BSN366 EXIT HESI | 128 QUESTIONS |
WITH PASSED SOLUTIONS!!
1 of 125
Term
The nurse observes an unlicensed assistive personnel applying an
alcohol-based hand rub while leaving a client's room after taking
vital signs. Which action should the nurse take?
A) Instruct the UP to return to the clients room to perform
handwashing.
B) Advise the UP to wear gloves when obtaining vital signs for all
clients.
C) Supervise the UP in the next clients room to evaluate hand
hygiene.
,D) Remind the UAP to continue rubbing their hands together until
they are dry.
Give this one a try later!
D) Start two large-bore IV catheters
C) A 30-year old depresses client
and review inclusion criteria for IV
who admits to suicide ideation
fibrinolytic therapy
D) Place the oximeter clip on the D) Remind the UAP to
earlobe to obtain the oxygen continue rubbing their hands
saturation reading. together until they are dry.
Don't know?
2 of 125
Term
NGN: the client is a 26 year-old female who was in a car accident six
months ago that killed her mother, husband, and two-year-old son.
She and her father were the only survivors of the crash. She is
seeking care for depression.
(Who is the most likely options for the information missing from the
statement by selecting from the list of options provided.)
The statement by the client presents _______________ and should be
followed up with ______ _.
Give this one a try later!
, A) Docusate sodium (for
constipation)
D) Naloxone (PRN for respiratory
Semi Fowlers , lung expansion
depression)
F) Ibuprofen (help maintain
breakthrough pain)
Post-traumatic stress disorder ,
Suicidal ideation, assessment
experiencing a life-threatening
of respecters for suicide.
event , losing a loved one
Don't know?
3 of 125
Term
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 _________________
Give this one a try later!
, B) Ensure the client receives frequent small meals containing complete proteins.
B) Ask the client about other medication's she takes.
D) Take an initial respiratory rate.
??????
Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
A) The client will remain free of skin breakdown.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
???????
Don't know?
4 of 125
Term
The client is admitted to the hospital after experiencing a stroke or
cerebrovascular accident. The nurse should request a referral for
speech therapy if the client exhibits which finding?
A) Inappropriate or exaggerated mood swings.
B) Persistent coughing while drinking.
C) Abdominal responses for cranial nerves I and II.
D) Unilateral facial drooping.
Give this one a try later!
WITH PASSED SOLUTIONS!!
1 of 125
Term
The nurse observes an unlicensed assistive personnel applying an
alcohol-based hand rub while leaving a client's room after taking
vital signs. Which action should the nurse take?
A) Instruct the UP to return to the clients room to perform
handwashing.
B) Advise the UP to wear gloves when obtaining vital signs for all
clients.
C) Supervise the UP in the next clients room to evaluate hand
hygiene.
,D) Remind the UAP to continue rubbing their hands together until
they are dry.
Give this one a try later!
D) Start two large-bore IV catheters
C) A 30-year old depresses client
and review inclusion criteria for IV
who admits to suicide ideation
fibrinolytic therapy
D) Place the oximeter clip on the D) Remind the UAP to
earlobe to obtain the oxygen continue rubbing their hands
saturation reading. together until they are dry.
Don't know?
2 of 125
Term
NGN: the client is a 26 year-old female who was in a car accident six
months ago that killed her mother, husband, and two-year-old son.
She and her father were the only survivors of the crash. She is
seeking care for depression.
(Who is the most likely options for the information missing from the
statement by selecting from the list of options provided.)
The statement by the client presents _______________ and should be
followed up with ______ _.
Give this one a try later!
, A) Docusate sodium (for
constipation)
D) Naloxone (PRN for respiratory
Semi Fowlers , lung expansion
depression)
F) Ibuprofen (help maintain
breakthrough pain)
Post-traumatic stress disorder ,
Suicidal ideation, assessment
experiencing a life-threatening
of respecters for suicide.
event , losing a loved one
Don't know?
3 of 125
Term
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 _________________
Give this one a try later!
, B) Ensure the client receives frequent small meals containing complete proteins.
B) Ask the client about other medication's she takes.
D) Take an initial respiratory rate.
??????
Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
A) The client will remain free of skin breakdown.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
???????
Don't know?
4 of 125
Term
The client is admitted to the hospital after experiencing a stroke or
cerebrovascular accident. The nurse should request a referral for
speech therapy if the client exhibits which finding?
A) Inappropriate or exaggerated mood swings.
B) Persistent coughing while drinking.
C) Abdominal responses for cranial nerves I and II.
D) Unilateral facial drooping.
Give this one a try later!
