BSN 225 HESI V2 (Latest Update 2026 /
2027) Questions & Answers | 100%
Correct | Grade A - Nightingale
1. It is most important for the nurse to recalculate the Braden scale score for a
client who has developed which problem?:
Ans Urinary Incontinence
2. At 0100 on a client's second postoperative night, the client states being
unable to sleep and plans to read until feeling sleepy. Which action should the
nurse implement?:
Ans Bring the client a prescribed PRN sedative-hypnotic.
3. Which statement by a client indicates to the nurse that the client understands
how a newly prescribed transdermal medication will be administered?:
Ans The medi-cine will be applied directly on my skin.
4. While electronically scanning the clients armband at the bedside prior to
administering pain medication, the nurse observes the power flickers and the
computer screen goes blank. The computer fails to reboot and the screen re-
mains dark. Which action should the nurse do first?:
mailto:https://www.stuvia.com/user/Wisdoms
, Ans Notify information services department of this situation.
5. When conducting diet teaching for a client who is experiencing episodes of
vomiting, the nurse recommends that the client consume only clear liquids.
Which choices by the client indicate effective learning? (Select all that apply):
Ans -
-Carbonated ginger ale
- Warm chicken broth
- Filtered apple juice
6. A client with rheumatoid arthritis (RA) is experiencing chronic pain in both
hands and wrists. Which information about the client is most important for the
nurse to obtain when planning care?:
Ans The ability to perform activities of daily living.
7. The nurse is preparing a teaching plan for a client with low back pain. Which
sleeping position should be included in the teaching?:
Ans Side-lying with hip and knees flexed.
8. The nurse is interviewing a client with lower abdominal pain and dyspnea,
and needs to question the client about sexual activity. Which approach is best
for the nurse to use?:
Ans Begin with questions that are less sensitive in nature.
9. The nurse is obtaining a systolic blood pressure by palpation. While inflating
the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action
should the nurse take?:
mailto:https://www.stuvia.com/user/Wisdoms
2027) Questions & Answers | 100%
Correct | Grade A - Nightingale
1. It is most important for the nurse to recalculate the Braden scale score for a
client who has developed which problem?:
Ans Urinary Incontinence
2. At 0100 on a client's second postoperative night, the client states being
unable to sleep and plans to read until feeling sleepy. Which action should the
nurse implement?:
Ans Bring the client a prescribed PRN sedative-hypnotic.
3. Which statement by a client indicates to the nurse that the client understands
how a newly prescribed transdermal medication will be administered?:
Ans The medi-cine will be applied directly on my skin.
4. While electronically scanning the clients armband at the bedside prior to
administering pain medication, the nurse observes the power flickers and the
computer screen goes blank. The computer fails to reboot and the screen re-
mains dark. Which action should the nurse do first?:
mailto:https://www.stuvia.com/user/Wisdoms
, Ans Notify information services department of this situation.
5. When conducting diet teaching for a client who is experiencing episodes of
vomiting, the nurse recommends that the client consume only clear liquids.
Which choices by the client indicate effective learning? (Select all that apply):
Ans -
-Carbonated ginger ale
- Warm chicken broth
- Filtered apple juice
6. A client with rheumatoid arthritis (RA) is experiencing chronic pain in both
hands and wrists. Which information about the client is most important for the
nurse to obtain when planning care?:
Ans The ability to perform activities of daily living.
7. The nurse is preparing a teaching plan for a client with low back pain. Which
sleeping position should be included in the teaching?:
Ans Side-lying with hip and knees flexed.
8. The nurse is interviewing a client with lower abdominal pain and dyspnea,
and needs to question the client about sexual activity. Which approach is best
for the nurse to use?:
Ans Begin with questions that are less sensitive in nature.
9. The nurse is obtaining a systolic blood pressure by palpation. While inflating
the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action
should the nurse take?:
mailto:https://www.stuvia.com/user/Wisdoms
