NUR1460 FUNDAMENTALS HESI ATTEMPT 2 STUDY GUIDE |
QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION.
Which medications affect a patient's rapid eye movement (REM) sleep leading
to frequent waking at night and sleepiness during the day? Answer - Narcotics
Narcotics are central nervous system stimulants which cause disruption in REM
Which complications would the nurse expect to find in a patient who is on beta
blockers? Select all that apply.
Insomnia
Irritability
Drowsiness
Nightmares
Restlessness Answer - Nightmares
Insomnia
Beta blockers inhibit the effects of the adrenaline hormone and also inhibit
nighttime secretion of melatonin, a hormone involved in regulating both sleep
and the body's circadian clock.
Which order should the nurse follow when removing personal protective
equipment following a surgical procedure?
,Gloves, eyewear, gown, mask
Mask, gown, eyewear, gloves
Eyewear, gloves, gown, mask
Gown, mask, eyewear, gloves Answer - Gloves, eyewear, gown, mask
Which term is defined as a global set of concepts which describe the central
phenomena of the discipline and explains the relationship between those
concepts? Answer - Metaparadigm
Which surgeries require general anesthesia? Select all that apply.
Mastectomy
Nephrectomy
Breast biopsy
Bowel resection
Cataract surgery Answer - Mastectomy
Nephrectomy
Bowel Resection
Major surgeries require general anesthesia, and minor surgeries need local
anesthesia.
Which risks would the nurse anticipate in patients with a high red blood cell
count (RBC), hemoglobin (Hgb), and hematocrit (Hct)? Select all that apply.
Hemorrhage
Renal disease
,Polycythemia vera
Congenital heart disease
Bone marrow suppression Answer - Polycythemia vera
Congenital heart disease
Polycythemia vera is a bone marrow disorder that results in an increased
number of RBCs
With an elevated RBC count, the patient will also have an increase in Hgb and
Hct. A patient with congenital heart disease may also have an increase in RBCs,
Hgb, and Hct.
Hemorrhage, renal disease, and bone marrow suppression may result in
decreased RBC, WBC, and platelet levels in the blood, due to blood loss and
immunosuppression.
Which intellectual standard of critical thinking is the nurse following when the
plan of care for a pregnant patient is based on the knowledge of a previous
fetal loss? Select all that apply.
Logic
Fairness
Accuracy
Relevance
Significance Answer - Relevance
Significance
The nurse, following the intellectual standard of relevance, focuses on the facts
and ideas provided by the patient. The intellectual standard of significance
, involves the consideration of the most important information to prepare a care
plan or to make a conclusion.
Which patient data will the nurse consider while preparing a care plan for a
Jehovah's Witness patient?
Literacy
Preferences
Acculturation
Medical knowledge Answer - Preferences
Nurses caring for known members of the Jehovah's Witness faith community
should document patient preferences to ensure compliance with religious
beliefs during medical treatment. The patient's literacy and medical knowledge
do not influence the care process but do affect teaching. Acculturation does
not refer to patient data; it is a process of interaction and cultural exchange
between two or more cultures.
During surgery, the nurse finds that the patient has suddenly developed
hypertension, muscle rigidity, cyanosis, high fever, and tachycardia. Which
intervention is priority in this situation?
Discontinuing the anesthesia
Providing oxygen to the patient
Stopping the surgery immediately
Providing intravenous fluids to the patient Answer - Stopping the surgery
immediately
The patient's signs indicate that the patient has malignant hyperthermia.
Malignant hyperthermia is an inherited disorder that occurs with the inhalation
QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION.
Which medications affect a patient's rapid eye movement (REM) sleep leading
to frequent waking at night and sleepiness during the day? Answer - Narcotics
Narcotics are central nervous system stimulants which cause disruption in REM
Which complications would the nurse expect to find in a patient who is on beta
blockers? Select all that apply.
Insomnia
Irritability
Drowsiness
Nightmares
Restlessness Answer - Nightmares
Insomnia
Beta blockers inhibit the effects of the adrenaline hormone and also inhibit
nighttime secretion of melatonin, a hormone involved in regulating both sleep
and the body's circadian clock.
Which order should the nurse follow when removing personal protective
equipment following a surgical procedure?
,Gloves, eyewear, gown, mask
Mask, gown, eyewear, gloves
Eyewear, gloves, gown, mask
Gown, mask, eyewear, gloves Answer - Gloves, eyewear, gown, mask
Which term is defined as a global set of concepts which describe the central
phenomena of the discipline and explains the relationship between those
concepts? Answer - Metaparadigm
Which surgeries require general anesthesia? Select all that apply.
Mastectomy
Nephrectomy
Breast biopsy
Bowel resection
Cataract surgery Answer - Mastectomy
Nephrectomy
Bowel Resection
Major surgeries require general anesthesia, and minor surgeries need local
anesthesia.
Which risks would the nurse anticipate in patients with a high red blood cell
count (RBC), hemoglobin (Hgb), and hematocrit (Hct)? Select all that apply.
Hemorrhage
Renal disease
,Polycythemia vera
Congenital heart disease
Bone marrow suppression Answer - Polycythemia vera
Congenital heart disease
Polycythemia vera is a bone marrow disorder that results in an increased
number of RBCs
With an elevated RBC count, the patient will also have an increase in Hgb and
Hct. A patient with congenital heart disease may also have an increase in RBCs,
Hgb, and Hct.
Hemorrhage, renal disease, and bone marrow suppression may result in
decreased RBC, WBC, and platelet levels in the blood, due to blood loss and
immunosuppression.
Which intellectual standard of critical thinking is the nurse following when the
plan of care for a pregnant patient is based on the knowledge of a previous
fetal loss? Select all that apply.
Logic
Fairness
Accuracy
Relevance
Significance Answer - Relevance
Significance
The nurse, following the intellectual standard of relevance, focuses on the facts
and ideas provided by the patient. The intellectual standard of significance
, involves the consideration of the most important information to prepare a care
plan or to make a conclusion.
Which patient data will the nurse consider while preparing a care plan for a
Jehovah's Witness patient?
Literacy
Preferences
Acculturation
Medical knowledge Answer - Preferences
Nurses caring for known members of the Jehovah's Witness faith community
should document patient preferences to ensure compliance with religious
beliefs during medical treatment. The patient's literacy and medical knowledge
do not influence the care process but do affect teaching. Acculturation does
not refer to patient data; it is a process of interaction and cultural exchange
between two or more cultures.
During surgery, the nurse finds that the patient has suddenly developed
hypertension, muscle rigidity, cyanosis, high fever, and tachycardia. Which
intervention is priority in this situation?
Discontinuing the anesthesia
Providing oxygen to the patient
Stopping the surgery immediately
Providing intravenous fluids to the patient Answer - Stopping the surgery
immediately
The patient's signs indicate that the patient has malignant hyperthermia.
Malignant hyperthermia is an inherited disorder that occurs with the inhalation
