Hesi exam questions
A home health nurse checks the client's vital signs and obtains a blood sample for an international normalized ratio (INR). After these tasks are completed, the client asks the nurse to straighten the blankets on the bed. Which response by the nurse is correct?
"Of course. I want to do whatever I can for you."
A client tells the nursing assistant "I am so worried about the results of the biopsy they took today." The nurse overhears the nursing assistant reply, "Don't worry. I'm sure everything will come out all right." Which conclusion would the nurse make about the nursing assistant's answer?
It gives false reassurance
The nurse has provided instructions about back safety to a client. Which statement by the client indicates understanding of these instructions?
"I will carry objects close to my body."
A client is to receive a transfusion of packed red blood cells (PRBCs). Which solution would the nurse use to prime the blood intravenous (IV) tubing?
0.9% normal saline
When ammonia is excreted by healthy kidneys, which mechanism usually is maintained?
Acid-base balance of the body
Which activity demonstrates fine motor skills in infants aged 2 to 4 months?
Bringing objects from hand to mouth
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy?
Causing local vasoconstriction, preventing edema and muscle spasms
Which is the action of an antidiuretic hormone (ADH)?
Decreases water loss in urine
After abdominal surgery, a client reports pain. Which action would the nurse take first?
Determine the characteristics of the pain
The nurse is reviewing a client's plan of care. Which is the determining factor in the revision of the plan?
Effectiveness of the interventions
A client with chronic renal failure stops responding to the treatment. On examination, the primary health care provider determines that the client is terminally ill. Which is the correct nursing intervention in this situation?
Encourage the family members to provide palliative care to the client
Which principal components are associated with the nurse's time management skills? Select all that apply. One, some, or all responses may be correct.
Goal setting Priority setting Interruption control
Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy? Select all that apply. One, some, or all responses may be correct.
Interventions to restore tissue integrity Interventions to optimize neurological functions Interventions to provide care before, during, and immediately after surgery
Which behavioral characteristic, according to temperament theory, is demonstrated by a slow-to-warm up child?
Negative reaction to new stimuli
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?
Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.
Which action made by the client indicates that she or he is in the precontemplation stage of the transtheoretical model of change?
Refuses to think about changing
Which caring intervention helps provide comfort, dignity, respect, and peace to a client?
Relieving pain and suffering
The nurse is reviewing the procedure for intervention if a fire occurs. Which interventions would the nurse include in the procedure if a fire occurs that relate to the acronym RACE? Select all that apply. One, some, or all responses may be correct.
Remove all clients from the area. Activate the alarm. Confine the fire by closing doors and windows.
Which risk of adolescent pregnancy would the community nurse teach?
Risk for premature birth
A client has terminal cancer after 7 years of chemotherapy and surgeries. The nurse enters the client's room and finds the client crying. Which is the correct intervention by the nurse?
Sit down quietly next to the bed and allow her or him to cry.
Which should the nurse include when teaching a client with Clostridium difficile about decreasing the risk of transmission to family members?
Soap and water for hand washing
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.
Stress Fatigue Overworked
The nurse at the well-baby clinic is assessing the gross motor skills of a 5-month-old infant. Which finding is a cause for concern?
The baby has a head lag when pulled to sit.
Which assessment finding is associated with depression?
The client has islands of intact memory.
Which is the role of a case manager in a health care organization?
To follow up with the client after discharge
Which worker(s) would the nurse consider to be at high risk of developing dermatitis? Select all that apply. One, some, or all responses may be correct.
dry cleaners dye workers
Which caring process is defined as "facilitating the other's passage through life transitions and unfamiliar events," according to Swanson's theory of caring?
enabling
The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use?
exploring
Which nursing process involves delegation and verbal discussion with the health care team?
implementing
Which is the regulator of extracellular osmolarity?
sodium
The nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through?
Launching children and moving on
