HESI Quick Mastery Quiz

Which scenarios would be considered output components? Select all that apply. One, some, or all responses may be correct. 1 "While assessing a client, the nurse finds a history of mental illness." 2 "While assessing an obese client, the nurse finds a history of asthma." 3 "The nurse notices that the client's wounds have healed after performing regular wound debridement." 4 "The nurse notices that the client has developed an infection at the surgical site after the dressing has been changed." 5 "The nurse finds that the client's blood pressure has increased even though medication is administered on a timely basis."

3 "The nurse notices that the client's wounds have healed after performing regular wound debridement." 4 "The nurse notices that the client has developed an infection at the surgical site after the dressing has been changed." 5 "The nurse finds that the client's blood pressure has increased even though medication is administered on a timely basis."

Which examples mentioned by the nurse belong to the fifth level of Maslow's hierarchy of needs? Select all that apply. One, some, or all responses may be correct. 1 "A client wishes to become the best swimmer in the whole world." 2 "A client tells the nurse that he or she has the urge to urinate every 10 minutes." 3 "A client feels like a failure for not being able to complete college education." 4 "A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia." 5 "A client who is bedridden requests a physical therapist consultation to achieve maximum mobility."

1 "A client wishes to become the best swimmer in the whole world." 4 "A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia." 5 "A client who is bedridden requests a physical therapist consultation to achieve maximum mobility."

The nurse is assessing a client who was admitted with a head injury. The nurse finds that the client is unable to understand written or verbal speech. Which condition would the nurse suspect? 1 Aphasia 2 Dysarthria 3 Borborygmi 4 Dysphagia

1 Aphasia

A client in the intensive care unit tells the nurse, "No matter how much you try, I will not be able to recover. No one can change my destiny." Which religion might the nurse expect the client to practice? 1 Islam 2 Judaism 3 Buddhism 4 christianity

1 Islam

The nurse is using the Cochrane library to study systematic review articles and meta-analyses of clinical trials. Which difference will the nurse find in both? 1 Systematic review articles draw conclusion without statistics; meta-analyses use statistics for conclusions. 2 Systematic review articles elaborate on available information; meta-analyses make the available information concise. 3 Systematic review articles have the highest level of evidence; meta-analyses have a comparatively low level of evidence. 4 Systematic review articles include answers to questions of relevant issues; meta-analyses are devoid of these questions and answers.

1 Systematic review articles draw conclusion without statistics; meta-analyses use statistics for conclusions.

A complete blood count (CBC), urinalysis, and x-ray examination of the chest are prescribed for a client before surgery. The client asks why these tests are done. Which is the best reply by the nurse? 1 "Don't worry; these tests are routine." 2 "They are done to identify other health risks." 3 "They determine whether surgery will be safe." 4 "I don't know; your health care provider prescribed them."

2 "They are done to identify other health risks."

Which client would the nurse anticipate needing a referral for a support group for people with vision loss? 1 Cloudy vision 2 Crossing of the eyes 3 Obstruction of central vision 4 Difficulty seeing things that are far away

3 Obstruction of central vision

In an ongoing research study, the nurse asks participants, who are breast cancer survivors, to briefly share information about their lives after surviving cancer. The nurse then compiles the views to determine the cancer survivors' quality of life. Which type of study is being conducted? 1 Historical research 2 Descriptive research 3 Qualitative research 4 Correlational research

3 Qualitative research

The nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STIs). Which statement by the client indicates effective learning? 1 "I will use condoms when having sex with an infected partner." 2 "I will perform a genital self-examination every month before bathing." 3 "I will refrain from getting the human papilloma virus vaccine (HPV) before the age of 27 years." 4 "I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."

4 "I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."

Which basic concept associated with rehabilitation would the nurse consider when formulating discharge plans for clients? 1 Rehabilitation needs are met best by the client's family and community resources. 2 Rehabilitation is a specialty area with unique methods for meeting clients' needs. 3 Immediate or potential rehabilitation needs are exhibited by clients with health problems. 4 Clients who are returning to their usual activities after hospitalization do not require rehabilitation.

3 Immediate or potential rehabilitation needs are exhibited by clients with health problems.

The nurse starts a new job and recognizes that the client population is very diverse. Which action will help the nurse provide culturally competent care? 1 Read about all of the cultural groups in the local population. 2 Treat all of the clients the same, regardless of their cultural background. 3 Increase self-awareness of cultural identity, cultural knowledge, and potential biases. 4 Attempt to remain culturally neutral while treating clients of a different culture.

3 Increase self-awareness of cultural identity, cultural knowledge, and potential biases.

An older adult is experiencing emotional stress after a recent surgery. Which intervention would be most appropriate for the client? 1 Touch 2 Reminiscence 3 Reality orientation 4 Validation therapy

3 Reality orientation

A mother of a 7-month-old infant reports that her baby cannot sit without support. Which question would the nurse ask the mother to further assess gross motor skills? 1 "Can your child hold on to furniture?" 2 "Does your child show hand preference?" 3 "Does your child move on his or her hands and knees?" 4 "Can your child place objects into containers?"

1 "Can your child hold on to furniture?"

Which key points need to be remembered to maintain health and wellness of a client? Select all that apply. One, some, or all responses may be correct. 1 "Internal and external variables are considered when planning care for the client." 2 "The health belief model considers the relationship between a person's health beliefs and health behaviors." 3 "The health promotion model highlights factors that increase individual well-being and self-actualization." 4 "Holistic therapies are used by nurses only for pregnancy and pregnancy-related issues to help clients deal with the pain." 5 "The American Nurses Association (ANA) emphasizes identifying a client's individual needs, prioritizing the needs, and encouraging the client's self-actualization."

1 "Internal and external variables are considered when planning care for the client." 2 "The health belief model considers the relationship between a person's health beliefs and health behaviors." 3 "The health promotion model highlights factors that increase individual well-being and self-actualization."

Which statements by the student nurse indicate an understanding of caring for clients of various cultures? Select all that apply. One, some, or all responses may be correct. 1 "The focus is on understanding the traditions, beliefs, and values of the client's culture." 2 "Care would be provided strictly on the basis of the traditions, beliefs, and values of the client's community." 3 "Generalized education and information would be provided to clients belonging to a different community." 4 "The cultural background of the client has no effect on his or her health, wellness, and illness." 5 "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."

1 "The focus is on understanding the traditions, beliefs, and values of the client's culture." 5 "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."

Which situations represent the id component of human personality as mentioned by Freud? Select all that apply. One, some, or all responses may be correct. 1 A client experiencing pain takes pain medication prescribed for a family member. 2 A client feels nauseous; therefore he or she leaves work midway to go to a health care facility. 3 A client wishes to go home and slips out of the health care facility quietly without anyone noticing. 4 A client feeling hungry notices a food tray at the next bed but does not grab the food because a nurse is watching. 5 A client feeling thirsty waits for the nurse to bring him or her water instead of taking it from the next client because he or she knows this is wrong.

1 A client experiencing pain takes pain medication prescribed for a family member. 2 A client feels nauseous; therefore he or she leaves work midway to go to a health care facility. 3 A client wishes to go home and slips out of the health care facility quietly without anyone noticing.

Which situations accurately represent superego in a client, per Freud? Select all that apply. One, some, or all responses may be correct. 1 Controlling the urge to eat candy because he or she knows it will affect blood sugar levels 2 Having a craving for fruit but not stealing it from the next client because that client needs it more 3 Urinating beside the bed instead of waiting for the nurse to assist him or her 4 Experiencing a stomachache but refraining from stealing medications from a friend because it is illegal 5 Feeling the urge to run away from the hospital but refraining from doing so because the security guard is watching

1 Controlling the urge to eat candy because he or she knows it will affect blood sugar levels 2 Having a craving for fruit but not stealing it from the next client because that client needs it more 4 Experiencing a stomachache but refraining from stealing medications from a friend because it is illegal

A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy. The registered nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse (LPN) to perform? Select all that apply. One, some, or all responses may be correct. 1 Help the client ambulate when required. 2 Monitor the client's vitals every 30 minutes. 3 Administer adequate oral fluids to the client. 4 Prepare the nursing diagnosis after assessing the client. 5 Administer the digoxin (Cardoxin) if the client has chest pain.

1 Help the client ambulate when required. 2 Monitor the client's vitals every 30 minutes. 3 Administer adequate oral fluids to the client.

Which are the similarities between evidence-based practice and quality improvement? Select all that apply. One, some, or all responses may be correct. 1 Nurses conduct the activities in both. 2 Funding resources are internal in both. 3 The effects of the practice are measured in both. 4 Expert opinions are the data resources in both. 5 Institutional Review Board approval is needed for both.

1 Nurses conduct the activities in both. 2 Funding resources are internal in both.

Which features distinguish nursing diagnoses from medical diagnoses? Select all that apply. One, some, or all responses may be correct. 1 Nursing diagnoses involve the client when possible. 2 Nursing diagnoses are based on results of diagnostic tests and procedures. 3 Nursing diagnoses are the identification of a disease condition in the client. 4 Nursing diagnoses involve the sorting of health problems within the nursing domain. 5 Nursing diagnoses involve clinical judgment about the client's response to health problems.

1 Nursing diagnoses involve the client when possible. 4 Nursing diagnoses involve the sorting of health problems within the nursing domain. 5 Nursing diagnoses involve clinical judgment about the client's response to health problems.

Which information would the nurse provide to clients regarding benefits of electronic health records (EHRs)? Select all that apply. One, some, or all responses may be correct. 1 Obtains Medicare and Medicaid payments 2 Orders medications online at a reduced price 3 Learns about food interactions with various medications 4 Shares personal health information with selected family members 5 Provides more accurate diagnoses and treatment in emergency conditions

1 Obtains Medicare and Medicaid payments 4 Shares personal health information with selected family members 5 Provides more accurate diagnoses and treatment in emergency conditions

Which assessment items need to be documented on a client in restraints? Select all that apply. One, some, or all responses may be correct. 1 Pulse near the restrained area 2 Temperature of the restrained area 3 Convenience of restraining the client 4 Skin integrity surrounding the restraint 5 Behavior leading to the need for restraint

1 Pulse near the restrained area 2 Temperature of the restrained area 4 Skin integrity surrounding the restraint 5 Behavior leading to the need for restraint

Which nursing practice is associated with a self-regulation skill? 1 Reflecting on one's experience 2 Reflecting on one's own behavior 3 Supporting one's findings and conclusions 4 Clarifying any data that one is uncertain about

1 Reflecting on one's experience

Which instructions to minimize the risk of falls in the home would the nurse provide the caregiver of an older client who requires the use of a walker with wheels? Select all that apply. One, some, or all responses may be correct. 1 Remove cords. 2 Apply bed alarms. 3 Use bright lighting. 4 Get rid of throw rugs. 5 keep phones close by

1 Remove cords. 3 Use bright lighting. 4 Get rid of throw rugs.

Which standards are important for the nurse to use in critical thinking? Select all that apply. One, some, or all responses may be correct. 1 Specific 2 Fairness 3 Relevant 4 Confidence 5 Independence

1 Specific 3 Relevant

Which factor(s) increase(s) the risk of nurses making medication errors in the health care setting? Select all that apply. One, some, or all responses may be correct. 1 Stress 2 Fatigue 3 Overwork 4 Equipment malfunction 5 Increased documentation

1 Stress 2 Fatigue 3 Overwork

Which nursing actions reflect the carative factor of promoting and expressing positive and negative feelings, according to Watson's theory of transpersonal caring? Select all that apply. One, some, or all responses may be correct. 1 Supporting and accepting the client's feelings 2 Learning together while educating the client to acquire self-care skills 3 Creating a healing environment at the physical and nonphysical levels 4 Applying the nursing process in systematic, scientific problem-solving and decision-making 5 Showing a willingness to take risks in sharing in the relationships when connecting with clients

1 Supporting and accepting the client's feelings 5 Showing a willingness to take risks in sharing in the relationships when connecting with clients

Which information is correct regarding the similarities and differences between the deontological and utilitarianism system of ethics? Select all that apply. One, some, or all responses may be correct. 1 The difference between utilitarianism and deontology is the focus on outcomes. 2 Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. 3 Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome. 4 Utilitarianism and deontology are closely related to the ethics of care because both ideologies promote a philosophy that focuses on understanding relationships. 5 Both utilitarianism and deontology look into the nature of relationships and propose that the natural urge to be influenced by relationships is a positive value.

1 The difference between utilitarianism and deontology is the focus on outcomes. 2 Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. 3 Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome.

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container? 1 The local hazardous waste collection site 2 The regular household trash 3 The local health department for disposal 4 The Environmental Protection Agency (EPA) through the mail

1 The local hazardous waste collection site

Arrange the order in which quality improvement takes place according to the plan, do, study, act (PDSA) cycle model. incorporate new practices in daily performance choose the appropriate intervention evaluate the outcomes review available data

1. review available data 2. choose the appropriate intervention 3. evaluate the outcomes 4. incorporate new practices in daily performance

In which order would the nurse follow steps of risk management to identify potential hazards and to eliminate them before harm occurs? Evaluating the steps taken Analyzing the possible risks Identifying possible risks Acting to reduce the risks

1.Identifying possible risks 2.Analyzing the possible risks 3.Acting to reduce the risks 4. evaluating steps taken

The nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions would the nurse expect if the client is in the action stage? Select all that apply. One, some, or all responses may be correct. 1 "I only take a bath once a week, but I don't see any infections on my skin." 2 "I try to take a shower every day, but I skip it sometimes because of my tight work schedule." 3 "I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings." 4 "Please tell me how to get into the habit of taking a bath daily so that I can keep myself clean and healthy." 5 "I want to take a bath regularly, but I don't have time because I need to look after my kids and my parents."

2 "I try to take a shower every day, but I skip it sometimes because of my tight work schedule." 3 "I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings." 5 "I want to take a bath regularly, but I don't have time because I need to look after my kids and my parents."

Which information would the nurse provide a nursing student about the relationship between nursing theory and nursing research? Select all that apply. One, some, or all responses may be correct. 1 "A single nursing research study is enough to test all the components of a nursing theory." 2 "Theory-generating research helps discover and describe relationships of phenomena." 3 "Theory-testing research helps determine the accuracy with which a theory describes a phenomenon." 4 "The relationship between nursing theory and nursing research builds the scientific knowledge base of nursing." 5 "Conducting continuous research activities may cause a hindrance to the acquisition of knowledge and science of nursing."

2 "Theory-generating research helps discover and describe relationships of phenomena." 3 "Theory-testing research helps determine the accuracy with which a theory describes a phenomenon." 4 "The relationship between nursing theory and nursing research builds the scientific knowledge base of nursing."

An adult child of a dying client says to the nurse, "I am so upset because my parent is always angry at me." Which would be the correct response by the nurse? 1 "Your parent is frightened by impending death." 2 "Your parent is working through acceptance of the situation." 3 "Your parent is attempting to reduce your need for dependency." 4 "Your parent is hurt that you will not provide physical care at home."

2 "Your parent is working through acceptance of the situation."

While assessing the nails of a client with diabetes, the nurse finds that the skin on the client's hands and feet are dry due to infection. Which could be the reason for this dryness? 1 Applying moisturizing lotion between toes 2 Cutting nails after soaking them for 10 minutes in warm water 3 Cutting nails straight across and even with the tops of the fingers or toes 4 Using sharp objects to poke or dig under the toenail or around the cuticle

2 Cutting nails after soaking them for 10 minutes in warm water

Which client would have a health promotion nursing diagnosis? 1 The client with acute pain due to appendicitis 2 The client who is willing to take a 30-minute walk daily 3 The older adult client with dementia admitted to the health care facility 4 The client with reduced cognitive ability while recovering from surgery

2 The client who is willing to take a 30-minute walk daily

The nurse is trying to bring about a change in the wellness behavior of an obese client. The nurse provides a chart depicting a proper diet and enumerates the benefits of good eating habits. Which response might the nurse expect from the client if the client is in the preparation stage? 1 "I'm perfectly happy and confident about my body and my health." 2 "I can't quit eating junk food twice a week, even with this diet plan." 3 "Tell me how to stay successful with this diet with my hectic career." 4 "Please help me come up with a realistic strategy for sticking to this diet plan."

4 "Please help me come up with a realistic strategy for sticking to this diet plan."

The registered nurse notices that the student nurse who is assessing the blood pressure in a client is deflating the cuff too rapidly. Which is the probable reading of blood pressure that the student nurse could have obtained if the actual blood pressure of the client is 140/90 mm Hg? 1 130/80 mm Hg 2 150/100 mm Hg 3 140/100 mm Hg 4 130/100 mm Hg

4 130/100 mm Hg

Which critical thinking skill demonstrates maturity in the nurse? 1 Eagerness to acquire knowledge 2 Being tolerant of different views 3 Trust in own reasoning processes 4 Ability to reflect on own judgments

4 Ability to reflect on own judgments

Which activity mentioned by the nurse is an example of a performance improvement measure? 1 Installing new nurse call bells beside every bed in the health care facility c 3 Initiating new strategies to speed up the process of obtaining consent forms from clients 4 Analyzing the new technique for counting sponges and instruments in the operating room

4 Analyzing the new technique for counting sponges and instruments in the operating room

An adolescent is taken to the emergency department of the local hospital after stepping on a nail. The nurse asks if the client has had a tetanus immunization. The adolescent responds that all immunizations are up to date. A few days later, the client is admitted to the hospital with a diagnosis of tetanus. Which describes the nurse's responsibility in this situation? 1 The nurse's judgment was adequate, and the client was treated accordingly. 2 The possibility of tetanus was not foreseen because the client was immunized. 3 Nurses would routinely administer immunization against tetanus after such an injury. 4 Assessment by the nurse was incomplete and, as a result, the treatment was insufficient.

4 Assessment by the nurse was incomplete and, as a result, the treatment was insufficient.

The nurse notes that a client is refusing a vital lifesaving surgery because of financial constraints. The client's insurance has lapsed and the health care facility's policies do not allow surgeries to be performed free of cost. Which would the nurse do first to deal with the situation? 1 Identify all possible courses of action to help the client. 2 Verbalize the problem by writing a simple, clear statement. 3 Negotiate a plan with other members of the health care team. 4 Collect information relevant to the issue from multiple sources.

4 Collect information relevant to the issue from multiple sources.