BSN 246 WEEKLY WEBINAR HESI PRACTICE QUESTIONS

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BSN 246 WEEKLY WEBINAR HESI PRACTICE QUESTIONS

EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -23 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which question is least useful in the assessment of the client with AIDS?

• Are you a drug user?
• How many sexual partners do you have or had?
• Do you use barrier protection?
• How old were you when you became sexually active?

Answer:

• How old were you when you became sexually active?

Question 2: The nurse provides home care instructions to a patient hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a patient indicates a need for further instruction?

• "I need to drink fluids."
• "Coughing spells may be triggered by dust or smoke."
• "Vomiting may occur when I have coughing episodes."
• "I need to maintain droplet precautions and a quiet environment for at least 2 weeks."

Answer:

• "I need to maintain droplet precautions and a quiet environment for at least 2 weeks."

Question 3: The nurse is caring for a teenage client admitted to the hospital with a suspected diagnosis of acute appendicitis. Which laboratory result should the nurse expect to note if the client does have appendicitis?

• Leukopenia with a shift to the left
• Leukocytosis with a shift to the left
• Leukopenia with a shift to the right
• Leukocytosis with shift to the right

Answer:

• Leukocytosis with a shift to the left

Question 4: The nurse is testing the coordinated functioning of cranial nerves III, IV, and VI. To do this correctly, what would the nurse test?

• The corneal reflex
• The six cardinal fields of gaze
• The pupillary response to light
• Pupillary response to light and accommodation

Answer:

• The six cardinal fields of gaze

Question 5: The nurse is preparing to perform a Romberg test on a client being seen in the clinic. The nurse would perform this test for the purpose of determining which status?

• The client's ability to ambulate
• The intactness of the tympanic membrane
• The intactness of the retinal structure of the eye
• The functional status of the vestibular apparatus in the inner ear

Answer:

• The functional status of the vestibular apparatus in the inner ear

Question 6: A renal stone in the pelvis of the kidney will change kidney function by interfering with the

• structural support of the kidney.
• regulation of the concentration of urine.
• entry and exit of blood vessels at the kidney.
• collection and drainage of urine from the kidney.

Answer:

• collection and drainage of urine from the kidney.

Question 7: Normal findings expected by the nurse on physical assessment of the urinary

system include: (select all that apply)

• nonpalpable bladder
• nonpalpable left kidney
• auscultation of renal artery bruit
• no CVA tenderness elicited by a kidney punch
• full bladder percusses as dullness above the symphysis pubis

Answer:

• nonpalpable bladder

• nonpalpable left kidney

• no CVA tenderness elicited by a kidney punch

• full bladder percusses as dullness above the symphysis pubis

In the physical assessment of the urinary system, normal findings include no CVA tenderness and nonpalpable kidneys and bladder. If the bladder is full, dullness is heard above the symphysis pubis.Question 8: The nurse is preparing to perform an abdominal examination on a client. The nurse should place the client in which position for this examination?

• Modified left lateral recumbent position
• Supine with the head and feet flat

• Supine with the head raised slightly and knees flexed
• Semi-fowlers position with the head raised 45 degrees and the knees flexed

Answer:

• Supine with the head raised slightly and knees flexed

During the abdominal examination, the client lies supine (flat on the back) with the head raised slightly and the knees slightly flexed. This position relaxes the abdominal muscles. The modified left lateral recumbent position is a side-lying position and would not adequately expose the abdomen for examination. Placing the head and feet flat would result in the abdominal muscles being taut. The abdomen cannot be accuretly assessed if the head is raised 45 degrees.Question 9: The nurse identifies a risk for urinary stones in a patient who relates a health history that includes

• hyperaldosteronism
• serotonin deficiency
• adrenal insufficiency
• hyperparathyroidism

Answer:

• hyperparathyroidism

Excess levels of circulating parathyroid hormone (PTH) usually lead to hypercalcemia and hyperphosphatemia. In the kidneys, the excess calcium cannot be reabsorbed, so the calcium levels in the urine increase (i.e., hypercalciuria). This excess urinary calcium, along with a large amount of urinary phosphate, can lead to stone formation Question 10: You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

• "I will make sure that any patient who is in droplet precaution wears a surgical mask when

being transported."

• "Patients with airborne diseases such as Meningitis require a special room with negative air

pressure."

• "I will always wear a gown and gloves when entering a room of a patient in contact

precautions."

• "If I provide care to patients with
• Diff, Norovirus, and Rotavirus infections, I will always wash my hands with soap and water,

not hand sanitizer."