BSN 246 HESI EXAM QUESTIONS

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BSN 246 HESI EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -99 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: The registered nurse (RN) uses the mini-mental state examination (MMSE) when assessing a client for admission to an assisted living facility. Which finding is the RN assessing when requesting the client to count by 7s?

• Recall of information.
• Orientation to surroundings.
• Attention to details.
• Ability to follow complex commands.

Answer:

C Question 2: The registered nurse (RN) is assessing a client who was discharged home after management of chronic hypertension. Which equipment should the RN instruct the client to use at home?

• Exercise bicycle.
• Sphygmomanometer.
• Blood glucose monitor.
• Weekly medication box.

Answer:

B Question 3: The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance tests (OGTT). Which laboratory result should the RN assess as a normal value for the two hour postprandial result?

• 140 mg/dl.
• 160 mg/dl.
• 180 mg/dl.
• 200 mg/dl.

Answer:

A Question 4: A Muslim male client refuses to let the female registered nurse (RN) listen to his breath sounds during the examination. How should the RN respond?

• Explain how the nursing skill will be performed before proceeding.
• Examine client with an additional healthcare provider for support.
• Request a male nurse or healthcare provider to perform the exam.
• Avoid any skills that involve touching the client during the exam.

Answer:

C Question 5: What complication would the client be most concerned about if choosing peritoneal dialysis?

Answer:

Abdominal infection/Peritonitis Question 6: The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic complaining of a sprained ankle. Which therapeutic response should the RN anticipate?Reduced pain and minimized brusing.Lowering of body core temperature.Increased circulation around injury.Reabsorption of edema at injury.

Answer:

Reduced pain and minimized bruising

Question 7: Which action should the nurse implement first?

Answer:

Administer an analgesic.

Question 8: Based on the client's symptoms, what should the nurse suspect?

Answer:

The client has uremia and may need to start dialysis.Question 9: While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the RN report to the healthcare provider concerning the OTC medication? (Select all that apply).Select all that apply Type I diabetes mellitus (DM).Closed angle glaucoma.Chronic hypertension.Rheumatoid arthritis.Crohn's disease.

Answer:

Closed Angle Glaucoma Chronic Hypertension Question 10: The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne Stokes pattern. After receiving this information, the client's spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during the visit?A. Acceptance.

• Denial.
• Bargaining.
• Depression.

Answer:

B

Question 11: The registered nurse (RN) is caring for a client who has taken atenolol for 2 years.The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the RN provide the client regarding the new medication?

• Take the medication at bedtime.
• Report presence of increased bruising.
• Check pulse before taking medication.
• Rise slowly when getting out of bed or chair.

Answer:

D Question 12: Which assessment should the nurse perform to determine if the desired outcome of the losartan has been achieved?

Answer:

Blood pressure Question 13: A client in an ambulatory clinic describes awaking in the middle of the night with difficulty breathing and shortness of breath related to paroxysmal nocturnal dyspnea. Which underlying condition should the registered nurse (RN) identify in the client's history?

• Chronic bronchitis.
• Gastroesophageal reflux disease (GERD).
• Heart failure (HF).
• Chronic pancreatitis.

Answer:

C Question 14: The nurse prepares and instructs the client for hemodialysis. Which statements by the client indicate the need for further education? (Select all that apply. One, some, or all options may be correct.)

Answer:

Hemodialysis will help restore kidney function back to a normal level. - Bowel or bladder perforation may occur with hemodialysis catheter placement.