Hesi questions answered wrong

A nurse is discussing with a client the client's personal health history. Which of the following would be an appropriate question to ask at this time? "What do you usually eat in a typical day?" "What diseases did you have as a child?" "Are both of your parents still living?" "How do you feel about having to seek health care?"

"What diseases did you have as a child?"

A clinic nurse has reviewed a new client's available health record and will now begin taking the client's health history. Which of the following questions should the nurse ask first when obtaining the health history? -"What is your major health concern at this time?" -did you bring your medications -do you have adequate health insurance?

"What is your major health concern at this time?"

A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling on her left side. Which of the following questions would be best for eliciting information related to associated factors? -"How bad was the tingling and numbness?" "Where did the numbness and tingling occur?" "What other symptoms occurred during the spell?" "How long did the spell last?"

"What other symptoms occurred during the spell?"

Which actions should a nurse perform before beginning the initial shift assessment of a client? Select all that apply. -Gather assessment tools. -Review the client's record. -Revise nursing care plans to reflect any change in the client's condition. -Check the client's status with the nurse of the previous shift. -Understand the client's knowledge of self-care based on documented age, education, and background.

-Gather assessment tools. -Review the client's record. -Check the client's status with the nurse of the previous shift.

A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an appropriate action by the nurse when interacting with this client? -Provide simple and organized information. -Refer the client to a spiritual guide. -Mirror the client's feelings. -Approach the client in an in-control manner.

-Provide simple and organized information.

When conducting the health assessment, the nurse interacts with the client in a caring manner. How would the nurse demonstrate caring to the client? Select all that apply. -Dressing in a relaxed and casual manner -Valuing the client unconditionally -Being nonjudgmental -Being sympathetic -Showing respect to the client

-Valuing the client unconditionally -Being nonjudgmental -Showing respect to the client

Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data? -Ask one of the client's children to interpret. -Maintain a professional distance during assessment. -Speak to the client using local slang. -Avoid any eye contact with the client.

Maintain a professional distance during assessment.

A nurse is distracted during her assessment of a client and does not take as thorough or as accurate notes as usual. Her supervisor, who is familiar with the client, reads the client's chart and questions the nurse. The supervisor should point out to the nurse that which of the following errors is most likely to occur due to the nurse's lapse? -Relying on objective and subjective information -Making incorrect nursing judgments or diagnoses -Validating information that is already correct -Interjection of the nurse's thoughts or feelings into the data

Making incorrect nursing judgments or diagnoses

A client admitted with reports of nausea and vomiting has not reported any vomiting in the last 6 hours. What initial response should the nurse have regarding this assessment information and its effect on the client's nursing plan of care? Request that the health care team revise the plan of care. Monitor the client frequently for other changes in health status. Recognize the need to reevaluate the client's plan of care. Notify the primary health care provider of the change in the client's health status.

Recognize the need to reevaluate the client's plan of care.

A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial assessment? To evaluate whether outcomes of treatment are met To collect subjective data related to the client's overall health To perform a rapid assessment for prompt treatment To determine any changes from the baseline data

To determine any changes from the baseline data

A nurse is interviewing a client who seems anxious. Which nonverbal communication by the nurse helps to facilitate a relaxed environment for the client during the interview process? a) Portraying a neutral and friendly expression b) Sitting back with crossed arms during the interview c) Wearing casual, neat, and comfortable clothes d) Ensuring that there are no periods of silence

a) Portraying a neutral and friendly expression

during a client interview, the nurse uses nonverbal expressions appropriately when the nurse __ a) avoids excessive eye contact with the client. b) uses touch in a friendly manner to establish rapport. c) remains expressionless throughout the interview. d) displays mental distancing during the interview

a) avoids excessive eye contact with the client.

A client with scabies visits the health care facility for a follow-up appointment. Which preparation by the nurse is of greatest priority for the physical examination of this client Firm examination bed or table Warm, comfortable room Quiet area free of disturbance Adequate lighting

adequate lighting

The nurse is beginning a health history interview with an adult client who expresses anger at the nurse. The best approach for dealing with an angry client is for the nurse to -allow the client to verbalize his or her feelings. -refer the client to a different health care provider. -offer reasons why the client should not feel angry. -provide structure during the interview.

allow the client to verbalize his or her feelings.

Revising the plan as needed occurs in what part of the nursing process? Assessment Diagnosis Planning Evaluation

evaluation

An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n) -focused or problem-oriented assessment. -ongoing or partial assessment. -emergency assessment. -initial comprehensive assessment.

focused or problem oriented assessment

The nursing instructor is teaching about health assessment and explains to students how to assess the roles and relationships of the client. The students know that this type of information is assessed in what type of assessment? focused head to toe functional

functional

A client is unable to recall the last time an immunization was received. Which part of the client's health should the nurse realize is being the most impacted by this practice? -compliance with treatment -health maintenance -risk factors -screening test completion

health maintenance

After receiving morning report the nurse prepares to assess a client who was admitted the day before. Which type of assessment will the nurse complete at this time? Emergency Initial Ongoing Focused

ongoing

During the client interview, the nurse asks specific questions such as "What were you doing when the pain started?" or "Was the pain relieved when you rested?" In what phase of the interview is the nurse involved? -Working -Closing -Beginning -Pre-interaction

working