RN Hesi Health Assessment Exam
Health Assessment Hesi Exam Preparation
Test Bank 3 Latest with a Review of 280
Evolve Questions and Correct Answers / Evolve
Hesi Health Assessment Exam Prep Test Bank
3 (New!)
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's
next steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
A+ TEST BANK 1
, RN Hesi Health Assessment Exam
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
E.
Call the client's clergy member to make the final decisions for the client. –
Correct Answer :B, D
Rationale:
A living will is one type of advance directive. The living will outlines the medical treatment the
client elects in the event that the client is no longer able to participate in the decision-making
process. As long as the client has capacity, the client is the sole determinant for the AD. While
a living will describes the wishes of the client, it does not have to be obtained from the
physician. Clients may be assisted by the social work staff. The forms can be completed
outside of a medical facility and it is the client's responsibility to provide a copy of the AD to all
health care providers.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. –
A+ TEST BANK 2
, RN Hesi Health Assessment Exam
Correct Answer :C
Rationale:
It is the surgeon's responsibility to explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure
must first be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit is signed.
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which nursing action is best for this client?
A.
Encourage the client to use a nicotine patch.
B.
Reassure the client that it is almost time for another break.
C.
Have the client leave the unit with another staff member.
D.
Review the schedule of outdoor breaks with the client. –
Correct Answer :D
Rationale:
The best nursing action is to review the schedule of outdoor breaks and provide concrete
information about the schedule. Option A is contraindicated if the client wants to continue
A+ TEST BANK 3
, RN Hesi Health Assessment Exam
smoking. Option B is insufficient to encourage a trusting relationship with the client. Option C
is preferential for this client only and is inconsistent with unit rules.
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
C.
Determine the frequency of sexual intercourse.
D.
Ask the client to talk about specific concerns. –
Correct Answer :D
Rationale:
Option D provides an opportunity for the client to verbalize concerns and provides the nurse
with more assessment data. Options A and B may not be related to the current concern,
assume that obesity is the problem, and are communication blocks. Option C may be
appropriate after discussing the stated concerns.
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the mother,
"What is your child playing with now?" Which response indicates to the nurse that further
teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
A+ TEST BANK 4
Health Assessment Hesi Exam Preparation
Test Bank 3 Latest with a Review of 280
Evolve Questions and Correct Answers / Evolve
Hesi Health Assessment Exam Prep Test Bank
3 (New!)
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's
next steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
A+ TEST BANK 1
, RN Hesi Health Assessment Exam
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
E.
Call the client's clergy member to make the final decisions for the client. –
Correct Answer :B, D
Rationale:
A living will is one type of advance directive. The living will outlines the medical treatment the
client elects in the event that the client is no longer able to participate in the decision-making
process. As long as the client has capacity, the client is the sole determinant for the AD. While
a living will describes the wishes of the client, it does not have to be obtained from the
physician. Clients may be assisted by the social work staff. The forms can be completed
outside of a medical facility and it is the client's responsibility to provide a copy of the AD to all
health care providers.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. –
A+ TEST BANK 2
, RN Hesi Health Assessment Exam
Correct Answer :C
Rationale:
It is the surgeon's responsibility to explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure
must first be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit is signed.
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which nursing action is best for this client?
A.
Encourage the client to use a nicotine patch.
B.
Reassure the client that it is almost time for another break.
C.
Have the client leave the unit with another staff member.
D.
Review the schedule of outdoor breaks with the client. –
Correct Answer :D
Rationale:
The best nursing action is to review the schedule of outdoor breaks and provide concrete
information about the schedule. Option A is contraindicated if the client wants to continue
A+ TEST BANK 3
, RN Hesi Health Assessment Exam
smoking. Option B is insufficient to encourage a trusting relationship with the client. Option C
is preferential for this client only and is inconsistent with unit rules.
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
C.
Determine the frequency of sexual intercourse.
D.
Ask the client to talk about specific concerns. –
Correct Answer :D
Rationale:
Option D provides an opportunity for the client to verbalize concerns and provides the nurse
with more assessment data. Options A and B may not be related to the current concern,
assume that obesity is the problem, and are communication blocks. Option C may be
appropriate after discussing the stated concerns.
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the mother,
"What is your child playing with now?" Which response indicates to the nurse that further
teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
A+ TEST BANK 4
