HESI Practice for Health & Physical Assessment

The healthcare team of a hospital postpones a discussion regarding the discharge of a young Hispanic client because the client's culture strongly believes that older family members and other relatives should be consulted on important health-related matters. Which nursing theory does the healthcare team abide by?

3. Leininger's theory

The nurse is teaching a client who is prescribed dialysis three times a week about the importance of keeping dialysis appointments. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse address?

3. Patient-centered care

A student nurse is asking a registered nurse to suggest a database source to find information on studies related to allied health sciences. Which database would the registered nurse suggest?

Correct2 MEDLINE

The nurse informs a client's family that the client is in pain and does not wish to proceed with chemotherapy. What is the role of the nurse in this situation?

Correct4 Advocate

A primary nurse managing client case records finds that the discharge teaching plan for a client is inadequate. The nurse consults other team nurses and formulates a better teaching plan. Which element of the decision making process is the nurse exercising?

1 Authority

A client is admitted to the hospital after an accident. The nurse uses the Glasgow Coma Scale (GCS) with the client. The client is alert and opens his or her eyes when there is a sound or when someone talks. When questions are asked, the client answers in a confused manner. The client obeys commands, such as being asked to move a leg. What would be the client's total score? Record your answer using a whole number.

13

A registered nurse is teaching a nursing student about Lawrence Kohlberg's Theory of Moral Development. Which information provided by the registered nurse regarding Postconventional Reasoning needs correction?

2. "In this level, emphasis is given on social rules and a community-centered approach."

Which diagnosis made by the nurse is helpful in providing the right nursing interventions for the client?

The nurse identifies that the client is not aware of perineal care and has impaired skin integrity.

A nurse is analyzing and explaining the demographics of a population under research. What phase of the nursing process is the nurse exercising?

evaluation phase

A nursing student is taking down notes about paradigm. Which point noted down by the nursing student needs correction?

1. A paradigm is the perspective of a profession

A nursing student is taking down notes about the domain of nursing. Which points have been correctly noted by the nursing student? Select all that apply.

2.The domain of nursing provides both a practical and theoretical aspect of the discipline 4 . The domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research. 5.The domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a client's healthcare needs at all levels and in all healthcare settings.

A 50-year-old client with a 30-year history of smoking reports a chronic cough and shortness of breath related to chronic obstructive pulmonary disease (COPD). The clinical data on admission are as follows: a heart rate of 100, a blood pressure of 138/82, a respiratory rate of 32, a tympanic temperature 36.8 °C, and an oxygen saturation of 80%. Which vital signs obtained by the nurse during the therapy indicates a positive outcome? Select all that apply.

3. Respiratory rate: 14 4. Blood pressure: 110/70 5. Oxygen saturation: 96%

A client says "I feel frustrated because I do not spend enough time with my partner because of my job." According to Maslow's hierarchy of needs, which level of need does the given scenario refer?

3. The given scenario relates to the third level that includes love and belonging needs

While conducting an assessment, the nurse finds that the client shivers uncontrollably and experiences memory loss, depression, and poor judgment. What might the client's body temperature be?

33° C

A hospital management group selects subjects for a study in order to test the effect of cardiopulmonary exercise on obesity. A nurse collects the data, including the clients' age, gender, ethnicity, and health problems, and anticipates the interrelation from the data. Which element of the evidence-based study includes this information?

4. Manuscript narrative

A nurse is assessing a client during a regular checkup. The client complains of a moderate decrease in food intake over the past 3 weeks, a 4-kilogram weight loss, and a decrease in mobility. The client had a bout of acute bronchitis 1 month ago and has recently been diagnosed with mild dementia. The body mass index of the client is 21. What is the total score of the client according to the mini nutritional assessment (MNA)? Record your answer as a whole number.

5.

How many steps are there in evidence-based practice? Record your answer using a whole number.

6

What makes a crisis access hospital (CAH) different from an intensive care unit (ICU)?

96 hours

A nurse is teaching a parent about the different temperaments that a child may display. What personality aspects would a difficult child display? Select all that apply.

A difficult child is highly active, irritable, and irregular in habits. Correct 2 A difficult child displays an intense and primarily a negative mood. Correct 3 A difficult child adapts slowly to new routines, people, or situations

What statements about culturally congruent care by the student nurse are correct? Select all that apply.

Correct 1 "It is the main goal of transcultural nursing." Correct 2 "It is provided through cultural competence." Correct 5 "It depends on the patterns and needs of an individual."

A nurse is teaching a parent about the different temperaments that a child may display. What temperament would an easy child display? Select all that apply.

Correct 1 An easy child is open and adaptable to change Correct 3 An easy child is regular and predictable in his or her habits. Correct 4 An easy child displays a mild-to-moderately intense mood that is typically positive

According to Erikson's theory of psychosocial development, individuals need to accomplish a particular task before effectively grasping this stage and progressing to the next one. What does the Initiative versus Guilt stage include? Select all that apply.

Correct 1 In this stage, an individual pretends and tries out new roles. Correct 2 In this stage, an individual may develop a superego or a conscience Correct 5 In this stage, an individual fantasizes and imagines discovering the environment.

Which developmental stage is considered the pre-conventional level according to Kohlberg's theory? Select all that apply.

Correct 1 Toddler Correct 3 Preschool

A nursing student understands that a nursing theory is a conceptualization of some aspect of nursing that describes, explains, predicts, or prescribes nursing care. Which points about theories made by the nursing student are accurate? Select all that apply.

Correct 2 A nursing theory helps to identify the focus, means, and goals of practice. Correct 3 Theories give a perspective to assess the situation of a client and to organize data and methods for analyzing and interpreting information. Correct 5 Application of nursing theory in practice depends on the knowledge of nursing and other theoretical models, how they relate to one another, and their use in designing nursing interventions.

According to Erikson's theory of psychosocial development, individuals need to accomplish a particular task before effectively grasping this stage and progressing to the next one. What does the Intimacy versus Isolation stage include? Select all that apply.

Correct 2 In this stage, an individual develops a sense of identity and deepens their capacity to love others and care for them. Correct 3 In this stage, an individual searches for meaningful friendships and an intimate relationship with another person. Correct 4 In this stage, an individual may develop fears and rejection and disappointment if unable to establish companionship and intimacy.

The nurse is caring for a client who is recovering from a stroke. The primary health care provider has referred the client for rehabilitative care. Which interventions by the nurse help to make a successful referral process? Select all that apply.

Correct 3 Explain the need for referral to the client and family. Correct 4 Provide the referral with adequate client information. Correct 5 Determine what the referral recommends for client care

While assessing a client, the nurse finds that the client has swelling and skin discoloration in the lower limbs. Which component of nursing process does this information indicate?

Correct1 Input

How is public health nursing different from community health nursing?

Correct1 Public health nursing focuses on population

Which of these is a one-on-one communication between a nurse and another person?

Correct3 Interpersonal communication

A client who is recovering from a motor vehicle accident is discharged from the health care agency and transferred to an extended care facility for rehabilitation. What kind of health care service does this client receive?

Correct3 Restorative care

A nursing instructor asks a student to describe Betty Neuman's theory. Which statement by the student indicates the need for further education?

Correct4 "Betty Neuman's theory outlines that the external environmental factors act as stressor."

What is the goal of nursing according to Watson's theory?

Correct4 To promote health, restore the client to health, and prevent illness

What is the goal of nursing according to King's theory?

Correct4 Using communication to help client reestablish positive adaptation to environment