BSN-266 HESI Review Flashcards

Which client profile carries the greatest risk for skin cancer?

A 65-year-old fair-skinned construction worker with extensive sun exposure

What self-care instruction is most important for a client with pruritus?

Keep fingernails trimmed short to reduce skin damage from scratching

After abdominal surgery a patient’s BP falls from 136/80 to 114/72 in 15 minutes. What is the nurse’s FIRST action?

Inspect the abdominal surgical dressing for bleeding

Which dietary change is prescribed for acute glomerulonephritis?

Restrict sodium intake to reduce fluid retention

Two days post-nephrectomy a client reports abdominal pressure and nausea. Which assessment comes first?

Auscultate bowel sounds for return of peristalsis or ileus

Key discharge teaching after lithotripsy for urolithiasis

Monitor urine stream and report any decrease in output

A post-op patient says “my insides just spilled out” after coughing. What should the nurse do first?

Visualize the abdominal incision for possible evisceration

Diet advice for newly diagnosed Crohn’s disease

Use an elimination diet to identify individual trigger foods

Pheochromocytoma with new severe headache & diaphoresis: what data is priority?

Obtain blood pressure immediately (possible hypertensive crisis)

Type 1 DM client has high morning glucose & nightmares. Nurse instruction?

Check blood glucose once during the night (suspect Somogyi effect)

High-fiber foods that help lower colorectal cancer risk

Oatmeal, raisins, and fruits eaten with the skin

Which statement shows correct SMBG technique for Type 2 DM?

“I will wash my hands with warm soapy water before sticking my finger.”

Essential daily action for a client starting desmopressin for diabetes insipidus

Weigh yourself every day at the same time and record it

Neurovascular check: pulse present distal to fracture. Next nursing action?

Assess color, sensation, pain, and movement of the extremity

Pre-op potassium 2.8 mEq/L discovered. Priority nursing action?

Report and treat the hypokalemia immediately before surgery proceeds

Correct method to obtain a sputum specimen

Take deep breaths, then cough forcefully and expectorate into container

Classic description of peptic ulcer pain

Gnawing, burning pain in the upper or mid-epigastric area

Five months after shingles the client still has pain. First nursing action?

Perform a thorough pain assessment (post-herpetic neuralgia)

Important information to relay to HCP for AAA client with back pain

Current hematocrit and blood pressure values

Critical parameter to monitor in diuretic phase of acute kidney injury

Signs of hypovolemia and ECG changes for electrolyte shifts

Raynaud’s attack resolves after warming. Appropriate nursing response

Continue to monitor until normal color returns; no urgent action needed

Most important discharge instruction after cataract extraction

Take a stool softener to avoid straining that increases eye pressure

Ciprofloxacin 400 mg in 200 mL to infuse over 1 hr: Pump rate?

200 mL per hour

Management focus for painful Heberden’s nodes in osteoarthritis

Discuss long-term approaches to chronic pain control

Common manifestations of systemic lupus erythematosus (select all that apply)

Arthralgia, proteinuria, and thrombocytopenia

Casted ulnar fracture with new pain: nurse’s next action

Assess the right radial pulse volume (check circulation)

First diagnostic action for possible STI with dysuria 4 days after casual sex

Obtain urethral drainage specimen for culture

Mask-like face in Parkinson’s: most important follow-up assessment

Determine ability to chew and swallow safely

Which reported cue suggests right-sided heart failure?

Shoes feel tight due to peripheral edema

Positioning rationale that eases breathing during thoracentesis

Procedure is performed with the client sitting upright

Initial intervention for COPD client with acute dyspnea and anxiety

Assist the client to an upright seated position

Fall-prevention actions for hospitalized client with multiple sclerosis

Provide bedside-commode assistance, schedule rest periods, teach eye-patch use while ambulating

Trauma patient with absent breath sounds on left: nurse prepares for?

Insertion of a chest tube to treat possible pneumothorax

Key fluid instruction for client discharged after TURP with catheter

Drink about 3 liters of water daily to flush