BSN 366 HESI RN Exit Exam V2 (Latest Update 2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A - Nightingale
Question:
When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide, the nurse describes the following behavioral cue
Answer:
Giving away valued personal items
Question:
The nurse is caring for a 4 year-old admitted after receiving burns to more than 50% of his body. Which laboratory data should be reviewed by the nurse as a priority in the first 24 hours?
Answer:
Blood urea nitrogen
- / 4
Question:
The nurse is assigned to care for a client who had a myocardial infarction (MI)
- days ago. The client has many questions about this condition. What area is a
priority for the nurse to discuss at this time?
Answer:
Daily needs and concerns
Question:
The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation. Which of the following would be necessary for preparing the client for this test?
Answer:
No special preparation is necessary
Question:
While interviewing a client, the nurse notices that the client is shifting positions, wringing her hands, and avoiding eye contact. It is important for the nurse to
Answer:
Ask the client what she is feeling
- / 4
Question:
Which statement made by a client indicates to the nurse that he may have a thought disorder?
Answer:
"I can't find my 'Mesmer' shoes. Have you seen them?"
Question:
The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?
Answer:
Repeatedly checking that the door is locked
Question:
A young adult seeks treatment in an outpatient mental health center. The client tells the nurse he is a government official being followed by spies. On further questioning, he reveals that his warnings must be heeded to prevent nuclear war. What is the most therapeutic approach by the nurse?
Answer:
Listen quietly without comment
- / 4
Question:
A client is admitted to a psychiatric unit with delusions. What findings can the nurse expect?
Answer:
Suspiciousness and resistance to therapy
Question:
A client who is a former actress enters the day room wearing a sheer nightgown, high heels, numerous bracelets, bright red lipstick and heavily rouged cheeks. Which nursing action is the best in response to the client's attire?
Answer:
Directly assist client to her room for appropriate apparel
Question:
Handshaking is the preferred form of touch or contact used with clients in a psychiatric setting. The rationale behind this limited touch practice is that
Answer:
Some clients misconstrue hugs as an invitation to sexual advances
- / 4