BSNl HESIl 225l Fundamentalsl ofl Nursingl Practicel Examl (2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Whichl actionl wouldl thel nursel takel whenl unablel tol findl informationl aboutl thel medicationl inl anyl ofl thel hospitall databasesl orl electronicl healthl recordsl whenl attemptingl tol decreasel thel patient'sl adversel reactionsl tol prescribedl medications?A.l avoidl administeringl medication B.l contactl thel hospitall pharmacist C.l contactl thel primaryl healthl carel provider D.l askl thel patientl forl writtenl consentl beforel administering
Answer:
B.l contactl thel hospitall pharmacist
Whenl al primaryl healthl carel providerl prescribesl al mediation,l thel nursel isl knowledgeablel ofl itsl use,l thel expectedl outcome,l andl anyl adversel effectsl andl drugl interactions.l Thel nursel requestsl thel informationl forml thel pharmacistl whenl thel informatiol nisl notl availablel inl anyl ofl thel resourcesl available.l Thel nursel cannotl avoidl administeringl thel medicationl ifl thel informationl isl unavailable.l Instead,l thel nursel obtainsl thel informationl froml anotherl resource.l Thel nursel contactsl thel pharmacistl ratherl thanl informingl thel primaryl healthl carel provider.l Thel patient'sl writtenl consentl isl requiredl onlyl ifl thel drugl isl stilll underl triall orl ifl itl hasl potentiallyl harmfull adversel reactions.
Q:l Whichl actionl wouldl thel nursel aboidl whenl assistingl anl olderl adultl w/l dysphagial tol eat?A.l thickl liquids B.l sittingl thel patientl uprightl duringl meall time C.l givingl largel bitesl tol stimulatel swallowl reflex D.l keepingl thel patientl uprightl forl al minimuml ofl 45l minutesl afterl eating
Answer:
C.l Givingl largel bitesl tol stimulatel swallowl reflex
- / 4
Bitesl shouldl bel smalll tol helpl avoidl aspiration.l Thickenedl liquidsl arel easyl tol swallow.l Makingl thel patientl sitl uprightl whilel eatingl helpsl thel nursel preventl aspiration.l Keepingl thel patientl uprightl forl 45l tol 60l minutesl afterl eatingl helpsl inl gastricl emptyingl andl preventsl aspiration.
Q:l Whichl actionl byl thel nursel demonstratesl humility?
A.l al willingnessl tol tryl newl ideas B.l admissionl ofl mistakes C.l upholdingl highl standardsl ofl care D.l alwaysl takingl thel suggestionsl ofl others
Answer:
B.l Admissionl ofl mistakes
Al nursel whol canl admitl mistakesl andl isl awarel ofl theirl ownl limitationl reflectsl humility.l Al nursel whol isl willingl tol tryl newl ideasl isl al riskl taker.l Al nursel alwaysl followsl thel highestl standardsl forl patientl carel evenl inl thel facel ofl adversity;l thisl isl integrity.l Nursesl mustl bel open-mindedl andl listenl tol others'l opinionsl butl alsol mustl bel ablel tol thinkl independentlyl beforel comingl tol al finall conclusion.
Q:l Whichl actionl willl thel nursel takel whenl al patientl hasl comel tol seel thel nursel withl herl daughtl andl husbandl tol talkl aboutl herl terminall cancerl diagnosis?A.l talkl tol thel patient'sl husbandl first.B.l convincel thel patientl thatl shel willl bel fine.C.l informl thel patientl aboutl palliativel carel options.D.l telll thel patinetl thatl shel onlyl hasl al couplel ofl monthsl leftl tol live.
Answer:
C.l informl thel patientl aboutl palliativel carel options
Rationale:l thel nursel wouldl notl givel falsel reassurancesl whenl al patientl isl seriouslyl illl orl distressed.l Thisl mayl blockl thel conversationl oncel thel patientl reachesl anl understandingl andl alsol mayl dol morel harml thanl good.l Thereforel itl isl importantl tol givel thel factsl andl assurel thel patientl thatl healthl carel providersl arel therel tol help.l Informationl aboutl thel patientl isl condifentiall andl shouldl notl bel givenl tol anyl otherl personl includingl thel husbandl unlessl authorizedl byl thel patient.l Itl isl alsol incorrectl tol telll thel patientl thatl shel willl bel fineorl thatl shel hasl onlyl al couplel ofl monthsl leftl w/ol knowingl thel detailsl ofl herl problem. 2 / 4
Q:l Whichl statementl describesl Magnetl statusl hospitals?l Selectl alll thatl apply.l One,l some,l orl alll responsesl mayl bel correct.l A.l Nursel arel involvedl inl evidence-basedl practice.B.l Nursesl makel alll ofl thel decisionsl onl thel clinicall units C.l Nursesl arel rewardedl forl advancingl theirl nursingl practice.D.l Patientl outcomesl arel notablyl highl duel tol qualityl nursingl care E.l Nursel turnoverl ratesl arel lowl comparedl tol otherl hospitals.
Answer:
A.l Nursel arel involvedl inl evidence-basedl practice.C.l Nursesl arel rewardedl forl advancingl theirl nursingl practice.D.l Patientl outcomesl arel notablyl highl duel tol qualityl nursingl care E.l Nursel turnoverl ratesl arel lowl comparedl tol otherl hospitals.l
Rationale:l Magnetl statusl isl al designationl givenl byl thel Americanl Nursesl Credentialingl Centerl forl hospitalsl demonstratingl nursel involvementl inl evidence-basedl practive;l rewardsl forl advancementl ofl nursingl research,l certifications,l skills,l andl degrees;l excellentl patientl outcomesl duel tol nurisng;l andl highl jobl satisfactionandl lowl turnoverl ratesl amongl nursingl staff.l Nursesl inl Magnetl hospitalsl workl collaborativelyl withl otherl healthl carel professionalsl tol makel decisionsl onl clinicall units;l theyl dol notl makel alll ofl thel decisions
Q:l Whichl assessmentl findingl isl consistentl withl hypocolemia?
A.l Al 1lbl (0.5kg)l weightl lossl inl 1l week,l pale-yellowl urine B.l Engorgedl neckl veinsl whenl upright,l bradycardia C.l Dryl mucousl membranes,l threadyl pulse,l tachycardia D.l Boundingl radiall puls,l flatl neckl veinsl whenl supine
Answer:
C.l Dryl mucousl membranes,l threadyl pulse,l tachycardia.
Rationale:l Hypovolemial (isotonicl fluidl volumel deficit)l isl characterizedl byl dryl mucousl membranes,l threadyl pulse,l andl tachycardia,l amongl otherl indicators.l Weightl lossl ofl 1l lbl (0.5kg)l inl 1l weekl withl pale-yellowl urinel couldl indicatel fatl lossl insteadl ofl fluidl loss.l Hypovolemial causesl dark-yellowl urinel ratherl thanl palel yellow.l Engorgedl neckl veinsl whenl upright,l bradycardia,l boundingl radiall pulse,l andl flatl neckl veinsl whenl supinel arel notl clinicall manifestationsl ofl fluidl volumel deficit.
- / 4
Q:l Thel nursel identifiesl al patientl w/l diabetesl hasl beenl skippingl thel prescribedl hypoglycemicl drugsl andl isl noncompliantl withl thel dietl schedulel providedl byl thel dietician.l Whichl cuesl suggestsl peripherall neuropathyl inl thisl patient?A.l thickendl toenails B.l decreasedl temperaturel sensitivity C.l decreasedl hairl growthl onl thel feet D.l palenessl ofl thel skinl onl limbl elevation
Answer:
B.l decreasedl temperaturel sensitivity
Rationale:l whenl bloodl sugarl isl poorlyl controlled,l diabeticl patientsl mayl developl peripherall neuropathy.l Patientsl w/l neurologicl deficits,l suchl asl peripherall neuropathyl secondaryl tol diabetes,l mayl notl bel ablel tol identifyl extremesl ofl hotl andl cold.l Thickenedl toenails,l decreasedl hairl growthl onl thel feet,l andl palenessl ofl skinl onl elevatingl thel limbl arel signsl ofl vascularl insufficiency.l Thesel symptomsl arel causedl whenl thel circulationl tol thel extremitiesl isl compromised.l
TIP:l recalll thatl sensationl isl conductedl tol thel brainl byl peripherall nerves.l Al peripherall neuropathyl willl interferel w/l sensation.l B/Cl thel questionl isl aboutl neuropathy,l lookl forl choicesl thatl indicatel disruptionl ofl thel peripherall nerves.
Q:l Whichl needl isl al PRIORITY,l accordingl tol Maslow'sl hierarchyl ofl needs,l forl al patientl whol isl anl activel businesspersonl whol isl worriedl aboutl gettingl backl tol workl andl isl admittedl tol anl acutel carel areal withl severel diarrhea,l vomiting,l dyspnea,l andl weakness?A.l safety B.l self-actualization C.l air,l water,l andl nutrition D.l esteem,l andl self-esteeml needs
Answer:
C.l Air,l Water,l andl Nutrition
Rationale:l thel patient'sl physiologicl needsl arel priorit:l air,l water,l andl nutrition.l Thel patientl needsl tol havel sufficientl airl exchange,l whichl mayl requirel oxygenl administration.l Inl addition,l thel patientl needsl tol havel appropriatel fluidl balancel andl somel nutritionall supplement.l Safeyl andl securityl shouldl bel thel seconl tierl ofl Masolw'sl hierarchyl ofl
- / 4