BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V2 (Latest Update 2024 / 2025) Questions & Answers |100% Correct | Grade A - Nightingale
Question:
The home health nurse is reviewing the personal care needs of an elderly client who lives alone. Which client assessment findings indicate the need to assign an unlicensed assistive personnel (UAP) to provide routine foot care and file the clients toenails? (Select all that apply).
Answer:
-Diminished visual acuity
- Syncope with bending
-Hand tremors
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Question:
A young male client with testicular cancer has a living will that describes his desire that no extraordinary measures be taken to save his life. The healthcare provider knows the client has a good prognosis and refuses resuscitate (DNR) prescription. Which action should the nurse take?
Answer:
Initiate the ethics committee review of the case.
Question:
The nurse develops an outcome statement for a male client with the nursing problem, " Activity intolerance". The plan of care includes progressive ambulation in the hallway with assistance. Which assessment best determines the client's ability to tolerate this activity?
Answer:
Normal heart rate before and after ambulation.
Question:
A client who is maintained in one position for several hours in the operating room is transferred to the post-anesthesia care unit (PACU). Which assessment finding provides the PACU nurse with the earliest indication that the client is developing a pressure ulcer?
Answer:
Defined area of persistent redness over the bone.
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Question:
The nurse measures a clients body temperature as 102F (38.9C). To support and validate this finding with additional assessment data, which actions should the nurse take? (Select all that apply).
Answer:
-Palpate skin temperature
- Observe skin color
- Determine pulse rate
Question:
A client is receiving a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL". How many mL should the nurse administer? (Enter numeric value).
Answer:
- mL
Question:
What self-care outcome is best for the nurse to use in evaluating a clients recovery from a stroke that resulted in left-sided hemiparesis?
Answer:
Client verbalizes importance of hygienic practices in the recovery process.
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