BSNl HESIl 225l Fundamentalsl ofl Nursingl Practicel Examl (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Thel clientl isl dischargedl tol al long-terml carel facilityl withl anl indwellingl urinaryl catheter.l Whichl nursingl actionl shouldl bel includedl inl thel planl tol reducel thel client'sl riskl forl infectionl relatedl tol thel catheter?
A:l Flushl thel catheterl dailyl withl sterilel saline.
B:l Encouragel increasel intakel ofl orall fluids.
C:l Administerl al PRNl antipyreticl ifl al feverl develops.
D:l Securel thel drainagel bagl atl bladderl levell duringl transport.
Answer:
Encouragel increasel intakel ofl orall fluids.
Q:l Al clientl whol hasl beenl diagnosedl withl terminall cancerl tellsl thel nurse,l "Thel doctorl toldl mel Il havel cancerl andl dol notl havel longl tol live."l Whichl responsel isl bestl forl thel nursel tol provide?
A:l "That'sl correct.l Youl dol notl havel longl tol live."
B:l "Wouldl youl likel mel tol calll yourl minister?"
C:l "Don'tl givel up,l youl stilll havel chemotherapyl tol try."
D:l "Yes,l yourl conditionl isl serious."
Answer:
"Yes,l yourl conditionl isl serious."
Q:l Whenl performingl bloodl pressurel measurementl tol assessl forl orthostaticl hypotension,l whichl actionl shouldl thel nursel implementl first? 1 / 3
A:l Applyl thel bloodl pressurel cuffl securely.
B:l Recordl thel client'sl pulsel ratel andl rhythm.
C:l Positionl thel clientl supinel forl al fewl minutes.
D:l Assistl clientl tol standl atl bedside.
Answer:
Positionl thel clientl supinel forl al fewl minutes.
Q:l Whenl evaluatingl thel effectivenessl ofl al client'sl nursingl care,l thel nursel firstl reviewsl thel expectedl outcomesl identifiedl inl thel planl ofl care.l Whatl actionl shouldl thel nursel takel next?
A:l Modifyl thel nursingl interventionsl tol achievel thel client'sl goals.
B:l Determinel ifl thel expectedl outcomesl werel realistic.
C:l Reviewl relatedl professionall standardsl ofl care.
D:l Obtainl currentl clientl datal tol comparel withl expectedl outcomes.
Answer:
Obtainl currentl clientl datal tol comparel withl expectedl outcomes.
Q:l Al clientl withl limitedl tolerancel forl activityl needsl tol walkl inl thel hallwayl withl assistance.l Whichl instructionsl shouldl thel nursel givel tol thel UAPl whol isl assistingl withl thel client'sl care?(SATA)
A:l Instructl thel clientl aboutl signsl ofl orthostaticl hypertension.
B:l Determinel ifl thel clientl needsl tol havel al gaitl beltl applied.
C:l Measurel thel client'sl vitall signsl beforel thel clientl walks.
D:l Offerl tol assistl thel clientl tol voidl priorl tol walkingl inl thel hall.
E:l Reportl thel onsetl ofl anyl dizzinessl orl lightheadedness.
Answer:
Measurel thel client'sl vitall signsl beforel thel clientl walks.
Offerl tol assistl thel clientl tol voidl priorl tol walkingl inl thel hall.
Reportl thel onsetl ofl anyl dizzinessl orl lightheadedness.
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Q:l Al clientl hasl begunl al long-terml maintenancel therapyl withl lithium,l whichl hasl al narrowl therapeuticl index.l Whichl adversel effectl isl mostl importantl forl thel nursel tol includel inl thel teachingl plan?
A:l Dependance.
B:l Toxicity.
C:l Interaction.
D:l Tolerance.
Answer:
Toxicity.
Q:l Whilel interviewingl al client,l thel nursel recordsl thel assessmentl inl thel electronicl healthl record.l Whichl statementl isl mostl accuratel regardingl electronicl documentationl duringl anl interview?
A:l Thel interviewl processl isl enhancedl withl electronicl documentationl andl allowsl thel clientl tol speakl atl al normall pace.B:l Completingl thel electronicl recordl duringl anl interviewl isl al legall obligationl ofl thel examiningl nurse.C:l Thel nursel hasl limitedl abilityl tol observel nonverball communicationl whilel enteringl thel assessmentl electronically.D:l Thel client'sl comfortl levell isl increasedl whenl thel nursel breaksl eyel contactl tol typel notesl intol thel record.
Answer:
Thel nursel hasl limitedl abilityl tol observel nonverball communicationl whilel enteringl thel assessmentl electronically.
Q:l Al clientl isl inl contactl isolationl duel tol al stagel IVl coccyxl woundl infectedl withl methicillinl resistantl staphylococcusl aureusl (MRSA).l Thel nursel plansl interventionsl tol preventl multiplel re-entriesl tol thel client'sl room.l Inl whichl orderl shouldl thel nursel performl thel interventions?
A:l Changel coccyxl dressing,l performl tracheostomyl care,l restartl thel IV.
B:l Performl tracheostomyl care,l changel coccyxl dressing,l restartl thel IV.
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