BSNl HESIl 225l Fundamentalsl ofl Nursingl Examl (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Anl elderlyl clientl withl Alzheimer'sl diseasel isl beingl dischargedl withl severall prescriptionsl andl thel nursel plansl tol teachl thel daughter,l whol isl thel client'sl primaryl caregiver,l aboutl drugl administration.l Whatl isl thel bestl methodl tol usel inl evaluatingl thel daughter'sl understanding?
Answer:
Askl thel daughterl tol repeatl thel dosagel andl methodsl forl administratingl tol assessl herl understanding.
Q:l Anl unlicensedl assistivel personnell (UAP)l isl askedl tol answerl thel calll belll forl al clientl withl streptococcall pharyngitisl forl whoml dropletl precautionsl havel beenl implemented.l Thel UAPl refusesl statingl theyl havel notl yetl beenl fittedl forl al N95l respiratorl mask.l Whichl actionl shouldl thel nursel take?
Answer:
Instructl thel UAPl thatl al standardl facel maskl isl sufficientl forl thel provisionl ofl carel forl thel assignedl client.
Q:l Thel nursel isl caringl forl al clientl whol isl postoperativel andl receivingl supplementall oxygenl atl 2l L/minutel vial nasall cannula.l Thel oxygenl saturationl isl 89%l Whichl actionl shouldl thel nursel implement?
Answer:
Verifyl placementl ofl pulsel oximeter.
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Q:l Al clientl isl dischargedl tol al longl terml carel facilityl withl anl indwellingl urinaryl catheter.l Whichl nursingl actionl shouldl bel includedl inl thel planl ofl carel tol reducel thel clientsl riskl forl infectionl relatedl tol thel catheter?
Answer:
Flushl thel catheterl dailyl withl sterilel saline.
Q:l Whichl landmarksl arel usefull tol thel nursel whenl administeringl anl intramuscularl injectionsl inl thel ventrogluteall site?
Answer:
Thel greaterl trochanterl andl anteriorl superiorl iliacl spine.
Q:l Al malel clientl withl al chronicl illnessl isl toldl thatl hel hasl al prognosisl ofl threel monthsl tol live.l Whenl thel homel healthl nursel visitsl himl atl hisl assistedl livingl apartmentl wherel hel livesl withl hisl wife,l hel statesl thatl hel stilll feelsl strongl andl doesl notl havel anyl pain,l butl hel tellsl thel nursel thatl al neighborl hasl advisedl himl tol considerl hospicel care.l Whichl actionl shouldl thel nursel take?
Answer:
Completel anl assessmentl tol determinel ifl thel clientl andl hisl spousel havel acceptedl thel prognosis.
Q:l Whenl assessingl anl adultl clientl whol hasl problemsl withl constipationl tol establishl al regularl bowell pattern,l thel clientl reportsl fearl ofl defecatingl becausel ofl havingl hemorrhoidsl thatl arel sometimesl painful.l Whichl actionl shouldl thel nursel take?
Answer:
Suggestl usingl al stooll softener.
Q:l Al familyl memberl reportsl thatl thel clientl whol isl bedriddenl hasl notl beenl turnedl orl repositionedl alll nightl andl isl sleepingl onl al speciall airl mattressl withl nol sheets.l Whichl informationl shouldl thel nursel providel tol thel familyl member? 2 / 4
Answer:
Clarifyl thatl anl aeratedl supportl surfacel doesl notl usel sheetsl thatl oftenl causel skinl breakdown.
Q:l Anl olderl adultl whol hasl al shuffling,l unsteadyl gaitl wantsl tol ambulatel inl thel hallwayl tol al familyl visitationl room.l Tol reducel riskl ofl injury,l whichl actionsl shouldl thel nursel takel beforel thel clientl leavesl thel room?l (Selectl alll thatl apply)
Answer:
-l Removel cartl orl otherl obstaclesl froml thel client'sl pathway -Reviewl thel clientsl vitall signsl andl activityl tolerance.l -l Confirml thatl thel hallwayl floorsl arel cleanl andl dry.
Q:l Whilel turningl al clientl whol recentlyl sufferedl al cerebrovascularl accidentl (CVA),l thel nursel assessesl forl pressurel areasl andl skinl breakdown.l Thel skinl overl thel sacrall areal isl intactl withl non-blanchablel redness.l Whichl interventionl isl mostl importantl forl thel nursel tol implementl forl thisl immobilel client?
Answer:
Changel positionl frequentlyl froml rightl tol left..
Q:l Whichl instructionl shouldl thel nursel includel inl thel dischargel teachingl planl forl anl adultl clientl withl hypernatremia?
Answer:
Reviewl foodl labelsl forl sodiuml content.
Q:l Thel nursel observesl anl adultl womanl performl al returnl demonstrationl ofl diaphragmaticl breathing.l Thel clientl inhalesl whilel holdingl herl abdomen,l thenl removesl herl handl tol allowl expansionl ofl thel abdomenl duringl exhalation.l Whichl actionl shouldl thel nursel takel afterl observingl thel client'sl demonstration?
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Answer:
Demonstratel howl tol expandl thel abdomenl whilel inhalingl andl letl itl sinkl inl whilel exhaling.
Q:l Al clientl arrivesl atl thel emergencyl departmentl (ED)l describingl chestl painl thatl beganl threel hoursl earlierl whichl hasl notl subsided.l Tol assessl thel qualityl ofl thel clientsl chestl pain,l whichl approachl shouldl thel nursel use?
Answer:
Askl thel clientl tol describel thel pain.
Q:l Thel nursel measuresl thel client'sl bloodl pressurel (BP)l andl notesl thatl itl isl significantlyl higherl thanl thel previousl reading.l Whatl shouldl thel nursel dol next?l (Selectl alll thatl apply).
Answer:
-Retakel thel clientsl bloodl pressurel inl thel oppositel arm.l -l Determinel thel clientsl activityl andl feelingsl priorl tol BPl measurement.
Q:l Afterl anl intravenousl antibioticl isl started,l thel nursel determinesl thatl thel medicationl isl notl prescribedl forl thel clientl andl stopsl thel infusion.l Whichl actionl shouldl thel nursel implementl next?
Answer:
Notifyl thel healthcarel provider.
Q:l Thel nursel findsl al firel inl thel bathrooml ofl anl emptyl clientl rooml andl immediatelyl reportsl thel location.l Afterl reportingl thel fire,l whichl actionl shouldl thel nursel takel next?
Answer:
Shutl thel doorsl tol thel bathrooml andl thel emptyl room.
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