HESI practice SELECT ALL THAT APPLY only

The practical nurse (PN) working in a long term care (LTC) facility is orienting a new staff member in the facility who is gathering data for admission of a new resident. Which information by the new staff demonstrates understanding of the guidelines required for a new client? A) Admissions assessment within 14 days of move in date, reassessment within 1 year of most recent comprehensive assessment, change in status assessment within 14 days of occurrence of change, and quarterly assessment including Minimum Data Set (MDS) every 3 months from date of initial comprehensive assessment. B) Admissions assessment with 7 days, reassessment within 1 year of initial comprehensive assessment, change in status assessment within 14 days of health care providers assessment of occurrence, and quarterly assessment including MDS every 3 months from date of the client's health care providers initial assessment. C) Admissions assessment within 72 hours of move in date, reassessment within 1 year of the initial plan of care, change in status assessment with 7 days of occurrence of change, and quarterly assessment including MDS every 3 months from initial plan of care. D) Admissions assessment within 24 hours of move in date, reassessment within 1 year of initial comprehensive assessment, change of status assessment within 72 hours of occurrence, and quarterly assessment including MDS every 3 months from the most recent comprehensive assessment.

A) Admissions assessment within 14 days of move in date, reassessment within 1 year of most recent comprehensive assessment, change in status assessment within 14 days of occurrence of change, and quarterly assessment including Minimum Data Set (MDS) every 3 months from date of initial comprehensive assessment.

Which information should the practical nurse (PN) offer a female client who is at risk for recurrent urinary tract infection (UTI)? (Select all that apply.) A) Use vinegar solution douche regularly. B) Avoid wearing tight-fitting jeans. C) Limit caffeine and alcohol. D) Void before and after intercourse. E) Wipe the perineum from front to back.

B) Avoid wearing tight-fitting jeans. C) Limit caffeine and alcohol. D) Void before and after intercourse. E) Wipe the perineum from front to back.

An older adult client receives a prescription for hydrochlorothiazide (HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical nurse reinforce with the client? (Select all that apply.) A) Constipation. B) Fatigue. C) Edema. D) Nausea. E) Dehydration. F) Blurred vision.

B) Fatigue. E) Dehydration.

An older male client who is incontinent receives a prescription for a condom (external) catheter. Which steps should the practical nurse implement when applying the external catheter? (Select all that apply.) A) wrap the adhesive strip in a spiral around the penis B) shave the perineal area before beginning C) apply skin prep to the penile shaft and allow to dry D) leave 1 to 2 inches between the tip of the penis and the condom catheter E) don sterile gloves prior to the application of the condom catheter

C) apply skin prep to the penile shaft and allow to dry D) leave 1 to 2 inches between the tip of the penis and the condom catheter

A client with hypothyroidism receives a prescription for thyroid hormone replacement. Which sign(s) of overdose should practical nurse (PN) reinforce with the client? (Select all that apply.) A) Weight gain. B) Ataxia. C) Bradycardia. D) Nervousness. E) Irritability. F) Difficulty sleeping.

D) Nervousness. E) Irritability. F) Difficulty sleeping.

Which pathophysiological findings are characteristic in children with cystic fibrosis (CF)? (Select all that apply.) A) Diabetes mellitus. B) Excessive salivation. C) Abnormal bone ossification. D) Pancreatic enzyme deficiency. E) Hypochloremia and hyponatremia. F) Viscous respiratory secretions.

D) Pancreatic enzyme deficiency. E) Hypochloremia and hyponatremia. F) Viscous respiratory secretions.

Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain to a client in the first trimester? (Select all that apply.) A) Displacement of the colon. B) Tightening of the anal sphincter. C) Change in nutrient absorption. D) Shifting of liver placement. E) Decrease in peristalsis. F) Increase bile production.

A) Displacement of the colon. E) Decrease in peristalsis.

Which factors influence how the practical nurse (PN) obtains vital signs on a client? (Select all that apply.) A) Client height 5 feet 6 inches, weight 240 pounds (109 kg). B) History of right radical mastectomy two years ago. C) Daily use of oral digoxin (Lanoxin). D) NPO status of 12 hours for fasting blood test. E) Nasal congestion related to a "cold".

A) Client height 5 feet 6 inches, weight 240 pounds (109 kg). B) History of right radical mastectomy two years ago. C) Daily use of oral digoxin (Lanoxin).

Which foods should the practical nurse (PN) recommend for a client who is receiving chemotherapy? (Select all that apply) A) Cooked broccoli, cauliflower and boiled eggs. B) Orange juice. C) Baked potatoes. D) Pastries. E) Pastas. F) Fried chicken.

A) Cooked broccoli, cauliflower and boiled eggs. C) Baked potatoes. E) Pastas

The practical nurse (PN) is reinforcing discharge instructions to the family of an older client with failure to thrive. What information should the PN include to promote nutritional intake for the client? A) Minimize stress level by providing the client a quite environment during meals. B)) Provide food variations that the client can manage without assistance. C) Assist the client with eating meals in bed in a semi Fowler's position. D) Encourage fluid intake before meals to decrease dehydration. E) Offer any type of food to the client as long as calories are consumed.

A) Minimize stress level by providing the client a quite environment during meals. B)) Provide food variations that the client can manage without assistance.

Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply.) A) Needs are greater than the caretaker's abilities. B) Client's declining strength. C) Fixed income. D) Longer life expectancy. E) Lack of exposure to technology and trends.

A) Needs are greater than the caretaker's abilities. B) Client's declining strength.

Which interventions should the practical nurse (PN) implement in the postoperative period for a client who had surgery for cancer of the oral cavity? (Select all that apply.) A) Provide meticulous oral hygiene. B) Advise the client to avoid straining at stool. C) Obtain daily weights to determine need for NGT feedings. D) Observe for temporary or permanent loss of taste. E) Monitor for gastric indigestion.

A) Provide meticulous oral hygiene. C) Obtain daily weights to determine need for NGT feedings. D) Observe for temporary or permanent loss of taste.

The practical nurse (PN) obtains the assistance of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a full term neonate yesterday. When reinforcing the postpartum dietary plan of care for the client, what should the PN tell the interpreter to encourage the client to include in her diet? (Select all that apply.) A) Red meats. B) Leafy green vegetables. C) Corn. D) Potatoes. E) Fresh fruits.

A) Red meats. B) Leafy green vegetables. E) Fresh fruits.

After an older client refuses to take bupropion ( Wellbutrin XL) , the practical nurse (PN) crushes the tablet to disguises it in a chocolate pudding cup. The PN directs the unlicensed assistive personnel (UAP) to feed the client the pudding. Which actions should the PN report as a medication error? (Select all that apply.) A) Violation of client's right to refuse medication. B) Assignment of medication administration to the UAP. C) Alteration of medication form without notifying the healthcare provider. D) Prior authorization not obtained before crushing extended-release medication. E) Alteration of taste of the food that is given to the client. F) Documentation of medication alteration in medication administration record (MAR).

A) Violation of client's right to refuse medication. B) Assignment of medication administration to the UAP. C) Alteration of medication form without notifying the healthcare provider. D) Prior authorization not obtained before crushing extended-release medication.

Which nursing actions are most likely to reduce the risk of a client developing acute respiratory distress syndrome (ARDS)? Select All That Apply A. Practicing scrupulous infection control measures. B. Implementing restricted fluid intake and documenting all output. C. Rooming clients with active tuberculosis in a negative pressure room. D. Adhering to aspiration precautions for clients with impaired swallowing and gag reflexes. E. Raising the head of the bed to 30-45° for clients receiving enteral feedings.

A. Practicing scrupulous infection control measures. D. Adhering to aspiration precautions for clients with impaired swallowing and gag reflexes. E. Raising the head of the bed to 30-45° for clients receiving enteral feedings.