BSN 366 HESI RN Exit Exam Review Questions & Answers (Latest Update 2024 / 2025) | 100% Correct | Grade A - Nightingale
Question:
The nurse leading a care team on a medical surgical unit is assisting client care to a practical nurse in an unlicensed up sensitive personnel which tasks should the nurse delegate to the pn
Answer:
begin initial sterile wound care for surgical clients
Question:
The nurse is providing teaching to a client newly diagnosed with type 2 diabetes mellitus about disease management which responds by the clients indicate understanding
Answer:
keep diabetic medications on schedule as prescribed
- / 4
Question:
a nurse who is working in the emergency department triage area is presented with four clients at the same time the client presenting with which symptoms requires the most immediate intervention by the nurse
Answer:
Chest discomfort one hour after consuming a large, spicy meal
Question:
While the nurse is assessing an older clients fall risk the client reports living at home alone and never falling which action should the nurse take
Answer:
Continue to obtain client data needed to complete the fall risk survey
Question:
A male client approaches the nurse with an angry expression on his face and raises his voice saying my roommate is most selfish most self-centered angry person I've ever met if he loses his temper one more time with me I'm going to punch him out the nurse recognizes that the client is using which defense mechanism
Answer:
Projection
- / 4
Question:
During an admission assessment a client reports currently using heroin which information is most important for the nurse to consider in the plan of care
Answer:
history of suicide attempts
Question:
A nurse is preparing a discharge teaching plan for a client who has had a liver transplant which instruction is most important to include in this plan
Answer:
Avoid crowds for first two months after surgery
Question:
The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel working on a rehab unit the UAP asks the nurse how to safely move a physically disabled client from the wheelchair to the bed which action should the nurse recommend
Answer:
Place a client 's locked wheelchair on the client 's strong side next to the bed
- / 4
Question:
The nurse instructs the client in use of an incentive spirometer the client performs a return demonstration as seen in the video which action should the nurse take in response to the return demonstration please view the video
Answer:
Emphasize the need to inhale slowly into the spirometer
Question:
The nurse is caring for a seated client who is experiencing a tonic clonic seizure which actions should the nurse implement select all that apply
Answer:
Loosen restrictive clothing, ease the client to the floor, note the duration of the seizure
Question:
A client is in the emergency center demonstrates rapid speech flight of ideas and reports sleeping only three hours during the past 46 hours based on these findings it is most important for the nurse to review the laboratory value for which medication
Answer:
Divalproex.
- / 4