HESI questions
A client with diabetes mellitus experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any medications or a copy of a personal medical record. Which type of health information technology would be beneficial for this client? 1) Personal health record (PHR) 2) Clinical health care informatics 3) Electronic medical record (EMR) 4) Regional health information organization (RHIO)
1
According to Quality and Safety Education for Nurses (QSEN), which defines patient-centered care? 1 Understanding that the client is the source of control when providing care 2 Functioning effectively within nursing and interprofessional teams to deliver quality care 3 Using data to evaluate outcomes of care processes and designing methods to improve health care 4 Minimizing the risk for harm to clients and health care workers through improved professional performance
1
The nurse uses a visual analogue scale to rate the pain experienced by a client receiving oxycodone therapy. Which terminology would the nurse use to enter the visual analogue scores in the client's electronic health record (EHR)? 1) Omaha system 2) Nursing Interventions Classification (NIC) 3) American Medical Informatics Association (AMIA) 4) North American Nursing Diagnosis Association (NANDA) International
1
The registered nurse is educating a nursing student about the process of resolving an ethical dilemma. Which information would the nurse provide regarding negotiation of outcomes? 1) "The nurse would provide a personal point of view." 2) "Negotiations would be held in formal settings only." 3) "Negotiation takes place immediately after gathering information." 4) "The group agrees to a statement of the problem during the negotiation process."
1
To meet the criteria of ethical practice, which action would the nurse who witnessed the spouse of a client fall take? 1) Initiate an agency incident report. 2) Report the fall to the state (provincial) health department. 3) Write a brief description of the incident to be kept by the nurse manager. 4) Determine that no documentation is needed because the visitor is not a client in the hospital.
1
Under which health care services pyramid level would the nursing student include family planning? 1) Primary care 2) Continuing care 3) Restorative care 4) Secondary acute care
1
When caring for a transgender client, which would the nurse use to decide how to address the client? 1 Client's preference 2 Client's appearance 3 Client's clothing 4 Client's identity document (e.g., birth certificate)
1
Which definition of assault would the nurse include in teaching a group of parents about child abuse? 1) Threat to do bodily harm to another person 2) An unintentional act committed by one person against another person 3) A legal wrong committed against the public that is punishable by federal law 4) The application of force to another person without lawful justification
1
Which does the nurse understand the term in-service education to mean? 1 Helps the nurse achieve an organization's required competencies 2 Helps the nurse gain knowledge about traditional health care practices 3 A one-way education program to promote and maintain current nursing skills 4 Focuses on techniques and technologies that have been used successfully in the past
1
Which information is accurate regarding exemplary professional practice according to the revised magnet model? 1) "Strong professional practice is established, and accomplishments of the practice are demonstrated." 2) "A vision for the future and the systems and resources to achieve the vision are created by nursing leaders." 3) "Focus is on structure and processes and demonstration of positive clinical, work force, and client and organizational outcomes." 4) "Structures and processes provide an innovative environment in which staff are developed and empowered and professional practice flourishes."
1
Which member of the interprofessional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the client? 1) Nurse 2) Pharmacist 3) Music therapist 4) Primary health care provider
1
Which organization has a publication that includes the objective, "Aiming to develop a system to identify clients who are lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)"? 1) U.S. Department of Health and Human Services (USDHHS) 2) The Centers for Disease Control and Prevention (CDC) 3) The Joint Commission (TJC) 4) The World Professional Association for Transgender Health (WPATH)
1
Which purpose does a community health center serve in preventive and primary care services? 1 Outpatient clinics that provide primary care to a specific population 2 Aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care 3 Emphasize program management, interdisciplinary collaboration, and community health principles 4 Include a complete program designed for health promotion and accident or illness prevention in the workplace
1
Which refers to the professional obligation of the nurse to assume responsibility for actions? 1) Accountability 2) Individuality 3) Responsibility 4) Bioethics
1
Which scenario is a perfect example of primary prevention? 1 An infant receives the rotavirus vaccination in the hospital setting. 2 An adult in the early stages of Parkinson disease is advised to perform adequate exercise. 3 An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. 4 An older adult with Parkinson disease is administered carbidopa-levodopa to slow the progression of the disease.
1
Which statement best describes the mission of a community hospital? 1 To educate health care professionals 2 To provide general medical and surgical services 3 To provide health care services to military members 4 To provide end-of-life services to clients and families
1
Which type of health information technology would the nurse access to obtain health data for all employees at a multispecialty hospital for research purposes? 1) Electronic health record (EHR) 2) Electronic medical record (EMR) 3) Clinical information systems (CISs) 4) Regional Health Information Organization (RHIO) health record
1
Which member of the interprofessional team is appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died? 1) Primary health care provider 2) Pharmacist 3) Social worker 4) Occupational therapist
3
Which are examples of health promotion activities? Select all that apply. One, some, or all responses may be correct. 1 Good nutrition 2 Regular exercise 3 Physical awareness 4 Immunization against measles 5 Education about stress management
1,2
Which activities would the nurse consider to be a part of the tertiary level of preventive care? Select all that apply. One, some, or all responses may be correct. 1) Using a sheltered colony 2) Providing selective placement 3) Using environmental sanitation 4) Providing work therapy in hospitals 5) Preventing complications and sequelae
1,2,4
Which are the elements of discovery of a lawsuit? Select all that apply. One, some, or all responses may be correct. 1) Experts 2) Medical records 3) Proof of negligence 4) The depositions of witnesses 5) Petition-elements of the claim
1,2,4
Which acts are classified as intentional torts in nursing practice? Select all that apply. One, some, or all responses may be correct. 1) Battery 2) Assault 3) Negligence 4) Malpractice 5) False imprisonment
1,2,5
Which signs and symptoms are observed in the human body with a decrease in body temperature? Select all that apply. One, some, or all responses may be correct. 1) Shivering 2) Profuse sweating 3) Flushed appearance 4) Dilation of blood vessels 5) Contraction of blood vessels
1,5
Which nursing action is legally required? 1 Providing health teaching regarding family planning 2 Offering first aid at the scene of an automobile collision 3 Reporting incidents of suspected child abuse to the appropriate authorities 4 Administering resuscitative measures to an unconscious child pulled from a swimming pool
3
Which does the nurse understand by the Quality and Safety Education for Nurses (QSEN) competency called informatics? 1) Ensure that the risk of harm to clients and health care workers is decreased by improving professional performance. 2) Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making. 3) Integrate best current evidence with clinical expertise and client 4) Use data to monitor the outcomes of health care processes and implement improvement methods to design and test changes to improve quality of health care.
2
Which is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students? 1 Treat all clients equitably and fairly. 2 Act in ways to prevent harm to clients. 3 Tell the client the truth about their health. 4 Help the clients make informed choices.
2
Which is the definition of a tort? 1) The application of force to the body of another by a reasonable individual 2) An illegality committed by one person against the property or person of another 3) Doing something that a reasonable person under ordinary circumstances would not do 4) An illegality committed against the public and punishable by the law through the courts
2
Which is the role of the nurse administrator in a health care setting? 1) Providing surgical anesthesia under the guidance and supervision of an anesthesiologist 2) Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development 3) Providing comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions 4) Educating staff about current nursing practices, trends, theories, and necessary skills in laboratories and clinical settings
2
Which point is included in the World Professional Association for Transgender Health (WPATH) document regarding core principles of care for transgender clients? 1 Designating unisex or single-stall restrooms 2 Seeking informed consent before providing treatment 3 Posting the client's bill of rights and nondiscrimination policies visibly 4 Reflecting the client's choice of terminology in communication and documentation
2
Which statement accurately describes a health care policy as it relates to health care economics? 1 It relates to maintaining standards of health care and achieving outcomes related to the goals of health care. 2 It provides overarching goals and helps in setting priorities and values for the distribution of health resources. 3 It governs the insurance industry and plays a very important role in the application of health care funding and reform. 4 It involves the collaboration of health care workers and other resources required to perform all required client care activities.
2
Which variable is an internal variable? 1) Family practices 2) Emotional factors 3) Cultural background 4) Socioeconomic factors
2
Who is the appropriate authority to provide consent for an unemancipated pediatric client about to undergo a medical procedure? 1 The court 2 Either of the child's parents 3 One of the child's grandparents 4 The pediatric client
2
Which instructions would the nurse provide an individual about the role an individual plays in health and wellness and its effect? Select all that apply. One, some, or all responses may be correct. 1) Using passive strategies for health promotion enables one to benefit from the activities of others. 2) Lifestyle choices affect his or her quality of life and well-being. 3) Individuals should take responsibility for health and wellness by making proper lifestyle choices. 4) Individuals should realize that illness prevention has a positive economic effect on their lives. 5) Individuals should understand that it is enough to make positive lifestyle choices to prevent illness.
2,3,4
How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing? 1) A willful act violating a client's rights 2) A civil wrong made against a person or property 3) An act that lacks intent but involves volitional action 4) An unintentional act that includes negligence and malpractice
3
The nurse finds the orders from the primary health care provider inappropriate. Clarification from the health care provider does not resolve the nurse's doubts. Whom would the nurse contact and inform next? 1) Risk manager 2) Nursing student 3) Supervising nurse 4) Nurse administrator
3
The nurse is helping a client maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. Which role is the nurse playing? 1) Manager 2) Advocate 3) Caregiver 4) Communicator
3
When would a medical examiner decide whether a postmortem examination needs to be conducted? 1) A death under normal circumstances 2) A client dies more than 48 hours after admission to the hospital 3) Death within 24 hours of admission to the hospital 4) A client gives a written consent before death for an autopsy to be performed
3
Which definition of battery would the nurse include when teaching staff about legal terminology used in child abuse? 1) Maligning a person's character while threatening to do bodily harm 2) A legal wrong committed by one person against property of another 3) The application of force to another person without lawful justification 4) Behaving in a way that a reasonable person with the same education would not
3
Which describes a living will? 1) A legal document that allows registered nurses to offer special skills to the public 2) An order that directs primary health care providers to refrain from reviving clients 3) A written document that directs treatment according to the client's wishes, in case of a terminal illness or condition 4) A legal document that designates a person or persons chosen by a client to make health care decisions on his or her behalf
3
Which describes the purpose of a health care proxy or durable power of attorney for health care? 1) Prohibits the purchase or sale of organs 2) Ensures that the client has the right to refuse medical treatment 3) Designates a person or persons to make health care decisions on behalf of the client 4) Directs treatment in accordance with the client's wishes in case of a terminal illness or condition
3
Which is an example of private indemnity health insurance? 1) Medicare 2) Medicaid 3) Blue Cross Blue Shield Association 4) State Children's Health Insurance Program
3
Which is the rationale for performing sponge, needle, and instrument counts in the operating room? 1) The hospital is not liable if a client is injured resulting from a retained sponge or instrument. 2) The nursing student is liable for client injuries resulting from a retained sponge or instrument. 3) The nurse is responsible for performing sponge and instrument counts as a part of routine surgical standards. 4) The primary health care provider is responsible for providing an accurate count of sponges and instruments.
3
Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of electronic health records (EHRs)? 1) National Institutes of Health (NIH) 2) American Medical Informatics Association (AMIA) 3) Center for Medicare and Medicaid Services (CMS) 4) Health Information Management Systems Society (HIMSS)
3
Which preventive and primary care service provided by a community health center is most expensive? 1) Running errands 2) Health education 3) Disease management 4) Routine physical examinations
3
Which statement demonstrates understanding of a computer-based client information system? 1) "More medication errors are made when this system is used." 2) "It is disappointing that nurses are not allowed to use this system." 3) "Client information is immediately available when this system is used." 4) "I will have less time to provide direct care to my clients with this system."
3
Which terms might the nurse use to describe a client who was born a man but lives as a woman? Select all that apply. One, some, or all responses may be correct. 1) Transvestite 2) He-she 3) Transgender 4) Transwoman 5) Transgendered 6) Transman
3,4
A client with renal failure wants to go back home, but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. Which role does the nurse play here? 1 Educator 2 Manager 3 Caregiver 4 Advocate
4
The nurse concludes that a client with a body temperature of 98.6°F is experiencing which condition? 1) Hypothermia 2) Hyperpyrexia 3) Hyperthermia 4) Normothermia
4
The nurse working in a Catholic hospital discourages clients from using contraceptives per hospital policy. Which category of ethics is the nurse following? 1 Societal ethics 2 Research ethics 3 Professional ethics 4 Organizational ethics
4
The waiting area of a health care facility displays a pink triangle. Which does this signify? 1) The waiting area is for female clients. 2) The waiting area is for pediatric clients. 3) The health care facility welcomes transwomen. 4) The health care facility welcomes LGBTQ clients.
4
Which explanation regarding the term "just culture" is accurate? 1) Agreement to keep promises 2) Taking positive actions to help others 3) Ability to answer for one's actions 4) Promoting open discussion whenever error occurs without fear of recrimination
4
Which is the most independently functioning nurse? 1) Nurse educator 2) Nurse researcher 3) Nurse administrator 4) Advanced practice registered nurse
4
Which legal complication might the nurse face for using a restraint without a legal warrant on a client? 1) Libel 2) Negligence 3) Malpractice 4) False imprisonment
4
Which statement made by the nurse requires correction when discussing registered nurse licensure in the United States with peers? 1) "Candidates must pass the NCLEX-RN® examination to become licensed in their state." 2) "The scope of practice for registered nurses is found in each state's Nurse Practice Act." 3) "The examination for RN licensure is exactly the same in every state in the United States." 4) "Passing the NCLEX-RN® examination indicates maximal knowledge base for safe nursing practice."
4
Which strategy is an example of a passive health promotion strategy? 1 Weight-reduction program 2 Smoking-cessation program 3 Drug abuse prevention strategy 4 Fluoridation of municipal drinking water
4
Which would the nurse understand by the quality improvement competency, according to Quality and Safety Education for Nurses (QSEN)? 1) Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making 2) Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality health care 3) Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision-making to achieve quality client care 4) Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
4
Why would organizations promote transparency in health care? 1) Creates effective insurance policies 2) Helps determine whether medications are being diverted 3) Facilitates recruitment of competent team members 4) Allows continuous feedback for improving client outcomes
4
