Science Medicine Nursing
BSN366 EXIT HESI
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HR III Final BSN366 EXIT HESI VNSG 1400: Chapter
214 terms 128 terms 16 terms
morgan_giannantonio Preview sonya12295 Preview kingdizeze9
A newly admitted client 1.Airway and breathing. 2.Pain management. 3.Sleep and rest.
complains of pain rating a 7 on a 4.Definitive therapy.
scale of 0 to 10. The client has
not been sleeping well lately
and is experiencing labored
breathing. List the client's
problems in order of priority for
the nurse. (Rank in the priority
order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
4. Sleep and rest.
Which biological practices are 3. Blood-borne pathogen standard.
federally regulated for 5. Resource Conservation and Recovery Act (RCRA)
healthcare workers? (Select all
that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen
standard.
4. Biological product exposure
limit (BPEL).
5. Resource Conservation and
Recovery Act (RCRA).
6. As Low as Reasonably
Allowable standard (ALARA).
,A client with severe depression 3. "I have known many clients with depression who have felt
tells the nurse, "I do not know better after several weeks of treatment."
why you bother with me or give
me pills. I am never going to get
well." What is the most
therapeutic response?
1. "You need to stop thinking
negative thoughts. They get in
the way of your recovery."
2. "You are no bother to me or
to the staff. We want you to get
well and not feel sad anymore."
3. "I have known many clients
with depression who have felt
better after several weeks of
treatment."
4. "You are feeling very
pessimistic, but that is part of
your illness. It should go away as
you recover."
The nurse is caring for a client 3. Assess and document skin condition around the incision and IV
with a nursing problem of, site at each
"Infection, risk for, related to shift.
inadequate primary defenses as
evidenced by surgical incision
and IV access." What
nursing intervention should the
nurse implement?
1. Limit visitors to immediate
family to decrease exposure to
infection.
2. Maintain "clean" technique in
the change of wound dressing
and IV site.
3. Assess and document skin
condition around the incision
and IV site at each shift.
4. Require the use of a face
mask by staff when providing
care requiring close contact.
,A client with ulcerative colitis is 4. Stool is eventually
scheduled for surgical creation expelled through the rectum.
of an ileoanal reservoir
(J pouch). As part of
preoperative teaching, what
information should the nurse
provide?
1. The transverse loop ostomy is
permanent.
2. Easily removable appliances
allow independence in self-care.
3. Daily irrigation is started after
the J pouch heals.
4. Stool is eventually expelled
through the rectum.
See an expert-written answer!
The nurse inflates the cuff on a 4. Inject air until no air is auscultated over the larynx during a
tracheostomy tube to minimal deep breath.
occlusion pressure for a
client who is breathing
spontaneously. Which action
should the nurse follow?
1. Check the pilot balloon to
ensure that it is firm.
2. Verify the healthcare
provider's prescription for the
required cuff pressure.
3. Use a manometer to maintain
cuff pressure between 25 and
30 mmHg.
4. Inject air until no air is
auscultated over the larynx
during a deep breath.
A 60-year-old homeless man 1. Refer for further
who complains of a cough, late- diagnostic evaluation.
afternoon fever, and night
sweats has a 10 mm induration
after receiving a purified protein
derivative (PPD) skin
test. Which action should the
nurse implement?
1. Refer for further diagnostic
evaluation.
2. Determine exposure of others
to the tuberculosis.
3. Begin anti-tubercular drug
therapy.
4. Quarantine or isolate to
control communicability.
See an expert-written answer!
, Which contextual factors are 1. Economics.
considered external 3. Technology.
environmental influences in the 6. Legislation/regulation.
framework for occupational
health programs and services?
(Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
The nurse is analyzing the 4. QRS interval of 0.14 second.
waveforms of a client's
electrocardiogram. What finding
indicates a disturbance in
electrical conduction in the
ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
See an expert-written answer!
The nurse is assigned a client 2. Prioritize tasks with the most crucial
with numerous treatments and needs first.
decides it is not possible
to complete all the needed
treatments in the time scheduled
for this shift. Which process
should the nurse use?
1. Delegate tasks to competent
team members.
2. Prioritize tasks with the most
crucial needs first.
3. Report the incomplete
treatments to next shift nurse.
4. Start with the easiest
treatment first.
See an expert-written answer!
BSN366 EXIT HESI
Save
Students also studied
Flashcard sets Study guides
HR III Final BSN366 EXIT HESI VNSG 1400: Chapter
214 terms 128 terms 16 terms
morgan_giannantonio Preview sonya12295 Preview kingdizeze9
A newly admitted client 1.Airway and breathing. 2.Pain management. 3.Sleep and rest.
complains of pain rating a 7 on a 4.Definitive therapy.
scale of 0 to 10. The client has
not been sleeping well lately
and is experiencing labored
breathing. List the client's
problems in order of priority for
the nurse. (Rank in the priority
order from highest to
lowest.)
1. Airway and breathing.
2. Pain management.
3. Definitive therapy.
4. Sleep and rest.
Which biological practices are 3. Blood-borne pathogen standard.
federally regulated for 5. Resource Conservation and Recovery Act (RCRA)
healthcare workers? (Select all
that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen
standard.
4. Biological product exposure
limit (BPEL).
5. Resource Conservation and
Recovery Act (RCRA).
6. As Low as Reasonably
Allowable standard (ALARA).
,A client with severe depression 3. "I have known many clients with depression who have felt
tells the nurse, "I do not know better after several weeks of treatment."
why you bother with me or give
me pills. I am never going to get
well." What is the most
therapeutic response?
1. "You need to stop thinking
negative thoughts. They get in
the way of your recovery."
2. "You are no bother to me or
to the staff. We want you to get
well and not feel sad anymore."
3. "I have known many clients
with depression who have felt
better after several weeks of
treatment."
4. "You are feeling very
pessimistic, but that is part of
your illness. It should go away as
you recover."
The nurse is caring for a client 3. Assess and document skin condition around the incision and IV
with a nursing problem of, site at each
"Infection, risk for, related to shift.
inadequate primary defenses as
evidenced by surgical incision
and IV access." What
nursing intervention should the
nurse implement?
1. Limit visitors to immediate
family to decrease exposure to
infection.
2. Maintain "clean" technique in
the change of wound dressing
and IV site.
3. Assess and document skin
condition around the incision
and IV site at each shift.
4. Require the use of a face
mask by staff when providing
care requiring close contact.
,A client with ulcerative colitis is 4. Stool is eventually
scheduled for surgical creation expelled through the rectum.
of an ileoanal reservoir
(J pouch). As part of
preoperative teaching, what
information should the nurse
provide?
1. The transverse loop ostomy is
permanent.
2. Easily removable appliances
allow independence in self-care.
3. Daily irrigation is started after
the J pouch heals.
4. Stool is eventually expelled
through the rectum.
See an expert-written answer!
The nurse inflates the cuff on a 4. Inject air until no air is auscultated over the larynx during a
tracheostomy tube to minimal deep breath.
occlusion pressure for a
client who is breathing
spontaneously. Which action
should the nurse follow?
1. Check the pilot balloon to
ensure that it is firm.
2. Verify the healthcare
provider's prescription for the
required cuff pressure.
3. Use a manometer to maintain
cuff pressure between 25 and
30 mmHg.
4. Inject air until no air is
auscultated over the larynx
during a deep breath.
A 60-year-old homeless man 1. Refer for further
who complains of a cough, late- diagnostic evaluation.
afternoon fever, and night
sweats has a 10 mm induration
after receiving a purified protein
derivative (PPD) skin
test. Which action should the
nurse implement?
1. Refer for further diagnostic
evaluation.
2. Determine exposure of others
to the tuberculosis.
3. Begin anti-tubercular drug
therapy.
4. Quarantine or isolate to
control communicability.
See an expert-written answer!
, Which contextual factors are 1. Economics.
considered external 3. Technology.
environmental influences in the 6. Legislation/regulation.
framework for occupational
health programs and services?
(Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
The nurse is analyzing the 4. QRS interval of 0.14 second.
waveforms of a client's
electrocardiogram. What finding
indicates a disturbance in
electrical conduction in the
ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
See an expert-written answer!
The nurse is assigned a client 2. Prioritize tasks with the most crucial
with numerous treatments and needs first.
decides it is not possible
to complete all the needed
treatments in the time scheduled
for this shift. Which process
should the nurse use?
1. Delegate tasks to competent
team members.
2. Prioritize tasks with the most
crucial needs first.
3. Report the incomplete
treatments to next shift nurse.
4. Start with the easiest
treatment first.
See an expert-written answer!
