hesi review

In which sequence of techniques would the nurse assess a client's abdomen? Inspection, Auscultation, Palpation, Percussion

1. inspection 2. Auscultation 3. Percussion 4. Palpation The order of an abdominal assessment begins with inspection of the count our, symmetry, and surface motion of the abdomen. The nurse will note any masses, bulging, or d'intention. The second step is auscultation, which is done before palpation to reduce the change of altering the frequency and character of bowel sounds. The third step is percussion, which is used to assess kidney inflammation. The fourth step if palpation, which detects areas of abdominal tenderness, d'intention, or masses.

nursing judgement has which number of critical thinking levels? record your answer using a whole number.

3

which statement is not true of concepts? a. concepts consist of interrelated theories b. concepts help describe or label phenomena c. concepts that affect the client system are physiological, psychological, sociocultural, developmental, or spiritual d. concepts can be simple or complex and relate to an object or event that comes from individual perceptual experiences

a. concepts consist of interrelated theories

when the nurse develops a nursing diagnosis without validating data obtained from the client, within which category would the error fall? a. labeling b. collecting c. clustering d. interpreting

a. labeling

which nursing practice is associated with a self-regulation skill? a. reflecting on one's experience b. contemplating one's own behavior c. supporting one's findings and conclusions d. clarifying any data that one is uncertain about

a. reflecting on one's experience

The nurse assessed a client's pulse rate and recorded the score as 3+. Which descriptor reflects the strength of the pulse? a. strong b. bounding c. expected d. diminished

a. strong

under which type of health care services would the nursing student include subacute care? a. tertiary care b. continuing care c. restorative care d. secondary acute care

a. tertiary care

Which statement regarding Roy's theory of nursing needs correction? a. the roy adaptation model views the environment as an adaptive system b. the need for nursing care occurs when the client cannot adapt to internal and external environmental demands c. the goal of nursing is to help the client adapt to changes in physiological needs, self-concept, role function, and interdependent relations during health and illness d. all individuals must adapt to the following demands: meeting basic physiological needs, developing a positive self-concept, performing social roles, and achieving a balance between dependence and interdependence

a. the roy adaptation model views the environment as an adaptive system

Which cation regulates intracellular osmolarity? a. sodium b. potassium c. calcium d. calcitonin

b. potassium

Which function is the role of the nurse administrator in a health care setting? a. providing surgical anesthesia under the guidance and supervision of an anesthesiologist b. preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development c. providing comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions d. educating staff about current nursing practices, trends, theories, and necessary skills in laboratories and clinical settings

b. preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development The nurse administrator's function is to prepare the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development. A certified registered nurse anesthetist provides surgical anesthesia under the guidance and supervision of an anesthesiologist. The nurse practitioner provides comprehensive care and directly manages the medical care of clients who are healthy or have chronic conditions. Nurse educators provide knowledge about current nursing practices, trends, theories, and necessary skills in laboratories and clinical settings.

While assessing a patient after surgery, which finding would the nurse obtain from the primary source? a. x-ray reports b. severity of pain c. results of blood work d. family caregiver interview

b. severity of pain

Which is the role of a case manager in a health care organization? a. to delegate work on the unit suitably b. to follow up with the client after discharge c. to provide direct care for they client at the bedside d. to unite the strategic direction of the organization

b. to follow up with the client after discharge

which nursing action illustrates the quality and safety education for nurses (QSEN) competency called informatics? a. ensure that the risk of harm to clients and health care workers is decreased by improving professional performance b. use info and tech to communicate, manage knowledge, mitigate error, and support decision-making c. integrate best current evidence with clinical expertise and client preferences and values to deliver quality health care d. 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

b. use information and technology to communicate, manage knowledge, mitigate error, and support decision-making

which statement is not true of descriptive theories? a. the first level of theory development is a descriptive theory b. the role of a descriptive theory is to explain, relate, and in some situations predict nursing phenomena c. descriptive theories help direct specific nursing activities d. these theories describe phenomena, speculate on why they occur, and describe their consequences

c. descriptive theories help direct specific nursing activities

which program is the least likely to focus on medication delivery process modification? a. evaluation research b. quality improvement c. experimental research d. performance improvement

c. experimental research Experimental research is the least likely to focus on medication delivery process modification. Quality improvement, evaluation research, and performance improvement are all likely to focus on medication delivery process modification to make the process better for the client.

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients? a. analysis b. inference c. explanation d. interpretation

c. explanation

Which point would the nurse not associate with grand theories of nursing? a. require further specification through research b. systematic and broad in scope and complex c. mishel's theory of uncertainty in illness d. do not provide guidance for specific nursing interventions

c. mishel's theory of uncertainty in illness

a set of theoretical components such as concepts, definitions, assumptions, or propositions help explain which term? a. domain b. paradigm c. phenomenon d. environment or situation

c. phenomenon

The nurse is caring for a child who has an external fixation device on the leg. Which is the nurse's priority goal when providing pin care? a. easing pain b. minimizing scarring c. preventing infection d. avoiding skin breakdown

c. preventing infection

Which research design would the nurse researcher utilize when examining subjects' responses to chlorhexidine and povidone-iodine as antiseptics? a. evaluation research b. descriptive research c. correlational research d. experimental research

d. experimental research The nurse will categorize this study as experimental research. In experimental research, the investigator gives variables randomly to the subjects. In this case, subjects are given chlorhexidine and poi done-iodine to test their efficacy in reducing infection. Evaluation research is an initial study that refines a hypothesis, such as testing a new expertise in older clients with dementia. In a descriptive study, the characteristics of a person or a situation are measured. For example, a researcher may examine nurses' bias while caring for obese clients. Correlational research is used to find the relationship between different variables without the interference of a researcher. And example is determining the educational status of nurses and their satisfaction with their jobs.

Which skill in critical thinking requires the nurse to be orderly in data collection? a. analysis b. inference c. evaluation d. interpretation

d. interpretation

which statement made by the nurse requires correction when discussing registered nurse licensure in the united states with peers? a. candidates must pass the nuclei-rn examination to become licensed in their state b. the scope of practice for registered nurses is found in each state's nurse practice act c. the examination for rn licensure is exactly the same in every state in the united states d. passing the nuclei-rn examination indicates maximal knowledge base for safe nursing practice

d. passing the nuclex-rn examination indicates maximal knowledge base for safe nursing practice

when examining a health care organization under the rubric of The Magnet Recognition Program's 14 forces of magnetism, the nurse would review the structural empowerment of the organization for which force of magnetism? a. quality of care b. quality improvement c. interdisciplinary relationships d. personnel policies and programs

d. personnel policies and programs

two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurses observe? a. instruct the client to position one arm on each shoulder of the nurses b direct te client to extend the legs and remain still during the procedure c have both nurses shift their weight from the front leg to the back leg as they move the client up in bed d. position the nurses on either side of the bed with their feet apart, gather the turn sheet close to the client, turn toward the head of the bed, and then move the client

d. position the nurses on either side of the bed with their feet apart, gather the turn sheet close to the client, turn toward the head of the bed, and then move the client

Which situation accurately describes hospice care? a. a resident's temporary or permanent home, where the surroundings have been made as homelike as possible b. offers an attractive long-term care setting with an environment akin to the client's home, which offers the client greater autonomy c. service that provides short-term relief for people providing home care to an ill, disabled, or frail older adult d. system of family-centered care that allows clients to remain home in comfort while easing the pain of terminal illness

d. system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness

Which characteristics would the nurse associate with collaborative problems experienced by a client? a. they are the identification of a disease condition b. they include problems treated primarily by nurses c. they are identified by the primary health care provider d. they are identified by the nurse during the nursing diagnosis stage

d. they are identified by the nurse during the nursing diagnosis stage