3/21/2021 HESI
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Practice Test Assessment Performance
100%
Bravo!
Correct Let's review your results from 2/4/2021 at 2:01 pm EST
Correct
A nurse is planning to teach self-care measures to a female client about prevention of
yeast infections. Which instructions should the nurse provide?
Use a douche preparation no more than once a month.
Increase daily intake of fiber and leafy green vegetables.
Select nylon underwear that is loose-fitting, white, and comfortable.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 1/77
,3/21/2021 HESI
Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
Rationale
A common genital tract infection in females is candidiasis, which is an overgrowth of the normal vaginal flora of Candida
albicans that thrives in an environment that is warm and moist and is perpetuated by tight-fitting clothing, underwear, or
pantyhose made of nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent, such as cotton
underwear, and avoid using bubble-bath or bath salts which further irritate sensitive genital tissue. Douching is not
recommended because it can irritate vaginal tissue, alter pH, and contribute to fungal growth. While increasing dietary fiber
intake encourages healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon undergarments, provide
absorbancy and reduce moisture in the perineal area.
Which information should the nurse provide a client who has undergone cryosurgery
for Stage 1A cervical cancer?
Notify the healthcare provider if heavy vaginal discharge occurs.
Use condoms for sexual intercourse during the next week.
Flat subclinical mucosal lesions are a common harmless side effect.
Use a sanitary napkin instead of a tampon.
Rationale
Clients should avoid the use of tampons for 3 to 6 weeks after the procedure to reduce the risk of infection. A heavy, watery
vaginal discharge is expected during this time, so the healthcare provider notification is not necessary. Sexual intercourse
should be avoided for up to 6 weeks. Mucosal lesions are not a side effect of the procedure but may indicate human
papillomavirus or a cancerous lesion and should be reported.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 2/77
,3/21/2021 HESI
The nurse determines that a client's body weight is 105% above the standardized
height-weight scale. Which related factor should the nurse include in the nursing
problem, "Imbalanced nutrition: more than body requirements?"
Morbidly obese.
Markedly obese.
Inadequate lifestyle changes in diet and exercise.
Increased morbidity and mortality risks.
Rationale
Obesity is a body weight that is 20% above desirable weight for a person's age, sex, height, body build, and calculated body
mass index (BMI). Focusing on diet and exercise best identifies factors that contribute to the formulation of the nursing
diagnosis. Markedly and morbid obesity are both medical classifications for a client's weight. Although the client is at an
increased risk for several chronic illnesses, such as heart disease, diabetes mellitus, hypertension, coronary artery disease and
hyperlipidemia, this is not a contributing cause or related factor that supports the nursing diagnosis.
A client with metastatic cancer is preparing to make decisions about end-of-life issues.
When the nurse explains a durable power of attorney for health care, which description
is accurate?
"It allows you to document your wishes regarding life-sustaining treatment if you can't speak for
yourself."
"It will identify someone that can make decisions for your health care if you are in a coma or
vegetative state."
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 3/77
, 3/21/2021 HESI
"It is not legally binding, but helps the healthcare provider know exactly what medical treatments
you want."
"It is a form that all people must sign before admission to the hospital so that individualized
treatment plans can be developed."
Rationale
This is a legal document that allows individuals to identify someone to make decisions for health care, identifies how
aggressive treatment should be if the client should ever be in a coma or persistent vegetative state, and lists any medical
treatments they would never want performed. Documents about life sustaining treatments is the definition of the "Living
Will"--some states and Canada do not consider Living Wills legal documents. A durable power of attorney is a legal document
but is not a hospital form.
Which approach should the nurse use when preparing a toddler for a procedure?
Demonstrate the procedure using a doll.
Avoid asking the child to make choices.
Plan a teaching session to last about 20 minutes.
Show equipment but prevent child from handling it.
Rationale
Imitation is one of the most distinguishing characteristics of toddler play, so demonstration of a procedure on a doll enables a
non-threatening, dramatic experience that can help prepare the toddler for the actual procedure. The primary developmental
task in toddlerhood is acquiring a sense of autonomy, so giving choices whenever possible to a toddler is recommended, not
avoiding asking the toddler to make a choice. Since the toddler's attention span is short, teaching sessions should be brief and
can be repeated for reinforcement. Showing the equipment before its use helps relieve anxiety, but the child should be allowed
to handle some of the equipment to prevent frustration and alleviate fear.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 4/77
Return to Overview
Practice Test Assessment Performance
100%
Bravo!
Correct Let's review your results from 2/4/2021 at 2:01 pm EST
Correct
A nurse is planning to teach self-care measures to a female client about prevention of
yeast infections. Which instructions should the nurse provide?
Use a douche preparation no more than once a month.
Increase daily intake of fiber and leafy green vegetables.
Select nylon underwear that is loose-fitting, white, and comfortable.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 1/77
,3/21/2021 HESI
Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
Rationale
A common genital tract infection in females is candidiasis, which is an overgrowth of the normal vaginal flora of Candida
albicans that thrives in an environment that is warm and moist and is perpetuated by tight-fitting clothing, underwear, or
pantyhose made of nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent, such as cotton
underwear, and avoid using bubble-bath or bath salts which further irritate sensitive genital tissue. Douching is not
recommended because it can irritate vaginal tissue, alter pH, and contribute to fungal growth. While increasing dietary fiber
intake encourages healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon undergarments, provide
absorbancy and reduce moisture in the perineal area.
Which information should the nurse provide a client who has undergone cryosurgery
for Stage 1A cervical cancer?
Notify the healthcare provider if heavy vaginal discharge occurs.
Use condoms for sexual intercourse during the next week.
Flat subclinical mucosal lesions are a common harmless side effect.
Use a sanitary napkin instead of a tampon.
Rationale
Clients should avoid the use of tampons for 3 to 6 weeks after the procedure to reduce the risk of infection. A heavy, watery
vaginal discharge is expected during this time, so the healthcare provider notification is not necessary. Sexual intercourse
should be avoided for up to 6 weeks. Mucosal lesions are not a side effect of the procedure but may indicate human
papillomavirus or a cancerous lesion and should be reported.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 2/77
,3/21/2021 HESI
The nurse determines that a client's body weight is 105% above the standardized
height-weight scale. Which related factor should the nurse include in the nursing
problem, "Imbalanced nutrition: more than body requirements?"
Morbidly obese.
Markedly obese.
Inadequate lifestyle changes in diet and exercise.
Increased morbidity and mortality risks.
Rationale
Obesity is a body weight that is 20% above desirable weight for a person's age, sex, height, body build, and calculated body
mass index (BMI). Focusing on diet and exercise best identifies factors that contribute to the formulation of the nursing
diagnosis. Markedly and morbid obesity are both medical classifications for a client's weight. Although the client is at an
increased risk for several chronic illnesses, such as heart disease, diabetes mellitus, hypertension, coronary artery disease and
hyperlipidemia, this is not a contributing cause or related factor that supports the nursing diagnosis.
A client with metastatic cancer is preparing to make decisions about end-of-life issues.
When the nurse explains a durable power of attorney for health care, which description
is accurate?
"It allows you to document your wishes regarding life-sustaining treatment if you can't speak for
yourself."
"It will identify someone that can make decisions for your health care if you are in a coma or
vegetative state."
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 3/77
, 3/21/2021 HESI
"It is not legally binding, but helps the healthcare provider know exactly what medical treatments
you want."
"It is a form that all people must sign before admission to the hospital so that individualized
treatment plans can be developed."
Rationale
This is a legal document that allows individuals to identify someone to make decisions for health care, identifies how
aggressive treatment should be if the client should ever be in a coma or persistent vegetative state, and lists any medical
treatments they would never want performed. Documents about life sustaining treatments is the definition of the "Living
Will"--some states and Canada do not consider Living Wills legal documents. A durable power of attorney is a legal document
but is not a hospital form.
Which approach should the nurse use when preparing a toddler for a procedure?
Demonstrate the procedure using a doll.
Avoid asking the child to make choices.
Plan a teaching session to last about 20 minutes.
Show equipment but prevent child from handling it.
Rationale
Imitation is one of the most distinguishing characteristics of toddler play, so demonstration of a procedure on a doll enables a
non-threatening, dramatic experience that can help prepare the toddler for the actual procedure. The primary developmental
task in toddlerhood is acquiring a sense of autonomy, so giving choices whenever possible to a toddler is recommended, not
avoiding asking the toddler to make a choice. Since the toddler's attention span is short, teaching sessions should be brief and
can be repeated for reinforcement. Showing the equipment before its use helps relieve anxiety, but the child should be allowed
to handle some of the equipment to prevent frustration and alleviate fear.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388799/10RXWVVFM3J 4/77
