funds hesi

while instruction a community group regarding risk factors for coronary artery disease, the nurse provides a list of risk that cannot be modified. What should be included on the list? A heredity B hypertension C cigarette smoking D diabetes mellitus

A heredity

which statement is true regarding the problem, intervention, and evaluation(PIE) format of documentation? A the format can be written in several ways B this format originated from the medical model C this format is included in problem -oriented medical records D a variation of this format includes both assessment and objective data

A the format can be written in several ways

a nurse assesses a client with dry and brittle hair, flaky skin, a beefy-red tongue and bleeding gums? the nurse recognizes that these clinical manifestations are most likely a result of what? A food allergy B a nutritional deficiency C side effects with medication

B

a nurse is caring for a client who is having diarrhea. to prevent an adverse outcome, the nurse should most closely monitor what patient data or assessment finding? A skin condition B fluid and electrolytes balance C fluid intake and output D food intake

B

which fluid has an acidic pH level? A borax B coffee C coconut water D milk of magnesia

B the rest is alkaline pH level

a nurse is caring for a client with diarrhea. the nurse anticipates a decrease in which clinical indicator? A pulse rate B tissue turgor C specific gravity D body temp

B skin elasticity will decrease because of a decrease in interstitial fluid

identify factors associated with an increased incidence of abuse within a family. select all that apply A acute illness B pregnancy C drug abuse D chronic illness E sexual orientation

B C E

A nursing student is learning about various health belief systems. Which characteristics describe the holistic health belief system? Select all that apply. A the mind and body are seen as a single unit B circumcision may be viewed as a religious practice C treatment involves the carrying out of rituals or repentance D healing powers may be ascribed to animate or inanimate objects E treatments are designed to restore balance with the physical, social, and metaphysical words

B D E

which statements are true regarding narrative charting? select all that apply A it is divide into sessions or blocks B it includes the data about the basic client need or problme C it is organized according to the specific problem solving system D it is the briefer adaption of the charting format for the POMR E it is used for computerized and noncomputerized nurses notes

B E

which action of the nurse ensures safety during rectal temperature measurement? A assisting the client to get in a position of comfort B holding onto the thermometer throughout the procedure C holding the electronic probe until an audible signal occurs D moving the bed linens aside to expose only the rectal area

B holding onto the thermometer throughout the procedure

which type of surgery is performed for relief or reduction of intensity of disease symptoms? A ablative B palliative C constructive D reconstructive

B palliative for relief or reduction of intensity of disease symptoms

which term is used to describe an individuals generalized expectation about the forms of behavior of individuals of an ethnic group? A subculture B stereotype C ethnocentrism D cultural competence

B stereotype

the nurse observes that an older client rarely eats the meat on the meal trays. The nurse discusses this observation with the client, and the client states, " i only eat meat once a week because old people dont need protein every day" the nurse determines that the client needs to be taught about what? A the need for home delivered meals B the foods that meet basic nutritional needs C the effect of aging on the need for some foods D the needs for meat at least once per day throughout life

B the foods that meet basic nutritional needs

what is the purpose of critical incident stress debriefing(CISD) after a disaster? A. evaulate the outcomes of the care provided B. prevent post traumatic stress disorder C. ensure all documentation has been completed D Determine if role assignments need to be adjusted

B. prevent post traumatic stress disorder

What is the first strategy for burnout prevention that deliberately reflects on the nurses stress? A focus B choice C balance D awareness

d awareness

a nursing student notes that a nurse is required to integrate best current research with clinical expertise and client preferences and values in order to provide quality and safety education for nurses (QSEN) competency dies this comply with? A safety B quality improvement C patient-centered care D evidence-based practice

d evidence-based practice

experimental use of which substance often directly or indirectly leads to interpersonal violence among teenagers? A alcohol B steroids C tobacco D cannabis

A alcohol

the rehabilitation team members on a hospice unit are caring for a client. one of the team members provides spiritual guidance to the client. Which team member plays this role? A chaplain B clinical psychologist C speech language pathologist D vocational rehabilitation counselor

A chaplain

a nurse is evaluating the effectiveness of treatment for a client with excessive fluid volume. what clinical indicates that treatment has been successful? A clear breath sounds B positive pedal pulses C normal potassium level D increased urine specific gravity

A

the nurse suspects fluid volume deficiency in a client who complains of weight loss and skin dryness. which other finding might confirm the nurses suspicion? A darkened urine B decreased heart rate C increased blood pressure D decreased specific gravity of the urine

A

which is a psychological symptom of sleep deprivation? A hyperexcitability B decreased reflexes C cardiac dysrhythmias D slowed response time

A

which patient, diagnosed with arthritis, is at the greatest risk for developing activity limitations based on ethnicity? A hispanic male B caucasian male C asian american female D native american female

A

the nurse assesses an edematous client and recalls that edema occurs in what extracellular fluid compartment ? A interstitial B intercellular C intravascular D intracellular

A edema is defined as the accumulation of fluid in the interstitial spaces

the nurse manager of the unit to work obviously intoxicated. What is the staff nurse's ethical obligation? A call the security guard B tell the nurse manager to go home C have the supervisor to validate the observation D offer the nurse manager a large cup of coffee

C

which statement is true regarding a biomedical health belief system? A many consider it a system of "third world" beliefs and practices B it includes acupuncture, aromatic therapy, meditation, and therapeutic touch C it states that life processes can be manipulated by humans with mechanical interventions

C

the nurse plans to provide a back massage to a client. What should the nurse do first in this situation? A assist the client into an appropriate position B start massaging the client as soon as possible C assess the clients preference for touch and massage D provide information regarding the massage procedure

C assess the clients preference for touch and massage

which action of the nurse leader while preparing to share any information with followers is accurate? A giving complete information at one time B avoiding sharing information through mail C determining which information is to be shared D sending text messages instead of face-to-face communication

C determining which information is to be shared limited information giving too much information at once can create disinterest in the listeners

which factor can cause early morning awakening and fatigue in older adults? A stress B anxiety C hypertension D decreased self image

C hypertension

which perspective defines home health care as a component of comprehensive health care in which individuals and their families receive services in their places if residence? A client B family C official D provider

C official home health care is defined as a component of comprehensive health care in which individuals and their families receive services in their places of residence

which stage of non rapid eye movement sleep is characterized by completely relaxed muscles? A stage 1 B stage 2 C stage 3 D stage 4

C stage 3

which act creates incentives for medicare and medicaid providers to improve staffing in long term care facilities? A the omnibus budget reconciliation act(OBRA) B the health care financing administration(HCFA) C the patient protection and affordable care act(PPACA) D the occupational safety and health administration (OSHA)

C the patient protection an afforadable care act (PPACA)

A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period? A hypercalcemia may result from parathyroid damage B hypotension and bradycardia may result from thyroid storm C tetany may result from underdosage of thyroid hormone replacment D hoarseness and airway obstruction may result from laryngeal nerve damage

D

which team members are members of a primary hospice team? select all that APPLY A social worker B medical director C spiritual coordinator D volunteer coordinator E bereavement coordinator

D E

a county-based visiting nurse association receives funds from charitable contributions that provide pneumonia vaccination to a community. Which type of health agency is this association? A hospital B voluntary C proprietary D combination

D combination

a nurse in the health clinic is counseling a college student who was recently diagnosed with asthma. On what aspect of care should the nurse focus? A teaching how to make a room allergy free B referring to a support group of individuals with asthma C arranging with the college to ensure a speedy return to classes D evaluating whether the necessary lifestyle changes are understood

D evaluating whether the necessary lifestyle changes are understood

severally recently licensed practical nurses are discussing whether they should purchase personal professional liability insurance. Which statement indicates the most accurate information about professional liability insurance? A if you have liability insurance you are more likely to be sued B your employer provides you with the liability insurance you will need C liability insurance is not available for nursing professionals working in a hospital D personal liability insurance offers representation if the state board of nursing files charges against you

D personal liability insurance offers representation if the state board of nursing files charges against you

an individual is verbally inflicting anguish emotional pain, and distress on a older adult. Which type of abuse is this? A sexual B physical C material D psychological

D pyschological

what is the goal of the american hospital association (AHA) with respect to clients rights? A to provide federal funding to institutions B to protect the confidentiality of clients health information C to maintain written policies and procedures regarding advance directives D to promote clients knowledge regarding their rights as consumers of health care

D to promote clients knowledge regarding their rights as consumers of health care

which statement is true regarding factors that affect body temperature? A emotional stress lowers body temperature B body temperature peaks between 1 am and 4 am C exercise can increase or decrease body temperature D women generally have greater variations in body temperature than men

D women generally have greater variations in body temperature than men

Elbow restraints have been prescribed for a confused client to keep the client from pulling out a nasogastric tube and indwelling urinary retention catheter. What is most important for the nurse to do? A have the prescription renewed every 48 hours B assess the clients condition every hour C provide range of motion to the clients elbows every shift D document output from the tube and catheter every two hours

b assess the clients condition every hour

while reading an article about development of nursing in america, a nursing student learns that Mary Breckenridge established a health care service organization to deliver obstetric care to women. what is the name of this organization A american red cross B frontier nursing service C national association of practical nurse education D national federation of licensed practical nurse

b frontier nursing service

the hospital's policy requires two nurses to supervise the wasting of excess opioid solutions. The nurse draws up the prescribed dose and then requests that another nurse witness wasting of the remaining medication. The second nurse states that there is no time to observe the wasting of the medication, enters the identification to serve as the witness, and leaves the area. What is the appropriate action for the nurse to take? A waste the appropriate amount of medication and administer the appropriate dose to the client B accept the second nurse's identification as the witness but ask another nurse to observe the actual wasting C cancel the process and ask another nurse to serve as the witness and to observe the wasting of the medication D insist that the second nurse reenter the area to actually observe the wasting of the medication

c

when providing preoperative teaching, what should the nurse focus primarily on? A helping the client and family decide if surgery is necessary B giving minute by minute details of the surgery to the client and family C providing general information to reduce client and family anxiety

c

A nurse helps a client to clarify health problems and choose appropriate course of action. What competency in community-based practice is the nurse exercising? A educator B caregiver C counselor D epidemiologist

c counselor

when compared with caucasian patients, which population is at the greatest risk for developing obesity? A asian B hispanic C alaskan natives D pacific islanders

c hispanic

a client reports inability to see the objects that are in close range. This is described by the health care provider as which condition? A esotropia B exotropia C hyperopia D astigmatism

c hyperopia farsighted or inability to see objects at close range

which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience,while retaining the ultimate accountability for providing the client care? A leadership B delegation C supervision D assignment

delegation

which statement is true regarding a folk health belief system? A it addresses the whole client by viewing symptoms as only part of the problem B it classifies illnesses or diseases as either natural or unnatural C it states that humans can manipulate life processes with mechanical interventions D it includes blessings from spiritual leaders, apparitions of dead relatives, and miracle cures

it classifies illnesses or diseases as either natural or unnatural

which statement regarding death rites in Observant Judaism is true? A autopsies are absolutely forbidden B the body should be left alone for 24 hours, after which it is buried C mirrors should be covered in the room where death has occurred D health care providers should immediately care for the corpse when death occurrs

mirrors should be covered in the room where a death has occurred

which measurement site has a normal body temperature of 99.5 F ? A oral B rectal C axillary D tympanic

rectal

while examining a child, the nurse suspects sexual abuse. What finding might have led the nurse to this suspicion? A. pulled out hair B. poor personal hygiene C. trouble sitting or walking D. sudden unexplained illness

trouble sitting or walking