglect
has poor personal hygiene and or neglect by family members. Further assessment is needed
inadequate clothing for the before notifying social services or discussing a need for
weather. The client states that counseling.
she lives alone and denies
problems or concerns. What
action should the nurse
implement?
A. Notify social services
immediately of suspected
elderly abuse.
B. Discuss the need for mental
health counseling with the
daughter.
C. Explain to the client that she
needs to take better care of
herself.
D. Collect further data to
determine whether self-neglect
is occurring.
See an expert-written answer!
The nurse is assisting a client out D. Allow the client to sit with the bed in a high Fowler's position.
of bed for the first time after Rationale
surgery. What action should the The first step is to raise the head of the bed to a high Fowler's
nurse do first? position, which allow venous return to compensate from lying
A. Place a chair at a right angle flat and the vasodilation effects of perioperative drugs. This helps
to the bedside. prevent the client from becoming light-headed and decreases
B. Encourage deep breathing the chance of a client fall.
prior to standing.
C. Help the client to sit and
dangle legs on the side of the
bed.
D. Allow the client to sit with the
bed in a high Fowler's position.
See an expert-written answer!
Save
Students also studied
Flashcard sets Study guides
BSN HESI 266 HESI Practice exam Fundamentals Final
79 terms 61 terms 50 terms
EEEYAHHHH Preview julizabrego02 Preview Morgaine_is
A client with a completed D. Give an antihypertensive medication.
ischemic stroke has a blood Rationale
pressure of 180/90 mm Hg. Most ischemic strokes occur during sleep when baseline blood
Which action should the nurse pressure declines or blood viscosity increases due to minimal
implement? fluid intake. Completed strokes usually produce neurologic
A. Position the head of the bed deficits within an hour, and the client's current elevated blood
(HOB) flat. pressure requires antihypertensive medication.
B. Withhold intravenous fluids.
C. Administer a bolus of IV
fluids.
D. Give an antihypertensive
medication.
A client who is receiving A. "Chemotherapy affects the cells of the body that grow rapidly,
chemotherapy asks the nurse, both normal and malignant."
"Why is so much of my hair Rationale
falling out each day?" Which The common adverse effects of chemotherapy (nausea,
response by the nurse best vomiting, alopecia, bone marrow depression) are due to
explains the reason for chemotherapy's effect on the rapidly reproducing cells, both
alopecia? normal and malignant.
A. "Chemotherapy affects the
cells of the body that grow
rapidly, both normal and
malignant."
B. "Alopecia is a common side
effect you will experience
during long-term steroid
therapy."
C. "Your hair will grow back
completely after your course of
chemotherapy is completed."
D. "The chemotherapy causes
permanent alterations in your
hair follicles that lead to hair
loss."
,After checking the urinary A. Report the findings to the surgeon.
drainage system for kinks in the Rationale
tubing, the nurse determines An adult who weighs 132 pounds (60 kg) should produce about
that a client who has returned 60 ml of urine hourly (1 ml/kg/hour). Dark, concentrated, and low
from the post-anesthesia care volume of urine output should be reported to the surgeon.
has a dark, concentrated urinary
output of 54 ml for the last 2
hours. What priority nursing
action should be implemented?
A. Report the findings to the
surgeon.
B. Irrigate the indwelling urinary
catheter.
C. Apply manual pressure to the
bladder.
D. Increase the IV flow rate for
15 minutes.
A male client who smokes two B, C and D
packs of cigarettes a day states Rationale
he understands that smoking Use of tobacco, alcohol, and marijuana may affect sperm counts.
cigarettes is contributing to the Sperm count is also negatively affected by low testerone levels
difficulty that he and his wife are and obesity.
having in getting pregnant and
wants to know if other factors
could be contributing to their
difficulty. What information is
best for the nurse to provide?
(Select all that apply.)
Select all that apply
A. Marijuana cigarettes do not
affect sperm count.
B. Alcohol consumption can
cause erectile dysfunction.
C. Low testosterone levels affect
sperm production.
D. Cessation of smoking
improves general health and
fertility.
E. Obesity has no effect on
sperm production.
A client with gastroesophageal D. Raising the head of the bed on blocks.
reflux disease (GERD) has been Rationale
experiencing severe reflux Raising the head of the bed on blocks (reverse Trendelenburg
during sleep. Which position) to reduce reflux and subsequent aspiration is the most
recommendation by the nurse is non-pharmacological effective recommendation for a client
most effective to assist the experiencing severe gastroesophageal reflux during sleep.
client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed
on blocks.
,A 51-year-old truck driver who A. Information about smoking cessation.
smokes two packs of cigarettes Rationale
a day and is 30 pounds Smoking has been associated with ulcer formation, and stopping
overweight is diagnosed with or decreasing the number of cigarettes smoked per day is an
having a gastric ulcer. What important aspect of ulcer management.
content is most important for
the nurse to include in the
discharge teaching for this
client?
A. Information about smoking
cessation.
B. Diet instructions for a low-
residue diet.
C. Instructions on a weight-loss
program.
D. The importance of increasing
milk in the diet.
See an expert-written answer!
What types of medications D. Bronchodilators and steroids.
should the nurse expect to Rationale
administer to a client during an Besides supplemental oxygen, this client with ARDS needs
acute respiratory distress medications to widen air passages, increase air space, and
episode? reduce alveolar membrane inflammation, such as
A. Vasodilators and hormones. bronchodilators and steroids.
B. Analgesics and sedatives.
C. Anticoagulants and
expectorants.
D. Bronchodilators and steroids.
See an expert-written answer!
, A female client is brought to the D. Collect further data to determine whether self-neglect is
clinic by her daughter for a flu occurring.
shot. She has lost significant Rationale
weight since the last visit. She Changes in weight and hygiene may be indicators of self-neglect
has poor personal hygiene and or neglect by family members. Further assessment is needed
inadequate clothing for the before notifying social services or discussing a need for
weather. The client states that counseling.
she lives alone and denies
problems or concerns. What
action should the nurse
implement?
A. Notify social services
immediately of suspected
elderly abuse.
B. Discuss the need for mental
health counseling with the
daughter.
C. Explain to the client that she
needs to take better care of
herself.
D. Collect further data to
determine whether self-neglect
is occurring.
See an expert-written answer!
The nurse is assisting a client out D. Allow the client to sit with the bed in a high Fowler's position.
of bed for the first time after Rationale
surgery. What action should the The first step is to raise the head of the bed to a high Fowler's
nurse do first? position, which allow venous return to compensate from lying
A. Place a chair at a right angle flat and the vasodilation effects of perioperative drugs. This helps
to the bedside. prevent the client from becoming light-headed and decreases
B. Encourage deep breathing the chance of a client fall.
prior to standing.
C. Help the client to sit and
dangle legs on the side of the
bed.
D. Allow the client to sit with the
bed in a high Fowler's position.
See an expert-written answer!
