BSN HESI 225 Fundamentals of Nursing Exam (New 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale
QUESTION
The
... [Show More] nurse is caring for a client recovering from a below-the-knee amputation of the left leg 5 days ago. Which statements by the client should the nurse identify as signs of ineffective coping? (Select all that apply).
a. "I will not be able to independently care for myself."
b. "I would like to know about a support group for amputees."
c. "I feel too exhausted to start my physical therapy treatments."
d. "I just hide my left leg most of the day, especially during visiting hours."
e. "I am feeling pain in my left leg with movement."
Answer:
a. "I will not be able to independently care for myself."
c. "I feel too exhausted to start my physical therapy treatments."
d. "I just hide my left leg most of the day, especially during visiting hours."
QUESTION
A client is prescribed a topical corticosteroid to be applied daily for 2 weeks for atopic dermatitis. What should the nurse instruct the client regarding the application of this medication?
a. apply as little of the medication as possible
b. apply the medication when the area begins to itch
c. apply a thick coat of the medication and cover with an occlusive dressing
d. after showering or bathing, apply a thin coat of the medication to the affected areas.
Answer:
d. after showering or bathing, apply a thin coat of the medication to the affected areas.
Rationale:
Damp moist skin facilitates the absorption of a topical medication through the skin. The nurse should instruct the client to apply a thin coat of the medication to the affected areas after showering or bathing.
QUESTION
The nurse is teaching insulin pen injection technique to an adult male client newly diagnosed with type I diabetes mellitus. When observing the client's return demonstration, which actions indicate that the client understood the teaching? (Select all that apply).
a. primes the insulin pen with two unites before dialing to correct dose.
b. removes insulin needle from the skin at a 30-degree angle
c. injects insulin into the deltoid muscle
d. holds the insulin pen needle in the skin for three seconds after administration
e. inserts insulin pen needle into the skin at a 90-degree angle
Answer:
a. primes the insulin pen with two unites before dialing to correct dose.
e. inserts insulin pen needle into the skin at a 90-degree angle
Rationale:
Before dialing the pen to the correct dose, the insulin pen must be primed before every dose. Priming is done by attaching the needle to the pen, removing the protective cap, dialing the pen to two units, and pressing the button for medication administration into the air. This technique allows for full medication delivery because the pen is primed. Next, the pen should be primed to the correct dose and administered into a clean, subQ tissue site at a 90-degree angle. Note that the needle may need to be inserted at a 45-degree angle for small children or very thin adults.
QUESTION
During the client admission report, the nurse is told that the client's abdominal CT scan showed new metastases, but that the client has not yet been told. How should the nurse respond when the client asks the nurse about the CT scan findings?
a. "Would you like me to call your family in to sit with you during this difficult time?"
b. "I will contact the healthcare provider immediately to give you the results."
c. "Would you like me to print off a copy of your report? You are entitled to your health information."
d. "I'm sure everything came back fine. Let's finish up your admission and go from there."
Answer:
b. "I will contact the healthcare provider immediately to give you the results."
Rationale:
Telling the client, "I will contact the healthcare provider immediately to give you the results, imparts empathy towards the client's feelings of uncertainty. By offering to help the client obtain their test results, the nurse is gaining client trust while ensuring that the most appropriate process is followed. Diagnosing is outside of the nurse's scope of practice, and therefore reviewing the CT scan should be completed by the healthcare provider prior to confirm the CT report.
QUESTION
A client diagnosed with a terminal illness tells the nurse that he does not want any further treatment and wants to go home to die. What action should the nurse take?
a. explain to the client that he cannot be discharged until his physician has made the determination that he is stable enough to go home.
b. suggest the client talk with a counselor or religious leader to discuss his decision
c. contact the physician regarding the client's decision
d. discuss the treatment options available to the client and encourage him to not give up.
Answer:
c. contact the physician regarding the client's decision
Rationale:
Every client has the right to refuse care and treatment, and can decide to be discharged and return to home. The nurse needs to contact the physician regarding the client's decision so that orders can be written and plans created to support the client's dec [Show Less]
