HESI quizz questions I screw up

While caring for a family, the nurse finds that the family has accepted the shifts of generational roles. Which change in the family status for proceeding developmentally would the nurse observe? Multiple choice question Dealing with retirement Taking on parental roles Adjusting to a reduction in family size Refocusing on midlife material and career issues

Dealing with retirement

Which theory proposes that older adults experience a shift from a materialistic to cosmic view of the world? Activity theory Continuity theory Disengagement theory Gerotranscendence theory

Gerotranscendence theory

Which developmental changes should be evaluated in girls around 12 years of age? Multiple choice question Motor skills Visual acuity Skeletal growth Hormonal changes

Skeletal growth

Which definition is involved in the caring process called knowing according to Swanson's theory of caring? Multiple choice question Being emotionally present for the other Sustaining faith in the other's capacity to get through an event Striving to understand an event as it has meaning in the life of the other Facilitating the other's passage through life transitions and unfamiliar events

Striving to understand an event as it has meaning in the life of the other

A physically ill client is being verbally aggressive to the nursing staff who is performing intravenous therapy on the client. What is the most appropriate initial nursing response? Multiple choice question Tell me why you are upset. Explore the situation with the client. Withdraw from contact with the client. Tell the client the reason for the staff's actions.

Tell me why you are upset.

Which fine-motor skills may be observed in an 8 to 10 month-old infant? Using pincer grasp well Picking up small objects Showing hand preference Crawling on hands and knees Pulling oneself to standing or sitting

Using pincer grasp well Picking up small objects Showing hand preference

teenager crying about not makingg firends

sit quietly and listen

A nurse overhears an unlicensed assistive personnel (UAP) talking with a client about the client's marital and family problems. Which statement by the UAP would the nurse recognize as providing false reassurance? Multiple choice question "I agree; I think you should get a divorce." "Everything will be fine; just wait and see." "You should be glad that you have such a loving family." "In the scheme of things, you do not have a major problem."

"Everything will be fine; just wait and see."

A client is being treated for influenza A (H1N1). The nurse has provided instructions to the client about how to decrease the risk of transmission to others. Which patient statement indicates a need for further instruction? Multiple choice question "I should practice respiratory hygiene/cough etiquette." "I should avoid contact with the elderly or children." "I should obtain a pneumococcal vaccination each year." "I should allow visitors for short periods of time only."

"I should obtain a pneumococcal vaccination each year."

A nurse is reviewing the laboratory report of a client with kidney problems. When ammonia is excreted by healthy kidneys, what mechanism usually is maintained? Multiple choice question Osmotic pressure of the blood Acid-base balance of the body Low bacterial levels in the urine Normal red blood cell production

Acid-base balance of the body

A visitor comes to the nursing station and tells the nurse that a client and a relative had a fight and that the client is now lying unconscious on the floor. What is the most important action the nurse needs to take? Multiple choice question Ask the client if he or she is okay. Call security from the room. Find out if there is anyone else in the room. Ask security to make sure the room is safe.

Ask security to make sure the room is safe.

A nurse is taking care of a client who has chronic back pain. What nursing considerations should be made when determining the client's plan of care? Multiple selection question Ask the client about the acceptable level of pain. Eliminate all activities that precipitate the pain. Administer the pain medications regularly around the clock. Use a different pain scale each time to promote patient education. Assess the client's pain every 15 minutes.

Ask the client about the acceptable level of pain. Administer the pain medications regularly around the clock.

A nurse is caring for a client who has developed dysphagia and is unable to swallow. The client is receiving around-the-clock opioid pain medications for cancer pain, and hospice has recently begun caring for the client. What is the best nursing intervention in preparing for the client's discharge? Multiple choice question Contact the client's healthcare provider to ask to substitute a liquid form of medications for the pill form. Teach the client and family members to crush the pills and administer them with applesauce. Contact the client's healthcare provider to discuss use of transdermal medications for pain control. Teach the client and family members about addiction that may occur as a result of regular opioid us

Contact the client's healthcare provider to discuss use of transdermal medications for pain control.

After abdominal surgery a client reports pain. What action should the nurse take first? Multiple choice question Reposition the client. Obtain the client's vital signs. Administer the prescribed analgesic. Determine the characteristics of the pain.

Determine the characteristics of the pain. The exact nature of the pain must be determined to distinguish whether or not it is a result of the surgery. Repositioning the client, obtaining the client's vital signs, and administering the prescribed analgesic should be done later; the first action is to determine the cause of the pain. Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when four or five consecutive questions have the same letter or number for the correct answer.

The nurse is assessing a client with an illness. Which questions asked by the nurse indicates that he or she is gathering a client's physical and developmental health history? . Multiple selection question Do you have any marital problem? Are you able to control your emotions? Do you remember your recent memories? How many members are in your immediate family? Are you able to complete your activities of daily living?

Do you have any marital problem? Are you able to complete your activities of daily living?

A client becomes anxious after being scheduled for a colostomy. What is the most effective way for the nurse to help the client? Multiple choice question Administer the prescribed as needed (PRN) sedative. Encourage the client to express feelings. Explain the postprocedure course of treatment. Reassure the client that there are others with this problem.

Encourage the client to express feelings.

Which professional standard does the nurse feel is most important for critical thinking? Multiple choice question Logical thinking Evaluation criteria Accurate knowledge Relevant information

Evaluation criteria

Which critical thinking skill refers to the use of knowledge and experience to choose effective client care strategies? Multiple choice question Evaluation Explanation Interpretation Self-regulation

Explanation Explanation involves using knowledge and experience to choose strategies to use to care for clients. Evaluation is applicable when using criteria to determine the results of nursing actions. Interpretation is involved in the orderly collection of data. Self-regulation is applicable when the nurse identifies ways to improve his or her own performance.

The nurse is caring for an infant at the healthcare facility. Which nursing intervention fosters the infant's development of trust? Follow the parents' directions while providing care. Ask parents to name objects in the infant's surroundings. Encourage different caregivers to interact with the infant. Encourage caregivers to talk to the infant while providing care.

Follow the parents' directions while providing care.

A patient who is in the advanced stages of illness asks the nurse to contact pastoral services for support. According to the Macmillan model, what is the best nursing intervention in this situation? Multiple choice question Immediately involve pastoral services while caring for the patient. Involve the family member in the patient's care instead of pastoral support. Listen to the patient's request for support then carry on with the clinical work. Falsely promise that pastoral services has been contacted and plan to see the patient.

Immediately involve pastoral services while caring for the patient.

Which action correlates with the relevance strategy of the motivational learning model proposed by John Keller? Multiple choice question Extrinsic and intrinsic reinforcements for any learning effort Linking the person's needs, interests, and motives for learning Arousing and sustaining a person's curiosity and interest in learning Having positive hope for successful achievements as a result of learning

Linking the person's needs, interests, and motives for learning

What would be the behavioral characteristic of a slow-to-warm up child according to the theory related to temperament? Multiple choice question Highly active Irritable and irregular in habits Negative reaction to new stimuli A positive mild-to-moderately intense mood

Negative reaction to new stimuli

The nurse working in a palliative care setting identifies that which members of the health care team provide ancillary services to patients? Multiple selection question Pharmacists Spiritual advisors Occupational therapists Primary health care providers Unlicensed Assistive Personnel (UAP)

Pharmacists Occupational therapists Unlicensed Assistive Personnel (UAP)

A staff nurse on a medical-surgical unit has been assigned to care for a number of clients. The nurse decides to review their individual records before client contact. Which phase of the nurse-client relationship does this represent? Working phase Orientation phase Termination phase Preinteraction phase

Preinteraction phase

The healthcare provider prescribes a low-fat, 2-gram sodium diet for a client with hypertension. The nurse should explain that the purpose of restricting sodium is to do what? Multiple choice question Chemically stimulate the loop of Henle Diminish the thirst response of the client Prevent reabsorption of water in the distal tubules Cause fluid to move toward the interstitial compartment

Prevent reabsorption of water in the distal tubules

What could be the reason for cataracts in a 36-year-old client? . Multiple selection question Prolonged exposure to heat Prolonged exposure to pesticides Prolonged exposure to cement dust Prolonged exposure to metal powders Prolonged exposure to anesthetic gases

Prolonged exposure to heat Prolonged exposure to metal powders

A nurse is caring for a client with hemiplegia who becomes frustrated when performing skills. How can the nurse motivate the client toward independence? Multiple choice question Establish long-range goals for the client. Identify errors that the client can correct. Reinforce success in tasks accomplished. Demonstrate ways to promote self-reliance.

Reinforce success in tasks accomplished.

A client who is in a late stage of pancreatic cancer intellectually understands the terminal nature of the illness. What are behaviors that indicate the client is emotionally accepting the impending death? Multiple choice question Revising the client's will and planning a visit to a friend Alternately crying and talking openly about death Getting second, third, and fourth medical opinions Refusing to follow treatments and stating they won't help anyway

Revising the client's will and planning a visit to a friend

A healthcare provider prescribes a standard walker (pick-up walker with rubber tips on all four legs). The nurse identifies what clinical findings that indicate the client is capable of using a standard walker? Multiple choice question Weak upper arm strength and impaired stamina Weight bearing as tolerated and unilateral paralysis Partial weight bearing on the affected extremity and kyphosis Strong upper arm strength and non-weight bearing on the affected extremity

Strong upper arm strength and non-weight bearing on the affected extremity

What should the nurse teach the young mother about the nutritional needs of the newborn? Multiple choice question The newborn should be breastfed for the first twelve months. The newborn should be given 2% cow's milk if breast feeding is not possible. The newborn should receive solid food in addition to milk starting from the fourth month. The breastfed newborn should receive iron supplements during the first four months.

The newborn should be breastfed for the first twelve months.

While performing cardiac surgery, the cardiologist intentionally induces hypothermia in the client. The nurse understands that the rationale for this intervention is what? To prevent tissue ischemia To enhance anesthetic action To prevent blood loss during surgery To complete the surgery in short time

To prevent tissue ischemia

Which activity would the nurse explain can be performed by infants of aged 6 to 8 months? Multiple choice question Holding a pencil Showing hand preference Placing objects into containers Transferring objects from hand to hand

Transferring objects from hand to hand

A client is receiving therapy that includes a radioactive sealed implant. What nursing intervention should be implemented to protect against exposure to radiation? Wearing a dosimeter film badge at all times Limiting exposure to the client to 1 hour daily Using long-handled forceps to retrieve a dislodged implant Ensuring that visitors maintain a minimum distance of 3 feet from the client

Using long-handled forceps to retrieve a dislodged implant Using long-handled forceps keeps the sealed implant away from the nurse as the implant is retrieved and placed in a lead container kept in the client's room. Wearing a dosimeter film badge offers no protection from exposure to radiation; it only measures the nurse's exposure to the radiation. Exposure should be limited to no more than 30 minutes daily. Visitors should maintain a minimum distance of 6 feet from the radiation source and visit for only 30 minutes daily.

When caring for a client who is receiving enteral feedings, the nurse should take which measure to prevent aspiration?

elevate head of bed 30-4 degrees