BSN266 HESI EXAM, NURSING HESI TEST,

BSN266 HESI EXAM, NURSING HESI TEST,

BSN266 QUESTIONS AND ANSWERS, HESI

NURSING PREP, CLINICAL NURSING

EXAM, BSN266 STUDY GUIDE

Question: What instruction should the nurse include in the

discharge teaching plan of a client who had a cataract extraction today?

• Sexual activities may be resumed upon return home
• Light housekeeping is permitted but avoid heavy lifting
• Use a metal eye shield on operative eye during the day
• Administer eye ointment before applying eye drops

Correct Answer: B

Question: A male adult comes to the urgent care clinic 5 days

after being diagnose with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first?

• Obtain a sputum sample for culture
• Check his oxygen saturation level
• Administer an oral antipyretic
• Auscultate bilateral lung sound

Correct Answer: A

Question: An elder male client tells the nurse that he is

loosing sleep because he has to get up several times at night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?

• collect a urine specimen for culture analysis
• obtain a fingerstick blood glucose level
• palpate the bladder above the symphysis pubis
• review the client fluid intake

Correct Answer: C

Question: An adult client is admitted with diabetic

ketoacidosis (DKA) and a urinary tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse?

• blood ph of 7.30
• glucose of 350 mg /dl
• white blood cell count of 15000mm
• potassium of 2.5 meq/l

Correct Answer: D

Question: A client with sickle cell anemia develops a fever

during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what

information should the nurse provide first using the SBAR communication process?

• explain specific reason for urgent notification
• preface the report by stating the clients name and admitting

diagnosis

• communicate the pre-transfusion temperatures
• optain prn prescription for acetaminophen for fever 101f

Correct Answer: A

Question: An adult male client is admitted for pneumocystis

carinil pneumonia (PCP) secondary to aids. While hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what important aspect regarding his medication therapy should the nurse explain?

• AZT therapy must be stopped when IV aerosol pentamine

is being used.

• IV pentamine will be given until oral pentamine can be

tolerated

• It will be necessary to continue prophylactic doses of IV or

aerosol pentamine every month

• Iv pentamine may offer protection to others aids related

conditions such as kaposis sarcoma

Correct Answer: C

Question: A client subjective data includes dysuria, urgency,

and urinary frequency. What action should the nurse implement next?

• collect a clean catch specimen
• palpate the suprapubic region
• instruct to wipe from front to back
• inquire about recent sexual activity

Correct Answer: A

Question: A client tells the nurse that her biopsy results

indicate that the cancer cells are well differentiated How should the nurse respond?

• offer the client reassurance that this information indicates

that the clients cancer cells are benign

• explain that these tissue cells often respond more

effectively to radiation than to chemotherapy

• ask the client in the healthcare provider has giving her any

information about the classification of her cancer

• help the client make plans to begin inmediate treatment

since her cancer is likely to spread quickly

Correct Answer: C

Question: A client with a chronic kidney disease is treated on

hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?