WEEK 5 PREP EXAM: BSN 246 HESI, 2025/2026 WITH CORRECT/ACCURATE ANSWERS, Exams of Advanced Education

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WEEK 5 PREP EXAM: BSN 246 HESI,

2025/2026 WITH CORRECT/ACCURATE

ANSWERS

client recovering from an exacerbation of left-sided heart failure is experiencing activity intolerance. Which change in vital signs during activity would be the best indicator that the client is tolerating mild exercise? A.Oxygen saturation decreased from 96% to 91%. B.Pulse rate increased from 80 to 104 beats per minute. C.Blood pressure decreased from 140/86 to 112/72 mm Hg. D.Respiratory rate increased from 16 to 19 breaths per minute. D The nurse notes that a client's cardiac rhythm shows absent P waves, no PR interval, and an irregular rhythm. How would the nurse interpret this rhythm? A.Bradycardia B.Tachycardia C.Atrial Fibrillation D. Normal Sinus Rhythm (NSR) C

A client with an acute respiratory infection is admitted to the hospital with a diagnosis of sinus tachycardia. Which nursing action would be included in the client's plan of care? A.Limiting oral and intravenous fluids B.Measuring the client's pulse each shift C.Providing the client with short, frequent walks D.Eliminating sources of caffeine from meal trays D The nurse is conducting a health history of a client with a primary diagnosis of heart failure. Which conditions reported by the client could play a role in exacerbating the heart failure? Select all that apply. A.Emotional Stress B.Atrial Fibrillation C.Nutritional Anemia D.Peptic Ulcer Disease E.Recent Upper Respiratory Infection A,B,C,E The nurse is preparing to care for a burn client scheduled for an escharotomy procedure being performed for a third-degree circumferential arm burn. The nurse understands that which finding is

The nurse is caring for a client after the application of a plaster cast for a fractured left radius. The nurse would suspect impairment with the neurovascular status of the client's casted extremity if which findings are noted? Select all that apply. A.Capillary refill less than 3 seconds B.Pulses present and with swollen, pink fingers C.Client report of severe, deep, unrelenting pain D.Client report of pain as nurse assesses finger movement E.Client report of numbness and tingling sensation in the fingers C,D,E The clinic nurse is performing an assessment on a client with a diagnosis of rheumatoid arthritis (RA). The nurse checks for which assessment finding that is associated with RA? A. Age of onset is generally 65 years of age or older B. Complaint of pain that is more severe after activity C. Systemic symptoms such as fatigue, anorexia, and weight loss D. Joint pain is asymmetrical and associated with past injuries to the joint C A client arrives in the hospital emergency department with a closed head injury to the right side of the head caused by an assault with a baseball bat. The nurse assesses the client neurologically, looking primarily for motor response deficits that involve which area? A.The left side of the body

B.The right side of the body C.Both sides of the body equally D. Cranial nerves only, such as speech and pupillary response A Which client situation is most appropriate for the nurse to consult with the Rapid Response Team (RRT)? A.A 56-year-old client, fourth hospital day after coronary artery bypass procedure, sore chest, pain with walking, temperature 97° F (36.1° C), heart rate 84 beats/min, respirations 22 breaths/min, blood pressure 122/78 mm Hg, bored with hospitalization. B.A 45-year-old client, 2 years after kidney transplant, second hospital day for treatment of pneumonia, no urine output for 6 hours, temperature 101.4° F (38.6° C), heart rate 98 beats/min, respirations 20 breaths/min, blood pressure 168/94 mm Hg C.A 72-year-old client, 24 hours after removal of a chest tube that was used to drain pleural fluid (effusion), temperature 97.8° F (36.6° C), heart rate 92 beats/min, respirations 28 breaths/min, blood pressure 136/86 mm Hg, anxious about going home D.An 86-year-old client, 48 hours after operative repair of fractured hip, alert, oriented, using patient-controlled analgesia pump, temperature 96.8° F (36° C), heart rate 60 beats/min, respirations 16 breaths/min, blood pressure 120/82 mm Hg, talking with child. B

A.Listening to lung sounds B.Palpating for organomegaly C.Assessing for jugular vein distention D.Assessing for peripheral and sacral edema A A 56-year-old client with heart failure is taking digoxin for treatment of the health problem. The nurse auscultates the client's apical heart rate before administering digoxin and notes that the heart rate is 52 beats/min. The nurse would make which interpretation of this information? A.Normal, because of the client's age B.Abnormal, requiring further assessment C.Normal, as a result of the effects of digoxin D.Normal, because this is the reason the client is receiving digoxin B