HESI - Medical Surgical Nursing test EXAM
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Terms in this set (170)
When describing patient education C. Informal teaching is individualized one on one
approaches, the nurse educator teaching which represents the majority of patient
would explain that informal education done by nurses that occurs when an
teaching is an approach that intervention is explained or a question is
answered. Group needs are often the focus of
a. follows formalized plans formal patient education courses or classes.
b. has standardized content Informal teaching does not necessarily follow a
c. often occurs one-to-one specific formalized plan. It may be planned with
d. addresses group needs specific content, but it is individualized responses
to patient needs. Formal teaching involves the
use of a curriculum/course plan with
standardized content.
,A patient expresses a strong C. Cognitive theorists believe that attention,
interest in returning to their work, relevance, confidence, and satisfaction (ARCS)
family, and hobbies after having a are the conditions that, when integrated, motivate
stroke. Which theory type would someone to learn. Field theorists place
the nurse use to develop a plan of significance on how achievement, power, the
care for the best results of this need for affiliation, and avoidance motives
patient's motivation style? influence individual behavior. Sociologic theories
are not involved in motivation.
a. field
b. biological
c. cognitive
d. sociologic
The nurse is assessing a group of C, D, E, F
clients. Which clients are at greater
risk for hypothermia or frostbite? clients with poor nutrition, fatigue, and multiple
(select all that apply) chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume
a. an older woman with alcohol, or have impaired peripheral circulation
hypertension have a higher incidence of frostbite.
b. a young man with a body mass
index of 42
c. a young many who has just
consumed six martinis
d. an older man who smokes a pack
of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
,Which statement made by a nurse D
represents the need for further
education regarding pain There is no evidence to support the idea that
management in older adult clients? older adult clients perceive pain any differently
than younger clients. The other statements are
a. older adults tend to report pain accurate regarding older clients and pain.
less often than younger adults
b. older clients usually have more
experience with pain than younger
clients
c. older adults are at greatest risk
for under treated pain
d. older clients have a different pain
mechanism and do not feel it as
much
The nurse is working at a first aid C
booth for a spring training game on
a hot day. A spectator comes in, The spectator shows signs of heat stroke, which is
reporting that he is not feeling well. a medical emergency. The spectator should be
Vital signs are temp 104.1 F, pulse transported to the ED ASAP. The nurs should take
132 BPM, respirs 26 breaths/min, actions to lower his body temp in teh meantime
and blood pressure 106/66 mm Hg. by removing his shirt and sponging his body with
He trips over his feet as the nurse cool water. Lowering body temp by drinking cool
leads him to a cot. What is the fluids or taking acetaminophen is not as effective
priory action of the nurse? in an emergency situation. The client needs to be
cooled quickly and is a priority for treatment
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in
15 minutes
c. sponge the victim with cool
water and remove his shirt
d. encourage drinking of cool water
or sports drink
, The client is receiving an IV of 60 D
mEq of potassium chloride ina 1000
mL solution of dextrose 5% in 0.45% Potassium is a severe tissue irritant. The safest
saline. The client states that the area action is to discontinue the solution that contains
around the IV site burns. What the potassium and discontinue the IV altogether,
intervention does the nurse in which case the client would need another site
perform first? started. Assessing for a blood return may or may
not be successful. The solution could be diluted
a. assess for a blood return (less potassium) and the rate could be slowed
b. notify the physician once it is determined that the needle is in the
c. document the finding vein.
d. stop the IV infusion
A nurse is caring for an older adult D
client who lives alone. Which
economic situation presents the Older adults on fixed incomes are unable to
most serious problem for this adjust their income to meet rising costs
client? associated with meeting basic needs
a. costs of creating a living will
b. stock market fluctuations
c. increased provider benefits
d. social security as the basis of
income
(updated 2026) Questions & Answers | With
100% Correct Answers graded A+ Guaranteed
Success!!
Save
Terms in this set (170)
When describing patient education C. Informal teaching is individualized one on one
approaches, the nurse educator teaching which represents the majority of patient
would explain that informal education done by nurses that occurs when an
teaching is an approach that intervention is explained or a question is
answered. Group needs are often the focus of
a. follows formalized plans formal patient education courses or classes.
b. has standardized content Informal teaching does not necessarily follow a
c. often occurs one-to-one specific formalized plan. It may be planned with
d. addresses group needs specific content, but it is individualized responses
to patient needs. Formal teaching involves the
use of a curriculum/course plan with
standardized content.
,A patient expresses a strong C. Cognitive theorists believe that attention,
interest in returning to their work, relevance, confidence, and satisfaction (ARCS)
family, and hobbies after having a are the conditions that, when integrated, motivate
stroke. Which theory type would someone to learn. Field theorists place
the nurse use to develop a plan of significance on how achievement, power, the
care for the best results of this need for affiliation, and avoidance motives
patient's motivation style? influence individual behavior. Sociologic theories
are not involved in motivation.
a. field
b. biological
c. cognitive
d. sociologic
The nurse is assessing a group of C, D, E, F
clients. Which clients are at greater
risk for hypothermia or frostbite? clients with poor nutrition, fatigue, and multiple
(select all that apply) chronic illnesses are at greater risk for
hypothermia. Clients who smoke, consume
a. an older woman with alcohol, or have impaired peripheral circulation
hypertension have a higher incidence of frostbite.
b. a young man with a body mass
index of 42
c. a young many who has just
consumed six martinis
d. an older man who smokes a pack
of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
,Which statement made by a nurse D
represents the need for further
education regarding pain There is no evidence to support the idea that
management in older adult clients? older adult clients perceive pain any differently
than younger clients. The other statements are
a. older adults tend to report pain accurate regarding older clients and pain.
less often than younger adults
b. older clients usually have more
experience with pain than younger
clients
c. older adults are at greatest risk
for under treated pain
d. older clients have a different pain
mechanism and do not feel it as
much
The nurse is working at a first aid C
booth for a spring training game on
a hot day. A spectator comes in, The spectator shows signs of heat stroke, which is
reporting that he is not feeling well. a medical emergency. The spectator should be
Vital signs are temp 104.1 F, pulse transported to the ED ASAP. The nurs should take
132 BPM, respirs 26 breaths/min, actions to lower his body temp in teh meantime
and blood pressure 106/66 mm Hg. by removing his shirt and sponging his body with
He trips over his feet as the nurse cool water. Lowering body temp by drinking cool
leads him to a cot. What is the fluids or taking acetaminophen is not as effective
priory action of the nurse? in an emergency situation. The client needs to be
cooled quickly and is a priority for treatment
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in
15 minutes
c. sponge the victim with cool
water and remove his shirt
d. encourage drinking of cool water
or sports drink
, The client is receiving an IV of 60 D
mEq of potassium chloride ina 1000
mL solution of dextrose 5% in 0.45% Potassium is a severe tissue irritant. The safest
saline. The client states that the area action is to discontinue the solution that contains
around the IV site burns. What the potassium and discontinue the IV altogether,
intervention does the nurse in which case the client would need another site
perform first? started. Assessing for a blood return may or may
not be successful. The solution could be diluted
a. assess for a blood return (less potassium) and the rate could be slowed
b. notify the physician once it is determined that the needle is in the
c. document the finding vein.
d. stop the IV infusion
A nurse is caring for an older adult D
client who lives alone. Which
economic situation presents the Older adults on fixed incomes are unable to
most serious problem for this adjust their income to meet rising costs
client? associated with meeting basic needs
a. costs of creating a living will
b. stock market fluctuations
c. increased provider benefits
d. social security as the basis of
income
