ANSWER 2 - Questions and Answers The nurse is performing p...

BSN 366 HESI RN Exit Exam Questions and Answers

2025/2026

The nurse is performing preoperative care of a client for an open reduction and internal fixation (ORIF) of a fractured right tibia before the procedure, which action should the nurse prioritize? - ANSWER Verify clients signed consent.A client receives a prescription for acetaminophen 1,000 mg by mouth every 8 hours as needed for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.) -

ANSWER 2

the nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. which behaviors indicate the client understands how to maintain balance safely?

• brings a heavy can close to body before lifting
• locks knees while preparing food on the counter
• widens stance while working near the sink
• bends from the waist to pick trash off the floor
• leans forward to pull a pan from a high shelf - ANSWER a. brings a

heavy can close to body before lifting

• widens stance while working near the sink 1 / 3

The RN is assigned to care for four surgical clients. After receiving the report, which client should the nurse see first?

• Two days postoperative bladder surgery with continuous bladder irrigation

infusing.

• One-day postoperative laparoscopic cholecystectomy requesting pain

medication.

• Three days postoperative colon resection receiving a transfusion of packed

RBCs.

• Preoperative, in buck's traction, and scheduled for hip arthroplasty within the

next 12 hours - ANSWER c. Three days postoperative colon resection receiving a transfusion of packed RBCs. .A client is receiving a continuous infusion of the anticoagulant, heparin, for treatment of a deep vein thrombosis of the right calf. Which goal should the nurse include in this client's plan of care?

• No further thrombus will form.
• The client's INR (international normalized ratio) will be 2.
• The existing thrombosis will dissolve. d. The circumference of the client's right

calf will decrease. - ANSWER a. No further thrombus will form.Which information is more important for the nurse to obtain when determining a client's risk for (OSAS)?

• Body mass index
• Level of consciousness
• Self-description of pain
• Breath sounds - ANSWER a. Body mass index

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement?

• The impending signs of death should be documented
• The client's status should be conveyed to the chaplain 2 / 3

• The client's need for pain medication should be determined
• The nurse manager should be updated on the client's status - ANSWER
• The client's need for pain medication should be determined

Which information is more important for the nurse to obtain when determining a client's risk for (OSAS)?

• Body mass index
• Level of consciousness
• Self-description of pain
• Breath sounds - ANSWER Body mass index.

The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is the most important for the nurse to take?

• Counsel family members to monitor for illness symptoms for 2 weeks after last

contact with patient

• Assist the client to recall everyone possibly exposed since onset of symptoms
• Start an intravenous infusion for antiviral drug to be administered for positive

COVID-19 test results.

• Move the client to a private room, keep the door closed, and initiate droplet

precautions. - ANSWER d. Move the client to a private room, keep the door closed, and initiate droplet precautions.The nurse is preparing an adult with Addison's disease for self-management.Which information should the nurse include in the client's instructions?

• events requiring steroid dose adjustments
• need to check temperature daily
• importance of recording daily weights
• adherence to a high fiber, low fat diet - ANSWER a. events

requiring steroid dose adjustments

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