HESI Study Quests (from Evolve website)
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Terms in this set (50)
1.The registered nurse (RN) uses the ANS: C
mini-mental state examination Counting by 7s evaulates the ability to do simple
(MMSE) when assessing a client for calculations and is specific to the client's
admission to an assisted living attention to detail (C). (A, B, and D) are additional
facility. Which finding is the RN parts of the MMSE that evaluate orientation and
assessing when requesting the cognitive function.
client to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex
commands.
2.The registered nurse (RN) ANS: A, C
palpates a weak pedal pulse in the Diminished hair on the legs (A) and skin that is
client's right foot. Which assessment cool to touch (C) are symptoms of decreased
findings should the RN document arterial blood flow. (B, D, and E) are not
that are consistent with diminished indicators for impaired peripheral circulation.
peripheral circulation? (Select all
that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3
seconds.
E. Darkened skin on extremities.
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3.Which action should the ANS: B
registered nurse (RN) implement to When completing an assessment, the RN should
complete an assessment for a client maintain eye contact with the client (B) to gather
while using an interpreter? additional information from the client's nonverbal
A. Ask closed-ended questions with cues. (A, C, and D) do not use both verbal and
the assistance of the interpreter. nonverbal communication techniques to gather
B. Maintain eye contact with the data during an assessment.
client while listening to the
translation.
C. Instruct interpreter to answer
questions from interpreter's point of
view.
D. Protect the client's privacy by
asking a limited number of
questions.
4.A client with progressive hearing ANS: A, D, E
loss appears distressed when the (A, D, and E) are correct. A client with hearing
registered nurse (RN) asks open- loss can develop the ability to read "lips," so
ended questions about the client's facing the client during conversation (A) allows
health history. Which forms of visualization of the lips and directs the sound
communication should the RN use? towards the client. Inspection of the hearing aide
(Select all that apply.) device's functionality is a vital step in
A. Face the client so the client can communication (D). Hearing aides magnify all
see the RN's mouth. surrounding noise, so it is imperative to reduce
B. Increase one's speech volume outside environmental noise during the interview
when interacting with the client. process (E). Speaking clearly with enunciation
C. Repeat information to the client and in a regular tone is easier for a client to
if misunderstood. understand than increasing the volume of speech
D. Check if the client's hearing aides (B). If a client shows signs of confusion,
are working properly. rephrasing the question, instead of repeating (C),
Reduce environmental noise should be done to decrease client anxiety and
surrounding the client. facilitate understanding.
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5.A registered nurse (RN) is ANS: A, C, E
performing a mini-mental state (A, C, and E) are correct. Communication
examination (MMSE) for a client techniques for clients with cognitive impairments
who is being admitted to an should be simple (A), withoutenvironmental
assisted living community. Which distractions (C), and direct (E). (B) increases
communication techniques should anxiety in a client, so it is important to give the
the RN implement to decrease client time to answer a question before moving to
anxiety in the client? (Select all that the next one. (D) is the family's view of the client's
apply.) mental status and does not give the RN an
A. Use simple sentences during the objective view of the client's cognitive
examination. impairment.
B. Move to another question if the
client seems confused.
C. Reduce environmental
detractors during the examination.
D. Allow family to answer for the
client to decrease frustration.
Ask questions one at a time to
decrease confusion.
6.A Muslim male client refuses to let ANS: C
the female registered nurse (RN) Modesty is an important value in the Muslim
listen to his breath sounds during community, and Muslims are reluctant to expose
the examination. How should the any part of their body to healthcare members.
RN respond? Muslim clients are accustomed to examination by
A. Explain how the nursing skill will "same sex" healthcare providers, so (C) is the best
be performed before proceeding. solution for the client. (A and B) will not alleviate
B. Examine client with an additional the issue for the Muslim client. (D) does not allow
healthcare provider for support. a thorough exam of the client.
C. Request a male nurse or
healthcare provider to perform the
exam.
D. Avoid any skills that involve
touching the client during the exam.
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