BSN266 HESI V1 Study Guide latest updated version with expert
curated questions and answers | GUARANTEED SUCCESS
BSN266 HESI V1 Study Guide latest
updated version with 52 expert curated
questions and answers | GUARANTEED
SUCCESS
A client who underwent cardiac stent placement four days ago arrive to
the emergency department reporting a sudden onset of chest pressure
and shortness of breath. Which action should the nurse take next?
A. Listen for extra heart sounds, murmurs, and rhythm with the bell of
the stethoscope.
B. Evaluate the upper and lower extremities for perfusion, pulse
volume, and pitting edema.
C. Verify troponin level assessments are schedules every 3-6 hours for a
series of three.
D. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring - answer D. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
,A client with type 2 diabetes mellitus arrives to the clinic reporting
episodes of weakness and palpitations. Which finding should the nurse
recognize as a possible complication?
A. Anxiety and sighing
B. Myalgia in wrists and hands
C. Hyperactive bowel sounds
D. Dark yellow urine - answer B. Myalgia in wrists and hands
While completing a health assessment for a client with migraine
headaches, the nurse assesses bilateral weakness in the clients hand
grips. The client reports joint pain and trouble twisting a door knob due
to weakness. Which action should the nurses take in response to these
figures?
A. Implement fall precautions to reduce the clients risk of injury.
B. Explain the relief of the migraine pain will reduce related symptoms.
C. Gather additional assessment data about the pain and weakness
D. Consult with the occupational therapist for a functional assessment -
answer C. Gather additional assessment data about the pain and
weakness
Explanation: The nurse should gather additional assessment data about
the pain and weakness to better understand the client's condition and
,to determine if there is an underlying issue or if the symptoms are
related to the migraine headaches.
A client who has developed acute kidney injury (AKI) due to
aminoglycoside antibiotics has moved from the oliguric phase to the
diuretic phase of AKI. Which parameters are most important for the
nurse to plan to carefully monitor?
A. Uremic irritation of mucous membranes and skin surfaces.
B. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
D. Elevated creatinine and blood urea nitrogen (BUN). - answer B.
Hypovolemia and electrocardiographic (ECG) changes.
Explanation: During the diuretic phase of AKI, the client may experience
increased urine output, which can lead to hypovolemia and electrolyte
imbalances. Monitoring for hypovolemia and ECG changes can help
detect any complications or worsening of the client's condition.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment. Which
assessment finding indicates that the client has been overexposed to
the treatment?
, A. Thick skin plaques topped by silvery white scales.
B. Tenderness upon palpation and generalized erythema.
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes - answer B.
Tenderness upon palpation and generalized erythema.
Explanation: Overexposure to PUVA treatment can cause skin irritation,
tenderness, and erythema. If the client exhibits these symptoms, the
nurse should notify the healthcare provider for possible treatment
modifications.
An adult client who had gastric bypass surgery 2 weeks ago is admitted
with possible anastomosis leakage. The client's abdomen is tender to
touch, and the vital signs are temperature 101*F (38.3*C), heart rate
130 beats/minute, respiratory rate 26 breaths/minute, and blood
pressure 100/50 mmHg. Which intervention is most important for the
nurse to include in the client's plan of care?
A. Encourage regular turning.
B. Monitor skin for breakdown.
C. Strict IV fluid replacement.
D. Assess wound drainage daily. - answer C. Strict IV fluid replacement.
curated questions and answers | GUARANTEED SUCCESS
BSN266 HESI V1 Study Guide latest
updated version with 52 expert curated
questions and answers | GUARANTEED
SUCCESS
A client who underwent cardiac stent placement four days ago arrive to
the emergency department reporting a sudden onset of chest pressure
and shortness of breath. Which action should the nurse take next?
A. Listen for extra heart sounds, murmurs, and rhythm with the bell of
the stethoscope.
B. Evaluate the upper and lower extremities for perfusion, pulse
volume, and pitting edema.
C. Verify troponin level assessments are schedules every 3-6 hours for a
series of three.
D. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring - answer D. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
,A client with type 2 diabetes mellitus arrives to the clinic reporting
episodes of weakness and palpitations. Which finding should the nurse
recognize as a possible complication?
A. Anxiety and sighing
B. Myalgia in wrists and hands
C. Hyperactive bowel sounds
D. Dark yellow urine - answer B. Myalgia in wrists and hands
While completing a health assessment for a client with migraine
headaches, the nurse assesses bilateral weakness in the clients hand
grips. The client reports joint pain and trouble twisting a door knob due
to weakness. Which action should the nurses take in response to these
figures?
A. Implement fall precautions to reduce the clients risk of injury.
B. Explain the relief of the migraine pain will reduce related symptoms.
C. Gather additional assessment data about the pain and weakness
D. Consult with the occupational therapist for a functional assessment -
answer C. Gather additional assessment data about the pain and
weakness
Explanation: The nurse should gather additional assessment data about
the pain and weakness to better understand the client's condition and
,to determine if there is an underlying issue or if the symptoms are
related to the migraine headaches.
A client who has developed acute kidney injury (AKI) due to
aminoglycoside antibiotics has moved from the oliguric phase to the
diuretic phase of AKI. Which parameters are most important for the
nurse to plan to carefully monitor?
A. Uremic irritation of mucous membranes and skin surfaces.
B. Hypovolemia and electrocardiographic (ECG) changes.
C. Side effects of total parental nutrition (TPN) and Intralipids.
D. Elevated creatinine and blood urea nitrogen (BUN). - answer B.
Hypovolemia and electrocardiographic (ECG) changes.
Explanation: During the diuretic phase of AKI, the client may experience
increased urine output, which can lead to hypovolemia and electrolyte
imbalances. Monitoring for hypovolemia and ECG changes can help
detect any complications or worsening of the client's condition.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment. Which
assessment finding indicates that the client has been overexposed to
the treatment?
, A. Thick skin plaques topped by silvery white scales.
B. Tenderness upon palpation and generalized erythema.
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes - answer B.
Tenderness upon palpation and generalized erythema.
Explanation: Overexposure to PUVA treatment can cause skin irritation,
tenderness, and erythema. If the client exhibits these symptoms, the
nurse should notify the healthcare provider for possible treatment
modifications.
An adult client who had gastric bypass surgery 2 weeks ago is admitted
with possible anastomosis leakage. The client's abdomen is tender to
touch, and the vital signs are temperature 101*F (38.3*C), heart rate
130 beats/minute, respiratory rate 26 breaths/minute, and blood
pressure 100/50 mmHg. Which intervention is most important for the
nurse to include in the client's plan of care?
A. Encourage regular turning.
B. Monitor skin for breakdown.
C. Strict IV fluid replacement.
D. Assess wound drainage daily. - answer C. Strict IV fluid replacement.
