BSN 366 HESI RN Exit Exam Questions
and Answers
The |nurse |is |performing |preoperative |care |of |a |client |for |an |open |reduction |and |internal |
fixation |(ORIF) |of |a |fractured |right |tibia |before |the |procedure, |which |action |should |the |nurse |
prioritize? |- |CORRECT |ANSWER✔✔-Verify |clients |signed |consent.
A |client |receives |a |prescription |for |acetaminophen |1,000 |mg |by |mouth |every |8 |hours |as |
needed |for |pain. |The |bottle |is |labeled |"Acetaminophen |for |Oral |Suspension, |USP |500 |mg |per |
15 |mL." |How |many |tablespoons |should |the |nurse |instruct |the |client |to |take |with |each |dose? |
(Enter |numerical |value |only.) |- |CORRECT |ANSWER✔✔-2
the |nurse |observes |a |client |prepare |a |meal |in |the |kitchen |of |a |rehabilitation |facility |prior |to |
discharge. |which |behaviors |indicate |the |client |understands |how |to |maintain |balance |safely? |
a. |brings |a |heavy |can |close |to |body |before |lifting |
b. |locks |knees |while |preparing |food |on |the |counter |
c. |widens |stance |while |working |near |the |sink |
d. |bends |from |the |waist |to |pick |trash |off |the |floor |
e. |leans |forward |to |pull |a |pan |from |a |high |shelf |- |CORRECT |ANSWER✔✔-a. |brings |a |heavy |can |
close |to |body |before |lifting |
c. |widens |stance |while |working |near |the |sink
The |RN |is |assigned |to |care |for |four |surgical |clients. |After |receiving |the |report, |which |client |
should |the |nurse |see |first? |
a. |Two |days |postoperative |bladder |surgery |with |continuous |bladder |irrigation |infusing. |
b. |One-day |postoperative |laparoscopic |cholecystectomy |requesting |pain |medication. |
,c. |Three |days |postoperative |colon |resection |receiving |a |transfusion |of |packed |RBCs. |
d. |Preoperative, |in |buck's |traction, |and |scheduled |for |hip |arthroplasty |within |the |next |12 |
hours |- |CORRECT |ANSWER✔✔-c. |Three |days |postoperative |colon |resection |receiving |a |
transfusion |of |packed |RBCs. |.
A |client |is |receiving |a |continuous |infusion |of |the |anticoagulant, |heparin, |for |treatment |of |a |
deep |vein |thrombosis |of |the |right |calf. |Which |goal |should |the |nurse |include |in |this |client's |
plan |of |care? |
a. |No |further |thrombus |will |form. |
b. |The |client's |INR |(international |normalized |ratio) |will |be |2. |
c. |The |existing |thrombosis |will |dissolve. |d. |The |circumference |of |the |client's |right |calf |will |
decrease. |- |CORRECT |ANSWER✔✔-a. |No |further |thrombus |will |form.
Which |information |is |more |important |for |the |nurse |to |obtain |when |determining |a |client's |risk |
for |(OSAS)? |
a. |Body |mass |index |
b. |Level |of |consciousness |
c. |Self-description |of |pain |
d. |Breath |sounds |- |CORRECT |ANSWER✔✔-a. |Body |mass |index
A |client |with |a |prescription |for |"do |not |resuscitate" |(DNR) |begins |to |manifest |signs |of |
impending |death. |After |notifying |the |family |of |the |client's |status, |what |priority |action |should |
the |nurse |implement? |
a. |The |impending |signs |of |death |should |be |documented |
b. |The |client's |status |should |be |conveyed |to |the |chaplain |
c. |The |client's |need |for |pain |medication |should |be |determined |
, d. |The |nurse |manager |should |be |updated |on |the |client's |status |- |CORRECT |ANSWER✔✔-c. |The
|client's |need |for |pain |medication |should |be |determined
Which |information |is |more |important |for |the |nurse |to |obtain |when |determining |a |client's |risk |
for |(OSAS)?
a. |Body |mass |index |
b. |Level |of |consciousness |
c. |Self-description |of |pain |
d. |Breath |sounds |- |CORRECT |ANSWER✔✔-Body |mass |index.
The |nurse |is |preparing |to |obtain |a |rapid |COVID-19 |test |for |a |client |who |was |exposed |to |the |
virus |eight |days |ago. |The |client |is |experiencing |fever, |cough, |and |shortness |of |breath. |Which |
action |is |the |most |important |for |the |nurse |to |take? |
a. |Counsel |family |members |to |monitor |for |illness |symptoms |for |2 |weeks |after |last |contact |with
|patient |
b. |Assist |the |client |to |recall |everyone |possibly |exposed |since |onset |of |symptoms |
c. |Start |an |intravenous |infusion |for |antiviral |drug |to |be |administered |for |positive |COVID-19 |
test |results. |
d. |Move |the |client |to |a |private |room, |keep |the |door |closed, |and |initiate |droplet |precautions. |- |
CORRECT |ANSWER✔✔-d. |Move |the |client |to |a |private |room, |keep |the |door |closed, |and |
initiate |droplet |precautions.
The |nurse |is |preparing |an |adult |with |Addison's |disease |for |self-management. |Which |
information |should |the |nurse |include |in |the |client's |instructions? |
a. |events |requiring |steroid |dose |adjustments
b. |need |to |check |temperature |daily |
and Answers
The |nurse |is |performing |preoperative |care |of |a |client |for |an |open |reduction |and |internal |
fixation |(ORIF) |of |a |fractured |right |tibia |before |the |procedure, |which |action |should |the |nurse |
prioritize? |- |CORRECT |ANSWER✔✔-Verify |clients |signed |consent.
A |client |receives |a |prescription |for |acetaminophen |1,000 |mg |by |mouth |every |8 |hours |as |
needed |for |pain. |The |bottle |is |labeled |"Acetaminophen |for |Oral |Suspension, |USP |500 |mg |per |
15 |mL." |How |many |tablespoons |should |the |nurse |instruct |the |client |to |take |with |each |dose? |
(Enter |numerical |value |only.) |- |CORRECT |ANSWER✔✔-2
the |nurse |observes |a |client |prepare |a |meal |in |the |kitchen |of |a |rehabilitation |facility |prior |to |
discharge. |which |behaviors |indicate |the |client |understands |how |to |maintain |balance |safely? |
a. |brings |a |heavy |can |close |to |body |before |lifting |
b. |locks |knees |while |preparing |food |on |the |counter |
c. |widens |stance |while |working |near |the |sink |
d. |bends |from |the |waist |to |pick |trash |off |the |floor |
e. |leans |forward |to |pull |a |pan |from |a |high |shelf |- |CORRECT |ANSWER✔✔-a. |brings |a |heavy |can |
close |to |body |before |lifting |
c. |widens |stance |while |working |near |the |sink
The |RN |is |assigned |to |care |for |four |surgical |clients. |After |receiving |the |report, |which |client |
should |the |nurse |see |first? |
a. |Two |days |postoperative |bladder |surgery |with |continuous |bladder |irrigation |infusing. |
b. |One-day |postoperative |laparoscopic |cholecystectomy |requesting |pain |medication. |
,c. |Three |days |postoperative |colon |resection |receiving |a |transfusion |of |packed |RBCs. |
d. |Preoperative, |in |buck's |traction, |and |scheduled |for |hip |arthroplasty |within |the |next |12 |
hours |- |CORRECT |ANSWER✔✔-c. |Three |days |postoperative |colon |resection |receiving |a |
transfusion |of |packed |RBCs. |.
A |client |is |receiving |a |continuous |infusion |of |the |anticoagulant, |heparin, |for |treatment |of |a |
deep |vein |thrombosis |of |the |right |calf. |Which |goal |should |the |nurse |include |in |this |client's |
plan |of |care? |
a. |No |further |thrombus |will |form. |
b. |The |client's |INR |(international |normalized |ratio) |will |be |2. |
c. |The |existing |thrombosis |will |dissolve. |d. |The |circumference |of |the |client's |right |calf |will |
decrease. |- |CORRECT |ANSWER✔✔-a. |No |further |thrombus |will |form.
Which |information |is |more |important |for |the |nurse |to |obtain |when |determining |a |client's |risk |
for |(OSAS)? |
a. |Body |mass |index |
b. |Level |of |consciousness |
c. |Self-description |of |pain |
d. |Breath |sounds |- |CORRECT |ANSWER✔✔-a. |Body |mass |index
A |client |with |a |prescription |for |"do |not |resuscitate" |(DNR) |begins |to |manifest |signs |of |
impending |death. |After |notifying |the |family |of |the |client's |status, |what |priority |action |should |
the |nurse |implement? |
a. |The |impending |signs |of |death |should |be |documented |
b. |The |client's |status |should |be |conveyed |to |the |chaplain |
c. |The |client's |need |for |pain |medication |should |be |determined |
, d. |The |nurse |manager |should |be |updated |on |the |client's |status |- |CORRECT |ANSWER✔✔-c. |The
|client's |need |for |pain |medication |should |be |determined
Which |information |is |more |important |for |the |nurse |to |obtain |when |determining |a |client's |risk |
for |(OSAS)?
a. |Body |mass |index |
b. |Level |of |consciousness |
c. |Self-description |of |pain |
d. |Breath |sounds |- |CORRECT |ANSWER✔✔-Body |mass |index.
The |nurse |is |preparing |to |obtain |a |rapid |COVID-19 |test |for |a |client |who |was |exposed |to |the |
virus |eight |days |ago. |The |client |is |experiencing |fever, |cough, |and |shortness |of |breath. |Which |
action |is |the |most |important |for |the |nurse |to |take? |
a. |Counsel |family |members |to |monitor |for |illness |symptoms |for |2 |weeks |after |last |contact |with
|patient |
b. |Assist |the |client |to |recall |everyone |possibly |exposed |since |onset |of |symptoms |
c. |Start |an |intravenous |infusion |for |antiviral |drug |to |be |administered |for |positive |COVID-19 |
test |results. |
d. |Move |the |client |to |a |private |room, |keep |the |door |closed, |and |initiate |droplet |precautions. |- |
CORRECT |ANSWER✔✔-d. |Move |the |client |to |a |private |room, |keep |the |door |closed, |and |
initiate |droplet |precautions.
The |nurse |is |preparing |an |adult |with |Addison's |disease |for |self-management. |Which |
information |should |the |nurse |include |in |the |client's |instructions? |
a. |events |requiring |steroid |dose |adjustments
b. |need |to |check |temperature |daily |
