BSN HESI 366 RN E XIT EXAM (NEW 2024/ 2025
UPDATE) QUESTIONS AND VERIFIED ANSWERS|100%
CORRECT| GRADE A- NIGHTINGALE
An adult client experiences a gasoline tank fire when riding a motorcycle
and is admitted to the emergency department (ED) with full thickness
burns to all surfaces of both lower extremities. What percentage of body
surface area should the nurse document in the electronic medical record
(EMR)?
A) 9%
B) 36%
C) 18%
D) 45% - ANS ✓B) 36%
An unlicensed assistive personnel leaves the unit without notifying the
staff. In which order should the unit manager implement these
interventions to address the UP's behavior? (Please to actions in order
from first on top to last on bottom)
Discuss the issue privately with the UAP
Plan for scheduled break times
Evaluate the UP for signs of improvement
Note date and time of the behavior - ANS ✓Note date and time of the behavior.
Discuss the issue privately with a UAP.
Plan for scheduled break times.
Evaluate the UPC for signs of improvement.
NO QUESTION 32 - ANS ✓
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What nursing intervention is particularly indicated for the second stage of
labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical
dilation.
C) Providing pain medication to increase the clients tolerance of labor
pains.
D) Assisting the client to push effectively so that expulsion of the fetus can
be achieved. - ANS ✓D) Assisting the client to push effectively so that expulsion
of the fetus can be achieved.
A child with peripheral edema who weighs 44 pounds receives a
prescription for furosemide 2 mg/kg IV every 12 hours. The vile is labeled
10 mg/mL. How many milliliters should the nurse administer? (Enter
numeric value only) - ANS ✓4mL
Laboratory results should the nurse closely monitor in a client who has
end-stage renal disease?
A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine. - ANS ✓B) Serum potassium,
calcium, and phosphorus.
A client with a history of dementia has become increasingly confused at
night and is picking at an abdominal surgical dressing and the tape
securing the IV line. The abdominal dressing is no longer inclusive, and the
IV insertion site is pink. Which intervention should the nurse implement?
A) Leave the lights on in the room at night.
B) Re-dress the abdominal incision.
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C) Apply soft bilateral wrist restraints.
D) Replace the IV site with a smaller gauge. - ANS ✓B) Re-dress the abdominal
incision.
The nurse is planning care for a client who admits to having suicidal
thoughts. Which client behavior indicates the highest risk for the client
acting on the suicidal thoughts?
A) Begins to show signs of improvement in effect.
B) Expresses feelings of sadness and loneliness.
C) Neglects personal hygiene and has no appetite.
D) Lacks interest in the activities of family and friends. - ANS ✓A) Begins to
show signs of improvement in effect.
NGN: The client is a 42-year-old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in the surgical
dressing that will need to be changed by the surgeon on postop day.
(Choose the most likely options for the information missing from the
statement.)
Morphine is a ______________ and it activates ________________ receptors and is
used to relieve ______________. - ANS ✓Agonist-antagonist opioid , beta , pain?
NGN: a client is a 42 year old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in a surgical
dressing that will need to be changed by the surgeon on postop day. (What
actions should the nurse take to assure safety during morphine
administration? SATA)
A) Have a manual resuscitation bag at the bedside.
B) Ask the client about other medication's she takes.
C) Perform a 12 lead electro cardiogram.
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D) Take an initial respiratory rate.
E) Suction the client to clear the airway.
F) Restrain the client with soft restraints. - ANS ✓B) Ask the client about
other medication's she takes.
D) Take an initial respiratory rate.
??????
NGN: a client is a 42 year old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in a surgical
dressing that will need to be changed by the surgeon on postop day. (what
other medication's would the nurse expect the surgeon to prescribe along
with morphine? SATA)
A) Docusate sodium
B) Methadone
C) Propofol
D) Naloxone
E) Senna
F) Ibuprofen - ANS ✓A) Docusate sodium (for constipation)
D) Naloxone (PRN for respiratory depression)
F) Ibuprofen (help maintain breakthrough pain)
NGN: a client is a 42 year old female who had a right above the knee
amputation for osteomyelitis. The client has a drain in place in a surgical
dressing that will need to be changed by the surgeon on postop day. (what
side effects of morphine could contribute to this client's fall risk?)
A) urinary retention
B) seizures
C) orthostatic hypotension
D) sedation
BSN HESI
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