HESI Prework questions funds
Ararnge the order of critical thinking tasks for an existing problem. 1. Recognizing the existing issue 2. Evaluating the information 3. Analyzing information about the issue 4. Making a conclusion
1, 3, 2, 4
Arrange these fine motor skills in ascending order as the infant develops them. 1. Displays reflexive grasp 2. Looks at and plays with finger 3. Uses pincer grasp 4. Bangs objects together 5. Pulls feet to the mouth 6. Places objects into containers
1,2,5,4,3,6
Arrange the stages of life in Erikson's theory os psychosocial development in the correct order. 1. Intimacy versus isolation 2. Trust versus mistrust 3. Identity versus role confusion 4. Industry versus inferiority 5. Initiative versus guilt 6. Autonomy versus a sense of shame and doubt
2,6,5,4,3,1
Place the steps of the nursing process in the correct order 1. plan the care by determining priorities, goals, and expected outcomes of care 2. evaluate the effects of the nursing interventions performed 3. define the nursing diagnoses or collaborative problems clearly 4. identify the client's health care needs by collecting subjective and objective data 5. perfoem the nursing interventions competently
4, 3, 1, 5, 2
A clent who is in the advances stages of illness asks the nurse to contact pastoral services for support. According to the Macmillan model, which is the correct nursing intervention in this situation A. immediately involve pastoral services while caring for the client B. involve the family member in the client's care instead of pastoral support C. listen to the client's request for support and the cnarry on with the clinical work D. falsely promise that pastoral services has been contacted and plan to see the client
A
A client has been placing used insulin needles in a container sealed with heavy duty tape. where would the nurse tell the client to dispose of the container A. the local hazardous waste collection site B. the regular household trash C. the local health department for dispsal D. the environmental protection agency through the mail
A
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. A. Sit down quietly next to the bed and allow the client to cry B. Pull the curtain and leave the room to provide privacy for the client C. Explain to the client that these feelings are expected and they will pass with time D. Observe the length of time the client cries and document the client's difficulty in accepting impending death
A
A client is discussing with the nurse concerns about their unhealthy family relationships. During the nurse client interaction the client begins to talk also about a job problem. the nurse's response is "lets go back to what we were just talking about". which therapeutic communication technique did the nurse use A. focusing B. restating C. exploring D. accepting
A
A client is likely to undergo reconstructive surgery for which purpose A. to restore function and or appearance B. to replace an organ or tissue C. to relieve or reduce symtpoms D. to remove or excise an organ or tissue
A
A client who wakes up after surgery spits out the oral airway placed during the recovery from anesthesia. what would this behavior indicate to the nurse A. their gag reflex has returned B. they are confused due to anesthesia C. they are nauseated and want to vomit D. their airway is becoming obstructed
A
A spanish-speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client A. contact an interpreter provided by the hospital B. contact the client's family member to translate for the client C. communicate with the client using spanish phrases the nurse learned in a college course D. commmunicate with the client with the use of a hospital-approved spanish dictionary
A
At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter A. tubing injection port B. dital end of tubing C. urinary drainage baf D. catherter insertion site
A
How can the nurse evaluate the effectiveness of communication with a client A. client feedback B. medical assessments C. health care team conferences D. client's physiological responses
A
The clinet is on neutropenic precautions. From which direction does the protective environment isolation help prevent the spread of infection A. to the client from outside sources B. from the client to others C. from the client by using special techniques to destroy infectious fluids and secretions D. to the client by using special sterilization techniques for linens and personal items
A
The nurse is assessing a child who is accompanied by a parent and a stepbrother. which kind of family does this child belong to A. blended family B. extended family C. alternative family D. single parent family
A
The nurse is caring for a 2 day post surgery hip replacement client who has had a bowel movement. Which nursing intervention would the nurse perform next A. provide perineal care B. turn and position the client C. give a complete bed bath D. document the bowel movement
A
The nurse is discussing discharge plans with a client, the client states " im worried about going home". the nurse responds, " tell me more about this". which interviewing technique did the nurse use A. exploring B. reflecting C. refocusing D. acknowledging
A
The nurse is teaching unlicensed assistant personnel about ways to prevent the spread of infection. the nurse decides to emphasize the need to break the cycle of infection. which teaching would be priority A. hand washing before and after providing client care B. cleaning all equipment with an approved disinfectant after use C. wearing personal protective equipemtn when providing client care D. using medical and surgical aseptic techniques at all times
A
The nurse on the med surg unit tells other staff members, "that client can just wait for the lorazepam; I get so annoyed when people drink too much:". which does this nurse's comment reflect A. demonstration of a personal bias B. problem solving based on assessment C. determination of client acuity to set priorities D. consideration of the complexity of client care
A
The nursing student is learning about the realms of family life. which component would be included while learning about integrity processes A. family rituals B. family relationships C. family life stressors and daily hassles D. family care takings and responsibilities
A
To ensure client and visitor safety during transport of a client with influenza A for a computed tomography, the nurse would take which precaution A. place a surgicl mask on the client B. utilize only standard precautions C. minimize close physical contact D. cover the client's legs with a blanket
A
When a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction A. circulating nurse B. surgical assistant C. registered nurse first assistant D. certified registered nurse anesthetist
A
When a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction? A. Circulating nurse B. Surgical assistant C. Registered nurse first assistant D. Certified registered nurse anesthetist
A
When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration A. elevate the head of the bed between 30 and 45 degrees B. decrease flow rate at night C. check for residual daily D. irrigate regularly with warm tap water
A
Which action made by the client indicates that the client is in the precontemplation stage of the transtheoretical model of change A. refuses to think about changing B. intends to change in the next 60 days C. sustains the changed action for 6 months D. recognizes the advantages of the change
A
Which approach is a comforting approach that communicates concern and support A. touch B. listening C. knowing the client D. providing a positive presence
A
Which critical thinking skill will help a nurse avoid making assumptions about a client A. analysis B. inference C. evaluation D. explanation
A
Which intervention reflects the nurse's approach of "famiy as a context"? A. Working to make the client comfortable B. Evaluating the client family's coping skills C. Determining the client family's energy level D. Trying to meet the client family's nutritional needs
A
Which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client A. attempt to identify the client's concerns B. reassure the client that the surgery is routine C. report the client's anxiety to the health care provider D. Provide privacy by pulling the curtain around the client
A
Which nurse collaborates with the client to establish and implement a basic plan of care on admission A. primary nurse B. nurse clinician C. nurse coordinator D. clinical nurse specialist
A
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
Which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis? A. Planning B. Evaluation C. Assessment D. Implementation
A
Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to self A. focusing B. clarifying C. paraphrasing D. summarizing
A
Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to self? A. Focusing B. Clarifying C. Paraphrasing D. Summarizing
A
Which type of functional health pattern describes values and goals A. value belief pattern B. role relationship pattern C. self perception self concept pattern D. health perception health management pattern
A
Which would the nurse consider to be the center of decision making when providing client care A. ethics B. nursing skills C. analytical skills D. research based practice
A
the nurse assess bilateral +4 peripheral edema while assessing a client with heart failure and peripheral vascular disease. which is the pathophysiological reason for the excessive edema A. shift of fluid into the interstitial spaces B. weakening of the cell wall C. increased intravascular compliance D. increased intracellular fluid volume
A
the nurse should take which infection control measures when caring for a client admitted with a tentative diagnoses of infectious pulmonary tuberculosis A. Don an N95 respirator mask before entering the room B. put on a permeable gown each time before entering the room C. implement contact precautions and post appropriate signage D. after finishing with client care, remove the gown first and then remove the gloves
A
the nursing student is learning about the realms of family life. which component would be included while learning about integrity processes A. family rituals B. family relationships C. family life stressors and daily hassles D. family care taking and responsibilities
A
which is the most important nursing action involved in caring for a client receiving medications A. administering the medications B. teaching about the medications C. ensuring adherence to the medication regimen D . evaluaing the client's ability to self-administer medications
A
which nursing action would be considered a part of self-regulation in the decision-making process A. reflecting on one's own experiences B. looking at all situations objectively C. supporting findings and conclusions D. making careful assumptions about a client's information
A
which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis A. planning B. evalutation C. assessment D. implementation
A
Which workers would the nurse consider to be at high risk of developing dermatitis. select all that apply A. dry cleaners B. dye workers C. lathe operators D. hospital workers E. agricultural workers
A and B
Which fine motor skills may be observed in an 8-10 month old infant. select all that apply A. using pincer grasp well B. picking up small objects C. showing hand preference D. crawling on the hands and knees E. pulling oneself to standing or sitting
A, B, C
Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy. select all that apply A. interventions to restore tissue integrity B. interventions to optimize neurological functions C. interventions to manage restricted body movements D. interventions to promote comfort using psychosocial techniques E. interventions to provide care before, during, and immediately after surgery
A, B, E
Which physiological changes are expected during the first trimester of pregnancy. select all that apply A. fatigue B. increased libido C. morning sickness D. breast enlargement E. braxton hicks contractions
A, C, D
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 A. activate the alarm B. Alert the local fire department C. remove all clients from the are D. evaluate all interventions provided E. release the pin in the fire extinguisher F. confine the fire by closing doors and windows
A, C, F
Which disease process places a client at increased risk for infection A. leukemia B. Lymphoma C. emphysema D. schizophrenia E. osteoarthritis
A,B,C
Which factor(s) increase(s) the risk of nurses making medication errors in the health care setting. select all that apply A. stress B. fatigue C. overwork D. equipment malfunction E. increased documentation
A,B,C
Which fine motor skills may be observed in an 8- to 10-month-old infant? Select all that apply. A. Using pincer grasp well B. Picking up small objects C. Showing hand preference D. Crawling on hands and knees E. Pulling oneself to standing or sitting
A,B,C
Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct. A. Lifestyle B. Occupation C. Chronic diseases D. Frequent traveling E. Diagnostic procedures
A,B,D
Which physiological changes are expected during the first trimester of pregnancy? Select all that apply. A. Fatigue B. Increased libido C. Morning sickness D. Breast enlargement E. Braxton Hicks contractions
A,C,D
Which goals of care are associated with the family health system model? Select all that apply. One, some, or all responses may be correct. A. Improving family health or well-being B. Preparing for family transitions later in life C. Providing assistance in family management of illnesses D. Promoting positive family behaviors to achieve essential tasks E. Achieving health outcomes related to the family's areas of concern
A,C,E
Which information must be clearly described in the medication administration record before administering a medication. select all that apply A. dosage and route B. client's full name C. time to be adminstered D. frequency of administration E. full name of prescribed medicine
All
Which of these is an ethical issue related to the long-term care setting? select all that apply A. guardianship B. power of attorney C. advance directives D. responsible party designation E. DNR orders F. adherence to a patient's bill of rights
All of the above
A client with a diagnoses of malabsorption syndrome exhibits a symptom of spastic muscle spasms. which electrolye is responsible for this symptom A. sodium B. calcium C. potassium D. phosporus
B
A client with dementia is confused about what day it is. which statement made by the nurse is an example of validation therapy A. no try to be in your sense of reality B. yes today is the day that you just mentioned C. you should try improving your awareness level D. try to recall your past memories associated with the day
B
During a home visit, the nurse finds that a health older adult person is actively practicing laughing therapy t maintain good health without pressure or insistence from family members. which interference about the client would the nurse make from these findings A. not motivated B. intrinsically motivated C. extrinsically motivated with self-determination D. extrinsically motivated without self-determinatino
B
The advanced practice registered nurse is caring for a pregnant woman ready to deliver. Which type of APRN would care for this client A. Clinical nurse specialist B. certified nurse midwife C. certified nurse practitioner D. certified registered nurse anesthetist
B
The new nurse is approached by a surbeyor from the department of health. the surveyor asks the nurse about the best way to prevent the spread of infection .which answer by the nurse is correct A. let me get my preceptor B. wash your hands before and after any client care C. clean all instruments and work surfaces with an approved disinfectant D. ensure proper disposal of all items contaminated with blood or bodily fluids
B
The nurse changes a dressing on a client's wound with VRE. which step would the nurse take to ensure proper disposal of the soiled dressing A. place the dressing in the bedside trashcan B. place the dressing in a red bag/ hazardous materials bag C. contact environmental services personnel to pick up the dressing D. transport the dressing to the laboratory to be places in the incinerator
B
The nurse is caring for a client before, during, and immediately after surgey. Which type of care is provided to the client A. care that supports physical functioning B. care that supports homeostatic regulation C. care that supports psychosocial functioning D. care that provides immediate short term help in physiological crises
B
The nurse is providing restraint education to a group of nursing students. which reason to use restraints is incrrect to teach A. to prevent a confused client from pulling out an intravenous line B. to prevent an adult client from getting up at night when there is insufficient staffing on the unit C. to maintain immobilization of a client's leg to prevent dislodging a skin graft D. to keep an older adult client from falling out of bed after a surgical procedure
B
The nurse records the client's weight and BMI at a healthy range, but the client states, " I wish I were as thin as my coworkers" which culturally bound condition is the client at risk for developing A. Neurasthenia B. Anorexia nervosa C. shenjing shuairuo D. Ataque de nervios
B
The nurse should expect to take which action to help alleviate anxiety for a client scheduled for a colostomy? A. Administer the prescribed as-needed (PRN) sedative B. Encourage the client to express feelings C. Explain the postprocedure course of treatment D. Reassure the client that there are others with this problem
B
When teaching a health promotion class at a retirement home, which information would the nurse include about ways to decrease infection in older adults A. use handkerchiefs B. Obtain flu vaccinations C. decrease dietary protein D. Limit daily activity
B
Which caring process is defined as "facilitating the othe's passage through life transitions and unfamiliar events" according to Swanson's theory of caring A. knowing B. Enabling C. doing for D. being with
B
Which cation regulates intracellular osmolarity A. sodium B. potassium C. calcium D. calcitonin
B
Which critical thinking skill refers to the use of knowledge and experience to choose effective strategies for client care A. evaluation B. explanation C. interpretation D. self regulation
B
Which critical thinking skill refers to the use of knowledge and experience to choose effective strategies for client care? A. Evaluation B. Explanation C. Interpretation D. Self-regulation
B
Which description of family centered care is correct A. the nursing care is focused on the client as an individual B. a collaborative plan of care is developed to achieve optimal health C. the health care provider is the expert in developing a plan of care D. the nursing care is based soelly on standards of practice
B
Which factor is consistent with the relevance strategy of the motivational learning model proposed by Keller A. extrinsic and intrinsic reinforcements are needed for any learning effort B. linking the person's needs, interests, and motives is important for learning C. arousing and sustaining a person's curiosity and interest in learning is crucial D. having positive hope for succesfula chievements is a result of learning
B
Which intervention improves client satisfaction A. recording the vital signs and leaving the room B. adjusting the bed and asking if the client is comfortable C. leaving the door of the room open while attending to the client D. telling the client that the primary health care provider will visit soon
B
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 the client at the bedside D. to unite the strategic direction of the organization
B
Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain A. ambulation B. repositioning C. pursed lip breathing D. deep breathing and coughing
B
Which stage of Piaget's theory of cognitive development would the nurse observe in a preschooler A. sensorimotor B. preoperational C. formal operations D. concreate operations
B
Which statement defines the term "family resiliency" A. each family is unique B. the family has an ability to cope with stressors C. an interfamilial structure and support system exist D. the family has the ability to transcend lifestyle changes
B
Which therapuetic communication technique is a coping strategy to help the nurse and client adjust to stress A. sharing hope B. sharing humor C. sharing empathy D. sharing observations
B
the nurse teaches a client about wearing thigh-high antiembolism elastic stockings. which instruction would be correct to include A. you do not need to wear them while you are awake, but it is important to wear them at night B. you will need to apply them in the morning beefore you lower your legs from the bed to the floor C. if they bother you, you can roll them down to your knees while you are resting or sitting down D. you can apply them either in the morning or at bedtime, but only after the legs are lowered to the floor
B
Arrange in order the items of personal protection equipment removed after seeing a client in droplet precautions A. gown B. gloves C. face shield D. mask
B, C, A, D
Which principal components are associated with the nurse's time management skills. select all that apply A. autonomy B. goal setting C. priority setting D. interruption control E. right communication
B, C, D
Which psychophysiological factors influence communicaton between the nurse and a client. select al that apply A. privacy level B. emotional status C. information exchange D. level of caring expressed E. growth and development
B, E
After reviewing a client's reports, the primary health care provider suggest palliative care for the client. Which conditions would qualify the client for this type of care. select all that apply A. peptic ulcer disease B. chronic renal failure C. appendicitis D. congestive heart failure E. chronic obstructive lung disease
B,D,E
Which psychological factors influence communication between the nurse and a client? Select all that apply A. Privacy level B. Emotional status C. Information exchange D. Level of caring expressed E. Growth and development
B,E
A client is receiving a transfusion of packed RBCs. which solution would the nurse use to prime the blood intravenous tubing A. lactated ringer solution B. 5% dextrose and water C. .9% normal saline D. .45% normal saline
C
A client on hospice care is receiving palliative treatment. which is the goal of palliative care for this client A. restore the client's health B. promote the client's recovery C. relieve the client's discomfort D. support the client's significant others
C
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. Im sure everything will come out all right" Which conclusion would the nurse make about the nursing assistant's answer A. it shows empathy B. It uses distraction C. it gives false reassurance D. It makes a value judgment
C
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 A. provide informatino to the family members about getting a second opinion B. suggest that the family members continue to try different treatments C. encourage the family members to provide palliative care to the client D. inform the family members that the disease is no longer curable and the client will die shortly
C
A client with cystic fibrosis asks why the percussion procedure is being performed. which rational would the nurse give to the client A. it relieves bronchial spasms B. it increases the depth of respirations C. it loosens pulmonary secretions D. it expels carbon dioxide from the lungs
C
A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents". from this informaiton, which culture would the nurse infer that the new mother belongs to A. asian B. african C. north american D. latin american
C
A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate? a. "Hospital policies should put a stop to this." b. "Everyone should conform to the prevailing culture." c. "Nontraditional approaches to health care can be beneficial." d. "You are right because they may have a negative impact on people's health."
C
An older adult is experiencing emotional stress after a recent surgery. which intervention would be most appropriate for the client A. touch B. reminiscence C. reality orientation D. validation therapy
C
How would the nurse prevent footdrop in a client with a leg dressing A. encourage complete bed rest to promote healing of the leg B. place the foot in traction C. support the foot with 90 degrees of flexion D. place an elastic stocking on the foot to provide support
C
The nurse has provided discharge instructions to a client who received a prescription for a walker. the nurse determines that the teaching has been effective when the client does which A. picks up the walker and carries it for short distances B. uses the walker only when someone else is present C. moves the walker no more than 2 feet during use D. states that a walker will be purchases on the way home from the hospital
C
The nurse has provided instructions about back safety to a client. Which statement by the client indicates understanding of these instructions A. i will bend using my back to lift objects B. I will sleep on my stomach with a firm mattress C. I will carry objects close to my body D. I will pull rather than push when moving heavy objects
C
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
The nurse is caring for a client admitted with chronic obstructie pulmonary disease (COPD). which laboratory test would the nurse monitor for hypoxia A. red blood cell count B. sputum culture C. arterial blood gas D. hemoglobin
C
The nurse is caring for a client who has an implanted port. How often would the nurse change the noncoring needle A. every 3 days B. every 5 days C. every 7 days D. every 9 days
C
The nurse is preparing and intraoperative care plan for a client. Which intervention would be excluded from the care plan? A. Ensuring the client's skin integrity B. Reiewing the preoperative instructions C. Administering a general anesthetic to the client D. Placing the client in the correct position on the operating table
C
The registered nurse (RN) instructs a nursing student to use knowledge and experience to choose proper strategies when caring for clients. Which critical-thinking skill would the RN be explaining? A. Analysis B. Evaluation C. Explanation D. Interpretation
C
To prevent thrombophlebitis in the immediate postoperative period, which action is important for the nurse to include in the client's plan of care A. increase fluid intake B. restrict fluids C. encourage early mobility D. elevate the foot of the bed
C
When monitoring a client 24-48 hours after abdominal surgery, the nurse would assess for which problem associated with anesthetic agents A. colitis B. stomatitis C. paralytic ileus D. gastroesophageal reflux
C
Which action would the nurse take to decrease the risk of transmission of vancomycin-resistant enterococci (VRE) A. insert a urinary catheter B. initaiate droplet precautions C. move the client to a private room D. use a high-efficiency particulate air (HEPA) respirator during care
C
Which behavioral characteristic, according to temperament theory, is demonstrated by a slow to warm up child A. highly active B. irritable and ireegular in habits C. negative reaction to new stimuli D. a positive mild to moderately intense mood
C
Which component of ethical decision making refers to the dutires and activities the nurse is employed to perform A. authority B. Autonomy C. responsibility D. accountability
C
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
Which critical thinking skill in nursing practice requires the nurse to possess knowlege and experience for choosing care strategies for clients? A. Analysis B. Inference C. Explanation D. Interpretation
C
Which definition is involved in the caring process called knowing, according to Swanson's theory of caring A. being emotionally present for the other B. sustaining faith in the other's capacity to get through an event C. striving to understand an event as it has meaning in the life of the other D. fascilitating the other's passage through life transitions and unfamiliar events
C
Which documentation is most informative for an assessment of drainage on a surgical dressing A. moderate amount of drainage B. no change in drainage since yesterday C. A 10 mm diameter area of drainage at 1900 D. drainage is doubled in size since last dressing change
C
Which is the most therapeutic response by the nurse to a client who is joking about dying A. why are you always laughing B. your laughter is a cover for your fear C. does it help to joke about your illness D. the person who laughs on the outside cries on the inside
C
Which nursing intervention is correct for a clietn with venous insufficiency A. apply abdominal binder as needed B. remove compression stockings for client ambulation C. elevate the client's legs above heart level D. keep the upper extremities elevated
C
Which percentage do health behaviors such as physical activity and diet contribute to health outcomes according to the Robert Wood Johnson Foundation County Health Rankings model A. 10 B. 20 C. 30 D. 40
C
Which psychosocial health concern involves accepting descriptive statements stated by a confused older client A. reminiscence B. reality orientation C. validation therapy D. therapeutic communication
C
Which psychosocial health concern involves accepting descriptive statements stated by a confused older client? A. Reminiscence B. Reality orientation C. Validation therapy D. Therapeutic communication
C
Whihc should the nurse include when teaching a client with Clostridium difficile about decreasing the risk of transmission to family members A. increase fluid intake B. eat a high fiber diet C. use soap and water for hand washing D. wash hands with an alcohol based hand sanitizer
C
the nurse is preparing an intraoperative care plan for a client. which intervention would be excluded from the care plan A. ensuring the client's skin integrity B. reviewing the preoperative instructions C. administering a general anesthetic to the client D. placing the client in the correct position on the operating table
C
the registered nurse instructs a nursing student to use knowledge and experieicne to choose proper strategies when caring for clients. which critical thinking skill would the RN be explaining A. analysis B. evaluation C. explanation D. interpretation
C
Which interventions would the nurse perform while caring for an actively dying client. select all that apply A. admit the client in hospice care B. perform aggressive laboratory tests C. provide client and family reassurance D. keep the client undisturbed for long periods of time E. offer symptom management to the client
C and E
Arrange these fine motor skills in ascending order as the infant develops them A. pulls feet to the mouth B. looks at and plays with fingers C. displays reflexive grasp D. uses pincer grasp E. bangs objects together F. places objects into containers
C, B, A, E, D, F
Arrange the stages of Freud's psychoanalytical model of personality development in the correct order A. phallic or oedipal B. latency C. oral D. genital E. anal
C, E, A, B, D
Arrange the stages of life in Erikson's Theory of psychosocial development in the correct order A. identity versus role confusion B. initiative versus guilt C. trust versus mistrust D. industry versus inferiority E. intimicay versue isolation F. autonomy verses a sense of shame and doubt
C, F, B, D, A, E
A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. which type of room would the nurse assign this client A. private room B. semiprivate room C. room with windows that can be opened D. negative airflow room
D
A client is being admitted to a medical unit with a diagnosis of pulnonary tuberculosis. Which type of room would the nurse assign this client? A. Private room B. Semiprivate room C. Room with windows that can be opened D. Negative-airflow room
D
A client is dying. Hesitantly, his wife says to the nurse, "I'd like to tell him how much i love him, but I don't want to upset him". which is the correct response by the nurse A. you must keep up a strong appearance for him B. I think he'd have difficulty dealing with thtat now C. don't you think he knows that without you telling him D. You should share your feelings with him while you can
D
Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against medical advice. which is it important for the nurse to explain to the client A. the client is acting irresponsibly B. this action violates the hospital policy C. the client must obtain a new primary health care provider for future medical needs D. the client must accept full responsibility for possile undersireable outcomes
D
The home health care nurse visits a client who lives with two grandchildren. Which term would the nurse use to define this family form A. nuclear family B. extended family C. single parent family D. skip generation family
D
The nurse creates a plan of care for a client with a risk of infection. Which is the desirable expected outcome for the client A. all nursing functions will be completed by discharge B. All invasive intravenous lines will remain patent C. The clent will remain awake, alert, and oriented at all times D. The client will be free of signs and sympyoms of infection by discharge
D
The nurse in the health clinic is counseling a college student who recently was diagnosed with asthma. Which aspect of counseling would the nurse focus on A. teaching how to make a room allergy free B. referring to a support group for individuals with asthma C. arranging with the college to ensure a speedy return to classes D. evaluating whether the necessary lifestyle changes are understoof
D
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? A. Family in later life B. Family with adolescents C. Unattached young adult D. Launching children and moving on
D
The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classificatino would this infection belong to A. primary B. secondary C. superinfection D. nosocomial
D
The nurse is developing a plan of care for the client who has activity intolerance. Which intervention would the nurse do to obtain the desired client outcomes A. prioritize psychosocial needs over physical needs B. use the nursing outcomes classification only C. use nursing knowledge to plan outcomes and disregard client and family desires D. set priorities and outcomes using the client's and family input
D
The nurse is helping a client and the family to set and meet goals. which professional role is the nurse displaying A. educator B. avocate C. manager D. caregiver
D
The nurse is performing nursing care therapies and including the client as an active participant in the care. which step in the nursing process is involved in this situation A. planning B. evaluation C. assessment D. implementation
D
The nurse is reviewing a client's plan of care. which is the determining factor in the revision of the plan A. time available for care B. validity of the problem C. method for providing care D. effectiveness of the interventions
D
The nurse would instruct a client with type 1 diabetes to dispose of a used syringe in which container A. bubble wrap/packing wrap B. a garbage bag in the trash can C. a cardboard box with a firmly secured lid D. a plastic liquid detergent bottle with a screw-top lid
D
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 the client to extend the legs and remain still during the procedure C. have both nurses shift their weight from the front leg to the bacl 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
Which action indicates that the nurse is actively listening to the client A. stating personal opinions when the client is speaking B. refraining from telling personal stories to the client C. reading the client's health record during the conversation D. interpreting what the client is saying and restating it for clarification
D
Which activity can be performed by inants aged 6 to 8 months? A. Holding a crayon B. Showing hand preference C. Placing objects into containers D. Transfering objects from hand to hand
D
Which activity demonstrates fine motor skills in infants aged 2 to 4 months? A. Turning from side to back B. Sitting erect using support C. Showing gooed head control D. Bringing objects from hand to mouth
D
Which caring interention helps provide comfort, dignity, respect, and peace to a client? A. Listening B. Spiritual presence C. Providing presence D. Relieving pain and suffering
D
Which caring intervention helps provide comfort, dignity, respect, and peace to a client A. listening B. spiritual caring C. providing presence D. relieving pain and suffering
D
Which concept refers to respecting the rights of others A. maturity B. systematicity C. inquisitiveness D. open mindedness
D
Which concept refers to respecting the rights of others? A. Maturity B. Systematicity C. Inquisitiveness D. Open-mindedness
D
Which critical thinking skill demonstrates maturity in the nurse A. eagerness to acquire knowledge B. being tolerant of different views C. trust in own reasoning processess D. ability to reflect on own judgments
D
Which is the most important skill of the nurse leader A. priority setting B. Time management C. clinical decision making D. Clinical care coordination
D
Which key factor would the nurse consider when assessing how a client wil cope with body image changes A. sudddenness of the change B. obviousness of the change C. extent of the change D. perception of the change
D
Which nursing process involved delegation and verbal discussion with the health care team? A. Planning B. Evaluation C. Assessment D. Implementation
D
Which nursing process involves delegation and verbal discussion with the health care team A. planning B. evaluation C. assessment D. implementation
D
Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee A. right task B. right person C. right supervision D. right communication
D
Which skill in critical thinking requires the nurse to be orderly in data collection A. analysis B. inference C. evaluation D. interpretation
D
Which skill in critical thinking requires the nurse to be orderly in data collection? A. Analysis B. Inference C. Evaluation D. Interpretation
D
Which statement is true about the nursing model of team nursing A. the registered nurse is responsible for all aspects of client care B. client care can be delegated to other members of the health care team C. the registered nurse works directly with the client, family members, and health care team members D. hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members
D
Which statement is true for attachment in the newborn A. attachment occurs over the first 28 days B. attachment begins in the first week of birth C. attachment is the overlapping of soft skull bones D. attachment is the interaction betweeen parent and child
D
after a below the knee amputation, a client is refusing to eat, talk, or perform an rehabilitative activities. which approach would the nurse take when interacting with this client A. explain why there is a need to increase activity B. emphasize that with a prosthesis, there will be a return to the previous lifestyle C. appear cheerful and noncritical regardless of the client's response to attempts at intervention D. acknowledge that the client's withdrawal is an expected and necessary part of initial grieving
D
the nurse applies a cold pack to relieve musculoskeletal pain. which rationale explains the analgesic properties of cold therapy A. promootes analgesia and circulation B. numbs the nerves and dilates the blood vessels C. promotes circulation and reduces muscle spasms D. causes local vasoconstriction, preventing edema and muscle spasms
D
to ensure the safety of a client who is receivinng a continuous intravenous normal saline infusion, the nurse would change the administration set how often A. every 4-8 hr B. every 12-24 hr C. every 24-48 hr D. every 72-96 hr
D
which activity demonstrates fine motor skills in infants aged 2-4 months A. turning from side to back B. sitting erect using support C. showing good head control D. bringing objects from hand to mouth
D
which potential health problem would the nurse include in the young adult's discharge teaching A. kidney dysfunction B. cardiovascular diseases C. Eye problems, such as glaucoma D. accidents, including their prevention
D
Which theories are relevant only to development in adults. select all that apply A. Piaget's theory B. Erikson's theory C. Kohlberg's theory D. Stage-Crisis theory E. Life span approach
D and E
Why would the nurse establish "moderately hard" client centered goals. select all that apply A. to decrease the cost of treatment during therapy B. to decrease the number of follow up visits by the client C. to achieve the goal in a shorter period of time with less effort D. to prevent the client from quitting before the goal is achieved E. to prevent the client from losing motivation toward achieving the goal
D, E
Arrange the steps involved in the evidence based practice process in the correct order A. collect the most relevant and best evidence. B. share the outcomes of evidence based practice. C. evaluate the practice decision or change D. critically appraise the evidence you gather E. ask a clinical question F. integrate all evidence with one's clinical expertise and client preferences to make a practical decision
E, A, D, F, C, B
Which of these is an ethical issue related to the long-term care setting? Select all that apply. One, some, or all responses may be correct. A. Guardianship B. Power of attorney C. Advance directives D. Responsible party designation E. DNR orders F. Adherence to a patient's bill of rights
all