Hesi Quiz: Communication
The nurse teaches the nursing student about considerations for administering medication in infants. Which statement by the student indicates a need for additional learning?
"I should pull the ear pinna up and back while administering eardrops."
Which response by the nurse is best when a client who has had an ST segment elevation myocardial infarction (STEMI) asks about the resumption of sexual activity?
"Sexual activities can be safely resumed after an exercise stress test with no heart symptoms."
During a prenatal visit a client who is at 36 weeks' gestation states that she is having uncomfortable, irregular contractions. Which direction would the nurse give?
"Walk around until they subside."
Which response would the nurse have for a school-age child who is fearful about a planned sterile dressing change?
"Will you help hold the package of bandages for me?"
A client receiving radiation therapy for neck cancer reports, "I feel a lump while swallowing, and foods get stuck." Which term would the nurse document in the client's medical history?
Dysphagia
The nurse is teaching dietary management to the parents of a toddler undergoing chelation therapy. Which instruction would the nurse include in the teaching?
Ensure adequate fluid intake.
Which conclusion would the nurse make when the depressed client says, "You know I'm a sorry, lazy person. I don't deserve a job"?
Has feelings of self-deprecation
A client develops thrombophlebitis in the right calf. Bed rest is prescribed, and an intravenous (IV) infusion of heparin is initiated. Which drug action will the nurse include when describing the purpose of this medication to the client?
It prevents extension of the clot.
Which instruction would the nurse give to a client who will be scheduling a mammogram?
"Each breast will be firmly compressed between 2 plates."
Which is the best response the nurse would make to a male client who is denying addiction to alcohol but says that it is his nagging wife causing him to drink?
"Everyone is responsible for his own actions."
A student in high school asks the school nurse why a classmate has been absent for so long. Which is the best response?
"I know you're concerned, but you'll need to ask your classmate for yourself."
Arrange the events of communication throughout the nursing process in chronological order.
1. Assessing the medical records and diagnostic tests 2. Intrapersonal analysis of the assessment findings 3. Documenting expected outcomes 4. Performing verbal, visual, auditory, and tactile health-teaching activities 5. Identifying the factors affecting the outcomes
Which statements made by a terminally ill client address primary goals regarding end-of-life (EOL) nursing care? Select all that apply. One, some, or all responses may be correct.
- "My living will states that I want no heroic measures to prolong life." - "Pain is a concern, so I've discussed that thoroughly with my doctor." - "I've made arrangements to spend my final days in my own home."
Which topics will the nurse include in discharge teaching for a client who has had a mitral valve replacement with a mechanical valve? Select all that apply. One, some, or all responses may be correct.
- Symptoms of infection - Use of pain medications - Purpose of anticoagulant medications
A client had a resection of an aldosterone-secreting tumor of an adrenal gland and says to the nurse, "It will be good for me to return to work soon." Based on an understanding of the problem, how would the nurse respond?
Tell the client that returning to work is possible if the client takes prescribed hormone supplements.
