Med Surg HESI Remediation EAQs
A nursing instructor asks a nursing student to provide information about adolescents. Which statement made by the student indicates the need of further teaching? - "Adolescents have risk-taking behaviors. - "Adolescents accept their society and its values." - "Adolescents consider themselves invincible." - "Adolescents think of their parents as materialistic."
"Adolescents accept their society and its values."
The nurse teaches a client about self-care measures for preventing dry skin. Which statement made by the client indicates that the nurse needs to follow up? - "I will reduce my daily intake of caffeine and alcohol." - "I will avoid wearing tight outfits and snug-fitting belts." - "I will use deodorant soap instead of alkaline soap." - "I will not use alcohol-based skin and face cleansers."
"I will use deodorant soap instead of alkaline soap."
The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction given by the nurse better explains the selling relationship with the delegatee? - "Record the client's blood glucose level each morning." - "You may approach me for further assistance and questions. Thank you." - "I will guide and assist you while you learn how to check the client's blood glucose." - "You will take complete care of the client with diabetes and make sure to record the blood glucose level."
"You will take complete care of the client with diabetes and make sure to record the blood glucose level."
A group of nurses are assessing the quality of health care provided in a women's health hospital. What should the nurses consider when performing this assessment? Select all that apply. - The number of employees working in the hospital - The number of clients admitted in the hospital per day - The satisfaction of the client with regard to the treatment provided - The safety measures taken while using the equipment in the hospital - The implementation of recent evidence-based treatment approaches in the hospital
- The satisfaction of the client with regard to the treatment provided - The safety measures taken while using the equipment in the hospital - The implementation of recent evidence-based treatment approaches in the hospital
The nurse determines that a client's placenta has separated during the third stage of labor. Which clinical finding supports the nurse's conclusion? - A gush of blood - Bogginess of the uterus - Shrinkage of the uterus - An abrupt drop in blood pressure
A gush of blood
The registered nurse (RN) is caring for a client with severe diarrhea. Which task of the client care plan can be safely delegated to the unlicensed assistive personnel (UAP) by the registered nurse? - Administration of oral antidiarrheal - Administration of intravenous antibiotics - Administration of oral replacement fluids - Administration of intravenous antiemetics
Administration of oral replacement fluids
A nurse manager in a cancer care facility finds that the nursing care team is demotivated due to consecutive deaths of two terminally ill cancer clients. Which action of the nurse manager would help renew the team's energy? - Counseling the team members that death is an inevitable part of chronic diseases - Shifting the team to another nursing unit with less likelihood of deaths occurring - Instructing the team members to be emotionally detached from the clients they care for - Arranging a notice board in the unit and posting photos or messages reflecting achievements of the team
Arranging a notice board in the unit and posting photos or messages reflecting achievements of the team
The nurse recognizes that which are important components of a neurovascular assessment? Select all that apply. - Orientation - Capillary refill - Pupillary response - Respiratory rate - Pulse and skin temperature - Movement and sensation
Capillary refill Pulse and skin temperature Movement and sensation
The primary healthcare provider prescribes 80 mg of furosemide by mouth daily. Before administering the furosemide, which action is the priority? - Weigh the client. - Assess skin turgor. - Check the potassium lab results. - Check the total intake and output for the last 24 hours.
Check the potassium lab results.
Which actions by the nurse help set the stage for a client-centered interview during the first visit after admission to the healthcare facility? Select all that apply. - Close the door after entering the room. - Greet the client using his or her last name. - Open the curtains to allow plenty of light in the room. - Introduce oneself with a smile and explain the reason for the visit. - Obtain an authorization from the client after the interview.
Close the door after entering the room. Greet the client using his or her last name. Introduce oneself with a smile and explain the reason for the visit.
A client has arrived on the nursing unit and is scheduled for a cholecystectomy. There is one registered nurse, a licensed practical nurse, and a certified nursing assistant (Canada: continuing care assistant). Institution policy is that all admissions must have an initial comprehensive assessment completed by a registered nurse. The registered nurse is currently caring for an acutely ill client having a transfusion reaction. Which action is the best decision? - Delegate to the practical nurse admission of the client, performance of the initial comprehensive assessment, and completion of the admission documentation. - Have the practical nurse perform a focused assessment and the registered nurse will complete the admission process after the transfusion client is stable. - Instruct the certified nursing assistant (Canada: continuing care assistant) to obtain the acute client's vital signs every 15 minutes, as this is within the scope of practice. - Tell the admission clerk to put the client in the designated room and explain that the nurses are busy with an emergency and will get to the client as soon as possible.
Have the practical nurse perform a focused assessment and the registered nurse will complete the admission process after the transfusion client is stable.
The nurse explains to the parent of a 2-year-old child that the toddler's negativism is expected at this age. What need is this behavior meeting? - Trust - Attention - Discipline - Independence
Independence
While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. What does the nurse conclude about this behavioral interaction? - It is a typical expression of toddlers' social development. - This is an example of antisocial behavior found in some children. - It is a lack of parental role models to demonstrate acceptable behavior. - This is an illustration of separation anxiety typical of hospitalized toddlers.
It is a typical expression of toddlers' social development.
A pregnant couple is attending childbirth preparation classes. Which exercise should the nurse teach the mother to increase the tone of the muscles of the pelvic floor? - Pelvic tilt - Half sit-ups - Pelvic rocking - Kegel exercises
Kegel exercises
The parents of an infant ask a nurse why their baby is not receiving the measles, mumps, and rubella (MMR) vaccine at the same time that other immunizations are being given. What explanation should the nurse give about why the MMR vaccine is administered at 12 to 15 months of age? - There is an increased risk of side effects in infants. - Maternal antibodies provide immunity for about 1 year. - It interferes with the effectiveness of vaccines given during infancy. - There are rare instances of these infections occurring during the first year of life.
Maternal antibodies provide immunity for about 1 year.
Which statement describes the practice partnership model of care delivery? - Nurse and unlicensed assistive personnel work the same shifts and days. - Nurse provides unlicensed assistive personnel (UAP) report for a group of clients. - Unlicensed assistive personnel (UAP) perform the same task for a group of clients. - Unlicensed assistive personnel (UAP) measure vital signs and provide morning care.
Nurse and unlicensed assistive personnel work the same shifts and days.
Who is the designated delegator? - Unit secretary - Nurse manager - Registered nurse - Licensed practical nurse
Nurse manager
What activities would the nurse state are involved in providing a secondary level of preventive care? Select all that apply. - Using specific immunizations - Preventing the spread of communicable disease - Providing facilities to limit disability and prevent death - Providing adequate treatment to arrest the disease process - Educating the public and industry to use rehabilitated individuals to the fullest possible extent
Preventing the spread of communicable disease Providing facilities to limit disability and prevent death Providing adequate treatment to arrest the disease process
Which two factors would the nurse state influence the effectiveness of the leader? Select all that apply. - Ability - Attitude - Readiness - Willingness - Assessment
Readiness Assessment
A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation? - Procedures used to implement client care - Sequence of steps used to meet the client's needs - Activities employed to identify a client's problem - Mechanisms applied to determine nursing goals for the client
Sequence of steps used to meet the client's needs
A client hospitalized for heart failure is receiving digoxin and will continue taking the drug after discharge. What should be included in the plan of care for the next few days? - Monitoring vital signs and encouraging a vigorous aerobic exercise program - Providing written material on the adverse effects of the medication - Contacting Social Services for a home health nursing consultation - Teaching the client how to count the pulse
Teaching the client how to count the pulse
A nurse is assessing a 1-year-old infant. What behavior does the nurse expect to observe? Select all that apply. - Jumps with both feet - Tries to ascend stairs - Explores away from the parent - Communicates in simple sentences - Builds a tower consisting of several blocks
Tries to ascend stairs Explores away from the parent