BSN 366 EXIT HESI EXAM QUESTIONS
WITH CORRECT ANSWERS
The |nurse |is |providing |teaching |to |a |client |with |type |2 |DM |about |important |points |for |disease |
and |symptom |management. |Which |statement |by |the |client |indicates |understanding?
A) |Using |salt, |herbs, |and |spices |will |improve |the |flavor |of |foods
B) |Get |an |eye |exam |with |an |opthalmologist |annually
C) |Arrange |diet |schedule |around |three |regular |meals |a |day
D) |Inspect |feet |every |month |for |ingrown |nails, |cuts, |and |caluses |- |CORRECT |ANSWER✔✔-B) |
Get |an |eye |exam |with |an |opthalmologist |annually
The |nurse |is |providing |educations |to |a |client |who |experiences |recurrent |levels |of |moderate |
anxiety |to |situations |and |perceived |stress. |In |addition |to |informations |about |prescribed |
medications |and |administration, |which |instruction |should |the |nurse |include |in |the |teaching?
A) |Center |attention |on |positive |upbeat |music
B) |Find |outlets |for |more |social |interaction |
C) |Practice |using |muscle |relaxation |techniques
D) |Think |about |reasons |the |episodes |occur |- |CORRECT |ANSWER✔✔-C) |Practice |using |muscle |
relaxation |techniques
The |charge |nurse |is |planning |for |the |shift |and |has |a |RN |and |a |PN |on |the |team. |Which |client |
should |the |charge |nurse |assign |to |the |RN?
A) |A |75-year |old |client |with |renal |calculi |who |requires |urine |straining
B) |A |64-year |old |client |who |had |a |total |hip |replacement |the |preious |day
C) |A |30-year |old |depresses |client |who |admits |to |suicide |ideation
,D) |An |adolescent |with |multiple |contusions |due |to |a |fall |that |occurred |2 |days |ago |- |CORRECT |
ANSWER✔✔-C) |A |30-year |old |depresses |client |who |admits |to |suicide |ideation
NGN: |(Nurses |Notes) |
1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother, |who |
was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |received |
Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |4036.97g |
(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |subcutaneous |fat. |
She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |pulse |140, |RR |80. |
Blood |glucose |35, |Billy |Rubin |seven, |fontanelles |soft, |mongolian |spot |noted |on |lower |back, |
Ballard |maturity |rating |37 |weeks. |(For |each |assessment |finding, |click |to |indicate |whether |the |
findings |are |associated |with |an |infant |of |a |diabetic |mother |or |normal |presentation.)
Soft |Fontanelles
Blood |Glucose |35
Axillary |temp. |96F
Acrocyanosis
Ballard |score |maturity |rating |37 |- |CORRECT |ANSWER✔✔-Diabetic |Findings:
BG |35
Axillary |temp |96
Ballard |score |maturity |rating |37
???????
Normal |Presentation:
Soft |Fontanelles
Acrocyanosis
(normal |findings |include |acrocyanosis, |soft |fontanelles, |mongolian |spots, |and |Apgar |scores |7 |
to |10)
,NGN: |(Nurses |Notes) |
1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother, |who |
was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |received |
Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |4036.97g |
(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |subcutaneous |fat. |
She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |pulse |140, |RR |80. |
Blood |glucose |35, |Billy |Rubin |seven, |fontanelles |soft, |mongolian |spot |noted |on |lower |back, |
Ballard |maturity |rating |37 |weeks. |
The |nurse |recognizes |that |the |infant |of |a |diabetic |mother |is |at |risk |for |_________ |, |
_____________ |, |and |_________________ |- |CORRECT |ANSWER✔✔-Hyperbilirubinemia |, |
Resppiratory |Distress |Syndrome |, |and |Cardiomyopathy
NGN: |Orders
Breast-feed |immediately |once |stable |then |on |demand. |If |unstable, |may |feed |breastmilk |via |
orogastric |tube. |If |two |feeding |attempts |failed |to |increase |the |glucose |levels |or |if |symptoms |of
|hypoglycemia |develop, |apply |dextrose |gel |inside |the |babies |cheek. |If |the |above |are |
ineffective, |IV |glucose |should |be |administered |to |maintain |glucose |levels |above |45. |Bolus |of |
2mL/kg |glucose |10% |IV, |hello |by |a |continuous |glucose |perfusion |of |6 |to |8mg/kg/min, |maintain
|glycemic |levels |over |40.
Which |6 |orders |take |priority?
A) |Feed |Immediately
B) |Monitor |for |respiratory |distress
C) |Apply |dextrose |gell |inside |the |baby's |cheek |
D) |Keep |in |warmer |with |bilirubin |lights
E) |Monitor |temp |every |30 |min
F) |Bolus |2 |mL/kg |glucose |10% |IV
G) |Contact |RT |for |ABG |and |oxygen |therapy
H) |Echo
, I) |Transfer |to |NICU
J) |Blood |glucose |level |- |CORRECT |ANSWER✔✔-A) |Feed |Immedicately
B) |Monitor |for |Respiratory |Distress
D) |Keep |in |warmer |with |bili |lights
E) |Monitor |temp |q30min
G) |Contact |RT |for |ABG |and |O2 |therapy
J) |Blood |glucose |level
NGN |Laboratory |Results |(same |case |of |patient |who |just |gave |birth)
Which |actions |are |appropriate |for |the |nurse |to |take |at |this |time? |SATA
A) |Keep |infant |in |warmer |with |bili |lights |to |maintain |temp |of |97.6F
B) |Monitor |Temp
C) |Continue |to |monitor |glucose |level
D) |Tell |the |mother |that |she |will |need |to |discuss |this |with |the |neonatologist
E) |Explain |to |the |mother |that |the |babys |RR |needs |to |be |below |60
F) |Inform |the |mother |that |the |baby |is |stable |enought |to |take |out |of |the |warmer
G) |Observe |for |signs |of |respiratory |distress |and |monitor |O2 |with |pulse |ox |- |CORRECT |
ANSWER✔✔-A) |Keep |infant |in |warmer |with |bili |lights |to |maintain |temp |of |97F
E) |Explain |to |the |mother |that |the |babys |RR |need |to |be |below |60
F) |Inform |the |mother |that |the |baby |is |stable |enough |to |take |out |of |the |warmer
G) |Observe |for |signs |of |respiratory |distress |and |monitor |oxygenation |by |pulse |ox
NGN: |1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother,
|who |was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |
received |Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |
4036.97g |(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |
subcutaneous |fat. |She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |
WITH CORRECT ANSWERS
The |nurse |is |providing |teaching |to |a |client |with |type |2 |DM |about |important |points |for |disease |
and |symptom |management. |Which |statement |by |the |client |indicates |understanding?
A) |Using |salt, |herbs, |and |spices |will |improve |the |flavor |of |foods
B) |Get |an |eye |exam |with |an |opthalmologist |annually
C) |Arrange |diet |schedule |around |three |regular |meals |a |day
D) |Inspect |feet |every |month |for |ingrown |nails, |cuts, |and |caluses |- |CORRECT |ANSWER✔✔-B) |
Get |an |eye |exam |with |an |opthalmologist |annually
The |nurse |is |providing |educations |to |a |client |who |experiences |recurrent |levels |of |moderate |
anxiety |to |situations |and |perceived |stress. |In |addition |to |informations |about |prescribed |
medications |and |administration, |which |instruction |should |the |nurse |include |in |the |teaching?
A) |Center |attention |on |positive |upbeat |music
B) |Find |outlets |for |more |social |interaction |
C) |Practice |using |muscle |relaxation |techniques
D) |Think |about |reasons |the |episodes |occur |- |CORRECT |ANSWER✔✔-C) |Practice |using |muscle |
relaxation |techniques
The |charge |nurse |is |planning |for |the |shift |and |has |a |RN |and |a |PN |on |the |team. |Which |client |
should |the |charge |nurse |assign |to |the |RN?
A) |A |75-year |old |client |with |renal |calculi |who |requires |urine |straining
B) |A |64-year |old |client |who |had |a |total |hip |replacement |the |preious |day
C) |A |30-year |old |depresses |client |who |admits |to |suicide |ideation
,D) |An |adolescent |with |multiple |contusions |due |to |a |fall |that |occurred |2 |days |ago |- |CORRECT |
ANSWER✔✔-C) |A |30-year |old |depresses |client |who |admits |to |suicide |ideation
NGN: |(Nurses |Notes) |
1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother, |who |
was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |received |
Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |4036.97g |
(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |subcutaneous |fat. |
She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |pulse |140, |RR |80. |
Blood |glucose |35, |Billy |Rubin |seven, |fontanelles |soft, |mongolian |spot |noted |on |lower |back, |
Ballard |maturity |rating |37 |weeks. |(For |each |assessment |finding, |click |to |indicate |whether |the |
findings |are |associated |with |an |infant |of |a |diabetic |mother |or |normal |presentation.)
Soft |Fontanelles
Blood |Glucose |35
Axillary |temp. |96F
Acrocyanosis
Ballard |score |maturity |rating |37 |- |CORRECT |ANSWER✔✔-Diabetic |Findings:
BG |35
Axillary |temp |96
Ballard |score |maturity |rating |37
???????
Normal |Presentation:
Soft |Fontanelles
Acrocyanosis
(normal |findings |include |acrocyanosis, |soft |fontanelles, |mongolian |spots, |and |Apgar |scores |7 |
to |10)
,NGN: |(Nurses |Notes) |
1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother, |who |
was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |received |
Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |4036.97g |
(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |subcutaneous |fat. |
She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |pulse |140, |RR |80. |
Blood |glucose |35, |Billy |Rubin |seven, |fontanelles |soft, |mongolian |spot |noted |on |lower |back, |
Ballard |maturity |rating |37 |weeks. |
The |nurse |recognizes |that |the |infant |of |a |diabetic |mother |is |at |risk |for |_________ |, |
_____________ |, |and |_________________ |- |CORRECT |ANSWER✔✔-Hyperbilirubinemia |, |
Resppiratory |Distress |Syndrome |, |and |Cardiomyopathy
NGN: |Orders
Breast-feed |immediately |once |stable |then |on |demand. |If |unstable, |may |feed |breastmilk |via |
orogastric |tube. |If |two |feeding |attempts |failed |to |increase |the |glucose |levels |or |if |symptoms |of
|hypoglycemia |develop, |apply |dextrose |gel |inside |the |babies |cheek. |If |the |above |are |
ineffective, |IV |glucose |should |be |administered |to |maintain |glucose |levels |above |45. |Bolus |of |
2mL/kg |glucose |10% |IV, |hello |by |a |continuous |glucose |perfusion |of |6 |to |8mg/kg/min, |maintain
|glycemic |levels |over |40.
Which |6 |orders |take |priority?
A) |Feed |Immediately
B) |Monitor |for |respiratory |distress
C) |Apply |dextrose |gell |inside |the |baby's |cheek |
D) |Keep |in |warmer |with |bilirubin |lights
E) |Monitor |temp |every |30 |min
F) |Bolus |2 |mL/kg |glucose |10% |IV
G) |Contact |RT |for |ABG |and |oxygen |therapy
H) |Echo
, I) |Transfer |to |NICU
J) |Blood |glucose |level |- |CORRECT |ANSWER✔✔-A) |Feed |Immedicately
B) |Monitor |for |Respiratory |Distress
D) |Keep |in |warmer |with |bili |lights
E) |Monitor |temp |q30min
G) |Contact |RT |for |ABG |and |O2 |therapy
J) |Blood |glucose |level
NGN |Laboratory |Results |(same |case |of |patient |who |just |gave |birth)
Which |actions |are |appropriate |for |the |nurse |to |take |at |this |time? |SATA
A) |Keep |infant |in |warmer |with |bili |lights |to |maintain |temp |of |97.6F
B) |Monitor |Temp
C) |Continue |to |monitor |glucose |level
D) |Tell |the |mother |that |she |will |need |to |discuss |this |with |the |neonatologist
E) |Explain |to |the |mother |that |the |babys |RR |needs |to |be |below |60
F) |Inform |the |mother |that |the |baby |is |stable |enought |to |take |out |of |the |warmer
G) |Observe |for |signs |of |respiratory |distress |and |monitor |O2 |with |pulse |ox |- |CORRECT |
ANSWER✔✔-A) |Keep |infant |in |warmer |with |bili |lights |to |maintain |temp |of |97F
E) |Explain |to |the |mother |that |the |babys |RR |need |to |be |below |60
F) |Inform |the |mother |that |the |baby |is |stable |enough |to |take |out |of |the |warmer
G) |Observe |for |signs |of |respiratory |distress |and |monitor |oxygenation |by |pulse |ox
NGN: |1800: |The |client |is |a |female |neonate |born |at |37 |weeks |of |gestation |to |a |G |2 |P |1 |mother,
|who |was |diagnosed |with |gestational |diabetes. |Following |a |spontaneous |vaginal |birth, |she |
received |Apgar |scores |of |seven |at |one |minute |and |eight |at |five |minutes. |The |client |weighs |
4036.97g |(8lbs |9oz) |and |appears |pink |with |acrocyanosis |and |a |moderate |amount |of |
subcutaneous |fat. |She |is |noted |to |be |slightly |jittery |at |30min |of |age. |Axillary |temperature |96F, |
