Exam (elaborations)
HESI BSN 246 FINAL EXAM NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE 2025
- Course
- Institution
HESI BSN 246 FINAL EXAM NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE 2025
[Show more]
Content preview
HESI BSN 246 FINAL EXAM NEWESTACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE 2025
The registered nurse (RN) is caring for a client with
aplastic anemia who is hospitalized for weight loss and
generalized weakness. Laboratory values show a white
blood count (WBC) of 2,500/mm3 and a platelet countof
160,000/mm3. Which intervention is the primary focus in
the client's plan of care for the RN to implement?
A. Assist with frequent ambulation.
B. Encourage visitors to visit.
C. Maintain strict protective precautions.
D. Avoid peripheral injections. Correct Answer C. Maintain
strict protective precautions.
Rationale
The client should be under strict protective
transmission precautions because the WBC values
are low and normal WBC levels are 4,000-10,000/mm3,
so the client is an increased high risk for infection.
The registered nurse (RN) is teaching a client who is being
discharged after treatment of tuberculosis (TB). Which
cultural issues should the RN assess when preparing the
client for discharge? (Select all that apply.)
A. Native language.
B. Education level.
,C. Type of lifestyle.
D. Financial resources.
E. Previous medical history. Correct Answer A. Native
language.
B. Education level.
C. Type of lifestyle.
D. Financial resources.
Rationale
To ensure compliance the client's native language,
education level, lifestyle, and financial resources
should be considered when preparing the client's
discharge instructions about the continuation of
treatment for TB.
An older client is admitted to the hospital with severe
diarrhea. The registered nurse (RN) is completing an
assessment and notes the client has dry mucous
membranes and poor skin turgor. Which assessment data
should the RN gather to determine if the client has a fluid
volume deficit?
A. Lower extremity edema.
B. Orthostatic hypotension.
C. Elevated blood pressure.
D. Cheyne-Stokes respirations. Correct Answer B.
Orthostatic hypotension.
Rationale
Orthostatic hypotension can be a sign of fluid volume
deficit in an older client who has experienced severe
diarrhea.
,The registered nurse (RN) is caring for a client who has a
closed head injury from a motor vehicle collision. Which
finding should the RN assess the client for the risk of
diabetes insipidus (DI)?
A. High fever.
B. Low blood pressure.
C. Muscle rigidity.
D. Polydipsia. Correct Answer D. Polydipsia.
Rationale
A characteristic finding of DI is excretion of large
quantities of urine (5 to 20L/day), and most clients
compensate for fluid loss by drinking large amounts
of water (polydipsia). DI can occur when there has
been damage or injury to the pituitary gland or
hypothalamus as a result of head trauma, tumor or an
illness such as meningitis. This damage interrupts the
ADH production, storage and release causing the
excessive urination and thirst.
The registered nurse (RN) is teaching a client who is
newly diagnosed with emphysema how to perform pursed
lip breathing. What is the primary reason for teaching the
client this method of breathing?
A. Decreases respiratory rate.
B. Increases O2 saturation throughout the body.
C. Conserves energy while ambulating.
D. Promotes CO2 elimination. Correct Answer D.
Promotes CO2 elimination.
, Rationale
Pursed lip breathing helps eliminate CO2 by
increasing positive pressure within the alveoli
increasing the surface area of the alveoli making it
easier for the O2 and CO2 gas exchange to occur .
The registered nurse (RN) is administering haloperidol 0.5
mg IM PRN to a client for the first time. What side effects
should the RN assess the client for during the initial dose?
A. Bradykinesia.
B. Dystonia.
C. Somatization.
D. Akathisia. Correct Answer B. Dystonia.
Rationale
Dystonia can be a sudden adverse reaction to this
psychotropic medication which should be
discontinued to resolve dystonia, and the healthcare
provider notified immediately.
After a liver biopsy is performed at the bedside, the
registered nurse (RN) is assigned the care of the client.
Which nursing intervention is most important for the RN to
implement?
A. Position client on left side with pillow placed under the
costal margin.
B. Assist the client with voiding immediately after the
procedure.
C. Evaluate vital signs q10 to 20 minutes for 2 hours after
procedure.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80467 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
