BSN 225 HESI PREPARATION ACTUAL EXAM NEWEST
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A patient develops buccal irritation following the administration of a buccal
medication for 3 days. Which nursing instruction may have prevented the patient's
buccal irritation?
A. chew the medication
B. swallow the medicaiton
C. take the medication with water
D. alternate the cheeks w/ each dose. - ANSWER-D. alternate the cheeks w/ each
dose
Buccal administration of medication may lead to buccal irritation by erosion of the
mucous membrane. Buccal irritation may be minimized by alternating the
placement of the medication w/ each subsequent dose so that a dingle are is not
affected. Buccal medication s are not to be chewed, swallowed, or taken w/ any
liquids as the rate of absorption may be affected.
Which term describes a patient who states that he does not believe in the
existence of God?
A. academic
B. atheist
C. agnositc
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, BSN 225 HESI PREPARATION ACTUAL EXAM
D. anarchist - ANSWER-B. atheist
Which action would the nurse take to help a mother bond with her dying infant?
A. allow the mother to hold the infant and pray
B. pray for the infant and with the mother
C. help the mother read from a spiritual text
arrange for the chaplain to pray w/ the mother - ANSWER-A. allow the mother to
hold the infant and pray
Rationale: the nurse must remove environmental barriers and allow the mother to
hold the infant while praying. This intervention promotes mother-infant bonding
Which dietary instruction would the nurse give to a patient with a calcium level of
8.0 mg/dL?
A. "include dairy product in your diet."
B. "do not regularly consume potatoes."
C. "include cured meats in your diet."
D. "avoid eating green leafy vegetable." - ANSWER-A. "include dairy products in
your diet."
Rationale: a level of 8.0mg/dL indicates the patient has hypocalcemia, so the
nurse instructs the patient to include calcium-rich foods such as dairy products in
the diet
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, BSN 225 HESI PREPARATION ACTUAL EXAM
How would the nurse, who is not accustomed to praying, respond when a patient
is scheduled foa chemotherapy treatment and asks the nurse to pray?
A. arrange for the chaplain to pray w/ the patient b/c the nurse is busy
B. ask the family members to pray with the patient instead of the nurse
C. ask whether there is anything else that can be done for the patient at this time
D. maintain a respectful silence and allow the patient to lead all the prayers -
ANSWER-D. Maintain a respectful silence and allow the patient to lead all the
prayers
Rationale: best intervention in this situation would be to maintain respectful
silence and allow the patient to lead the prayer. This provides comfort for the
patient and fosters trust in the nurse
The nurse is caring for a patient who is scheduled for a colonoscopy in 10 days.
The nurse determines that the patient is taking aspirin daily to relieve knee pain.
Which nursing intervention is best in this situation?
A. teach the patient to take both vitamin E supplements and aspirin daily until the
test.
B. instruct the patient to discontinue aspirin for 1 week before undergoing the test
C. administer intravenous fluids for 1 hour after giving the patient aspirin before
the test
D. instruct the patinet to refrain form taking aspirin 3 hours before the test -
ANSWER-B. instruct the patient to discontinue aspirin for 1 week before
undergoing the test
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, BSN 225 HESI PREPARATION ACTUAL EXAM
Rationale: a colonoscopy is a procedure that uses a long flexible colonoscope that
is inserted into the anus to examin the colon. During insertion, the colonoscope
may cause damage to teh wall of the colon and may result in severe bleeding.
Aspirin is a nonsteroidal antiinflammatory medicaiton that decreases the number
of platelets and increases the risk of bleeding. Therefore to reduce the risk of
bleeding, the nurse instructs the patient to discontinue aspitin for 1 week before
undergoing the test
During the assessment of a patient scheduled for an appendectomy, the nurse
finds the patient takes a tranquilizer daily. Which complicaiton does the nurse
anticipate for the patient?
A. bleeding
B. infection
C. respiratory depression
D. fluid and electrolyte imbalance - ANSWER-C. respiratory depression
Rationale: Tranquilizers interfere w/ respiratory function and cause respiratory
depression during surgery. Tranquilizers fo not cause bleeding, infection, or
electrolyte imbalances.
Which condition does the nurse suspect when assessing a youn adolescent who
abuses laxatives and diuretics and has a body mass index (BMI) of 14 kf/m2?
A. Obesity
B. Chron's disease
C. Anorexia nervosa
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