Exit Hesi (BSN 366- V2 UPDATED ACTUAL Questions And Correct Answers
Terms in this set (160)
A 64 year-old client scheduled for surgery with a general Ask the client if the preference would be to remove the dentures in the operating
anesthetic refuses to remove a set of dentures prior to room receiving area
leaving the unit for the operating room. What would be
the most appropriate intervention by the nurse?
The nurse has been teaching adult clients about cardiac Reported behavioral changes
risks when they visit the hypertension clinic. Which form
of evaluation would best measure learning?
The nurse is planning care for an 18 month-old child. Encourage the child to feed himself finger food
Which action should be included in the child's care?
A partner is concerned because the client frequently Such fantasies can gratify unconscious wishes or prepare for anticipated future
daydreams about moving to Arizona to get away from the events
pollution and crowding in southern California. The nurse
explains that
An appropriate goal for a client with anxiety would be to Learn self-help techniques
While the nurse is administering medications to a client, "Is there a reason why you don't want to take your medicine?"
the client states "I do not want to take that medicine
today." Which of the following responses by the nurse
would be best?
While caring for a client, the nurse notes a pulsating mass Auscultate the mass
in the client's periumbilical area. Which of the following
assessments is appropriate for the nurse to perform?
A client is admitted to the hospital with a history of "Good morning. You're in the hospital. I am your nurse Elaine Jones."
confusion. The client has difficulty remembering recent
events and becomes disoriented when away from home.
Which statement would provide the best reality
orientation for this client?
The nurse is teaching the parents of a 3 month-old infant Formula or breast milk
about nutrition. What is the main source of fluids for an
infant until about 12 months of age?
The family of a 6 year-old with a fractured femur asks the Epiphyseal fractures often interrupt a child's normal growth pattern
nurse if the child's height will be affected by the injury.
Which statement is true concerning long bone fractures
in children?
, The nurse is assessing a client who states her last December 23
menstrual period was March 16, and she has missed one
period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the
nurse calculate as the estimated date of delivery (EDD)?
When screening children for scoliosis, at what time of During the preadolescent growth spurt
development would the nurse expect early signs to
appear?
A client with congestive heart failure is newly admitted to Discuss diet with the client to learn the reasons for not following the diet
home health care. The nurse discovers that the client has
not been following the prescribed diet. What would be
the most appropriate nursing action?
A client states, "People think I'm no good, you know what "I'm not sure what you mean. Tell me a bit more about that."
I mean?" Which of these responses would be most
therapeutic?
A client being treated for hypertension returns to the Noncompliance related to medication side effects
community clinic for follow up. The client says, "I know
these pills are important, but I just can't take these water
pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which
of these is the best nursing diagnosis?
When teaching effective stress management techniques Deep breathing
to a client 1 hour before surgery, which of the following
should the nurse recommend?
When observing 4 year-old children playing in the Playing cooperatively with other preschoolers
hospital playroom, what activity would the nurse expect
to see the children participating in?
The nurse is assessing a 4 month-old infant. Which motor Hold a rattle
skill would the nurse anticipate finding?
When teaching a 10 year-old child about their impending Explain the surgery using a model of the heart
heart surgery, which form of explanation meets the
developmental needs of this age child?
The parents of a child who has suddenly been Accept their feelings without judgment
hospitalized for an acute illness state that they should
have taken the child to the pediatrician earlier. Which
approach by the nurse is best when dealing with the
parents' comments?
When caring for a client who is receiving a thrombolytic Hematemesis
agent to open a clot occluded coronary artery after a
myocardial infarction, which finding would be of greatest
concern to the nurse?
Terms in this set (160)
A 64 year-old client scheduled for surgery with a general Ask the client if the preference would be to remove the dentures in the operating
anesthetic refuses to remove a set of dentures prior to room receiving area
leaving the unit for the operating room. What would be
the most appropriate intervention by the nurse?
The nurse has been teaching adult clients about cardiac Reported behavioral changes
risks when they visit the hypertension clinic. Which form
of evaluation would best measure learning?
The nurse is planning care for an 18 month-old child. Encourage the child to feed himself finger food
Which action should be included in the child's care?
A partner is concerned because the client frequently Such fantasies can gratify unconscious wishes or prepare for anticipated future
daydreams about moving to Arizona to get away from the events
pollution and crowding in southern California. The nurse
explains that
An appropriate goal for a client with anxiety would be to Learn self-help techniques
While the nurse is administering medications to a client, "Is there a reason why you don't want to take your medicine?"
the client states "I do not want to take that medicine
today." Which of the following responses by the nurse
would be best?
While caring for a client, the nurse notes a pulsating mass Auscultate the mass
in the client's periumbilical area. Which of the following
assessments is appropriate for the nurse to perform?
A client is admitted to the hospital with a history of "Good morning. You're in the hospital. I am your nurse Elaine Jones."
confusion. The client has difficulty remembering recent
events and becomes disoriented when away from home.
Which statement would provide the best reality
orientation for this client?
The nurse is teaching the parents of a 3 month-old infant Formula or breast milk
about nutrition. What is the main source of fluids for an
infant until about 12 months of age?
The family of a 6 year-old with a fractured femur asks the Epiphyseal fractures often interrupt a child's normal growth pattern
nurse if the child's height will be affected by the injury.
Which statement is true concerning long bone fractures
in children?
, The nurse is assessing a client who states her last December 23
menstrual period was March 16, and she has missed one
period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the
nurse calculate as the estimated date of delivery (EDD)?
When screening children for scoliosis, at what time of During the preadolescent growth spurt
development would the nurse expect early signs to
appear?
A client with congestive heart failure is newly admitted to Discuss diet with the client to learn the reasons for not following the diet
home health care. The nurse discovers that the client has
not been following the prescribed diet. What would be
the most appropriate nursing action?
A client states, "People think I'm no good, you know what "I'm not sure what you mean. Tell me a bit more about that."
I mean?" Which of these responses would be most
therapeutic?
A client being treated for hypertension returns to the Noncompliance related to medication side effects
community clinic for follow up. The client says, "I know
these pills are important, but I just can't take these water
pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which
of these is the best nursing diagnosis?
When teaching effective stress management techniques Deep breathing
to a client 1 hour before surgery, which of the following
should the nurse recommend?
When observing 4 year-old children playing in the Playing cooperatively with other preschoolers
hospital playroom, what activity would the nurse expect
to see the children participating in?
The nurse is assessing a 4 month-old infant. Which motor Hold a rattle
skill would the nurse anticipate finding?
When teaching a 10 year-old child about their impending Explain the surgery using a model of the heart
heart surgery, which form of explanation meets the
developmental needs of this age child?
The parents of a child who has suddenly been Accept their feelings without judgment
hospitalized for an acute illness state that they should
have taken the child to the pediatrician earlier. Which
approach by the nurse is best when dealing with the
parents' comments?
When caring for a client who is receiving a thrombolytic Hematemesis
agent to open a clot occluded coronary artery after a
myocardial infarction, which finding would be of greatest
concern to the nurse?
