BSN 246 HESI REVIEW EXAM QUESTIONS

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BSN 246 HESI REVIEW EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -25 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: The registered nurse (RN) did not note that a prescription dose was recently changed and did not note the updated medication administration record (MAR). After giving the client the original dose, the RN reports the medication error to the nurse manager. What consequences will the RN experience due to this error in medication administration?-The incident will be reported to the state's Board of Nursing (BON).-A medication error report will be completed and risk management will be notified.-The RN will be suspended from medication administration until the error is investigated.-The incident will be documented in the RN's personnel file.

Answer:

A medication error report will be completed and risk management will be notified.Rationale By reviewing quality of care internally, steps of care can be evaluated and staff can be educated where gaps are identified. The medication report and notification of management is the responsibility of the RN who made the mistake, so an internal review of the steps of the occurrence can be completed to determine further risk potentials.Question 2: Which action should the registered nurse (RN) implement to complete an assessment for a client while using an interpreter?-Ask closed-ended questions with the assistance of the interpreter.-Maintain eye contact with the client while listening to the translation.-Instruct interpreter to answer questions from interpreter's point of view.-Protect the client's privacy by asking a limited number of questions.

Answer:

Maintain eye contact with the client while listening to the translation.Rationale

When completing an assessment, the RN should maintain eye contact with the client to gather additional information from the client's nonverbal cues.Question 3: The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN that the client is stabilizing?-Urine output of 40 mL/hour.-Apical pulse 100 and blood pressure 76/42.-Urine specific gravity 1.001.-Tented skin on dorsal surface of hands.

Answer:

Urine output of 40 mL/hour.Rationale A decrease in urinary output is a sign of dehydration. When the urine output returns to a normal range, 40 mL/hour, the client's kidneys are perfusing adequately and indicates the client's status is stablizing.Question 4: The registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask the client about his medical history?-Irritable bowel syndrome.-.Diverticulitis.-Crohn's disease.-Ulcerative colitis.

Answer:

Ulcerative colitis.Rationale The RN should ask the client if he has a history of ulcerative colitis, which is characterized by severe abdominal cramping, pain, tenesmus, and dehydration .Question 5: While caring for a client who has esophageal varices, which nursing intervention is most important for the registered nurse (RN) to implement?-Monitor infusing IV fluids and any replacement blood products.-Prepare for esophagogastroduodenoscopy (EGD).-Maintain the client on strict bedrest.-Insert a nasogastric tube (NGT) for intermittent suction.

Answer:

Monitor infusing IV fluids and any replacement blood products.Rationale Maintaining hemodynamic stability in a client with esophageal varicescan precipitatea life-threatening crisis if esophageal varies leak or rupture and can result in hemorrhage. The priority is assessing and monitoring infusions of IV fluids and any replacement blood products.

Question 6: The registered nurse (RN) assesses a client's results for arterial blood gases who has emphysema. Which finding is consistent with respiratory acidosis?-pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.-pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.-pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.-pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L.

Answer:

pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.Rationale Normal ABG ranges are pH 7.35 to 7.45; pCO2 35 to 45 mmHg; HCO3 21 to 28 mEq/L, and pO2 80 to 100 mmHg. An ABG of pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L represents a client with respiratory acidosis which is characterized by: low pH, pCO2higher than normal, and HCO3 within normal limits.Question 7: The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which assessment finding should the RN report to the healthcare provider?-Dry mucous membranes and lips.-Rebound abdominal tenderness over right lower quadrant.-Dizziness when client ambulates from a sitting position.-Poor skin turgor over client's wrist.

Answer:

Rebound abdominal tenderness over right lower quadrant.Rationale RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the healthcare provider.Question 8: An older client is admitted to the hospital with severe diarrhea. The registered nurse (RN) is completing an assessment and notes the client has dry mucous membranes and poor skin turgor. Which assessment data should the RN gather to determine if the client has a fluid volume deficit?-Lower extremity edema.-Orthostatic hypotension.-Elevated blood pressure.-Cheyne-Stokes respirations.

Answer:

Orthostatic hypotension.Rationale Orthostatic hypotension can be a sign of fluid volume deficit in an older client who has experienced severe diarrhea.

Question 9: A female client calls the clinic and talks with the registered nurse (RN) to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The RN should discuss which action with the client?-Discontinue the antibiotic because original symptoms have subsided.-Continue taking medication until finished until the symptoms subside.-Consult with healthcare provider about another treatment for this effect.-Use an over-the-counter (OTC) vaginal wash to flush out the secretions.

Answer:

Consult with healthcare provider about another treatment for this effect.Rationale A superinfection with normal flora yeast may occur during antibiotic therapy. If suspected, the new onset of findings should be reported to the healthcare provider for another prescribed treatment to treat the superinfection.Question 10: The registered nurse (RN) is caring for a client with acute pancreatitis and assesses the admission laboratory results. What laboratory value should the RN anticipate being elevated with this diagnosis?-Triglycerides.-Amylase.-Creatinine.-Uric acid.

Answer:

Amylase.Rationale An elevated amylase level is associated with acute pancreatitis.Question 11: 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:

Sphygmomanometer.Rationale Self-awareness is the best way for a client to manage chronic hypertension, so the client should obtain a sphygmomanometer and learn how to monitor blood pressure daily and maintain a record.