NR MISC: HESI
FUNDAMENTALS Q & A
What type of interview is most appropriate when a nurse admits a client to a clinic?
Directive
Exploratory
Problem
solving
Information
giving
The first step in the problem-solving process is data collection so that client needs can
be identified. During the initial interview a direct approach obtains specific information,
such as allergies, current medications, and health history. The exploratory approach is
too broad because in a nondirective interview the client controls the subject matter.
Problem solving and information giving are premature at the initial visit.
, NR MISC: HESI
FUNDAMENTALS Q & A
What is a basic concept associated with rehabilitation that the nurse should consider when
formulating discharge plans for clients?
Rehabilitation needs are met best by the client's family and community
resources. Rehabilitation is a specialty area with unique methods for meeting
clients' needs. Immediate or potential rehabilitation needs are exhibited by
clients with health problems.
Clients who are returning to their usual activities following hospitalization do not require
rehabilitation.
Rehabilitation refers to a process that assists clients to obtain optimal functioning. Care
should be initiated immediately when a health problem exists to avoid complications and
facilitate recuperation. All resources that can be beneficial to client rehabilitation,
including the private health care provider and acute care facilities, should be used.
Rehabilitation is a commonality in all areas of nursing practice. Rehabilitation is
necessary to help clients return to a previous or optimal level of functioning.
A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse should
monitor for what clinical manifestations of the electrolyte deficiency? Select all that apply.
Diplopia
Skin rash
Leg
cramps
Tachycardi
a
Muscle weakness
Leg cramps occur with hypokalemia because of potassium deficit. Muscle weakness
occurs with hypokalemia because of the alteration in the sodium potassium pump
mechanism. Diplopia does not indicate an electrolyte deficit. A skin rash does not
, NR MISC: HESI
FUNDAMENTALS Q & A
indicate an electrolyte deficit. Tachycardia is not associated with hypokalemia,
bradycardia is.
A nurse in the surgical intensive care unit is caring for a client with a large surgical incision.
The nurse reviews a list of vitamins and expects that which medication will be prescribed
because of its major role in wound healing?
Vitamin A (Aquasol A)
Cyanocobalamin
(Cobex) Phytonadione
(Mephyton) Ascorbic
acid (Ascorbicap)
Vitamin C (ascorbic acid) plays a major role in wound healing. It is necessary for the
maintenance and formation of collagen, the major protein of most connective tissues.
Vitamin A is important for the healing process; however, vitamin C is the priority
because it cements the ground substance of supportive tissue. Cyanocobalamin is a
vitamin B12 preparation needed for red blood cell synthesis and a healthy nervous
system. Phytonadione is vitamin K, which plays a major role in blood coagulation.
A client is receiving an intravenous (IV) infusion of 5% dextrose in water. The client loses
weight and develops a negative nitrogen balance. The nurse concludes that what likely
contributed to this client's weight loss?
, NR MISC: HESI
FUNDAMENTALS Q & A
Excessive carbohydrate
intake Lack of protein
supplementation
Insufficient intake of water-soluble
vitamins Increased concentration of
electrolytes in cells
An infusion of dextrose in water does not provide proteins required for tissue
growth, repair, and maintenance; therefore, tissue breakdown occurs to supply the
essential amino acids. Each liter provides approximately 170 calories, which is
insufficient to meet minimal energy requirements; tissue breakdown will result.
Weight loss is caused by insufficient nutrient intake; vitamins do not prevent weight
loss. An infusion of 5% dextrose in water may decrease electrolyte concentration.
A client has undergone a subtotal thyroidectomy. The client is being transferred from the post
anesthesia care unit/recovery area to the inpatient nursing unit. What emergency equipment
is most important for the nurse to have available for this client?
A defibrillator
An IV infusion
pump A
tracheostomy
tray
An electrocardiogram (ECG) monitor
The client who has undergone a subtotal thyroidectomy is at high risk for airway
occlusion resulting from postoperative edema. With this in mind, emergency airway
equipment such as a tracheostomy set and intubation supplies should be immediately
available to the client. A defibrillator, an IV infusion pump, and an electrocardiogram
(ECG) monitor are all equipment items that should be available to all postoperative
clients.
FUNDAMENTALS Q & A
What type of interview is most appropriate when a nurse admits a client to a clinic?
Directive
Exploratory
Problem
solving
Information
giving
The first step in the problem-solving process is data collection so that client needs can
be identified. During the initial interview a direct approach obtains specific information,
such as allergies, current medications, and health history. The exploratory approach is
too broad because in a nondirective interview the client controls the subject matter.
Problem solving and information giving are premature at the initial visit.
, NR MISC: HESI
FUNDAMENTALS Q & A
What is a basic concept associated with rehabilitation that the nurse should consider when
formulating discharge plans for clients?
Rehabilitation needs are met best by the client's family and community
resources. Rehabilitation is a specialty area with unique methods for meeting
clients' needs. Immediate or potential rehabilitation needs are exhibited by
clients with health problems.
Clients who are returning to their usual activities following hospitalization do not require
rehabilitation.
Rehabilitation refers to a process that assists clients to obtain optimal functioning. Care
should be initiated immediately when a health problem exists to avoid complications and
facilitate recuperation. All resources that can be beneficial to client rehabilitation,
including the private health care provider and acute care facilities, should be used.
Rehabilitation is a commonality in all areas of nursing practice. Rehabilitation is
necessary to help clients return to a previous or optimal level of functioning.
A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse should
monitor for what clinical manifestations of the electrolyte deficiency? Select all that apply.
Diplopia
Skin rash
Leg
cramps
Tachycardi
a
Muscle weakness
Leg cramps occur with hypokalemia because of potassium deficit. Muscle weakness
occurs with hypokalemia because of the alteration in the sodium potassium pump
mechanism. Diplopia does not indicate an electrolyte deficit. A skin rash does not
, NR MISC: HESI
FUNDAMENTALS Q & A
indicate an electrolyte deficit. Tachycardia is not associated with hypokalemia,
bradycardia is.
A nurse in the surgical intensive care unit is caring for a client with a large surgical incision.
The nurse reviews a list of vitamins and expects that which medication will be prescribed
because of its major role in wound healing?
Vitamin A (Aquasol A)
Cyanocobalamin
(Cobex) Phytonadione
(Mephyton) Ascorbic
acid (Ascorbicap)
Vitamin C (ascorbic acid) plays a major role in wound healing. It is necessary for the
maintenance and formation of collagen, the major protein of most connective tissues.
Vitamin A is important for the healing process; however, vitamin C is the priority
because it cements the ground substance of supportive tissue. Cyanocobalamin is a
vitamin B12 preparation needed for red blood cell synthesis and a healthy nervous
system. Phytonadione is vitamin K, which plays a major role in blood coagulation.
A client is receiving an intravenous (IV) infusion of 5% dextrose in water. The client loses
weight and develops a negative nitrogen balance. The nurse concludes that what likely
contributed to this client's weight loss?
, NR MISC: HESI
FUNDAMENTALS Q & A
Excessive carbohydrate
intake Lack of protein
supplementation
Insufficient intake of water-soluble
vitamins Increased concentration of
electrolytes in cells
An infusion of dextrose in water does not provide proteins required for tissue
growth, repair, and maintenance; therefore, tissue breakdown occurs to supply the
essential amino acids. Each liter provides approximately 170 calories, which is
insufficient to meet minimal energy requirements; tissue breakdown will result.
Weight loss is caused by insufficient nutrient intake; vitamins do not prevent weight
loss. An infusion of 5% dextrose in water may decrease electrolyte concentration.
A client has undergone a subtotal thyroidectomy. The client is being transferred from the post
anesthesia care unit/recovery area to the inpatient nursing unit. What emergency equipment
is most important for the nurse to have available for this client?
A defibrillator
An IV infusion
pump A
tracheostomy
tray
An electrocardiogram (ECG) monitor
The client who has undergone a subtotal thyroidectomy is at high risk for airway
occlusion resulting from postoperative edema. With this in mind, emergency airway
equipment such as a tracheostomy set and intubation supplies should be immediately
available to the client. A defibrillator, an IV infusion pump, and an electrocardiogram
(ECG) monitor are all equipment items that should be available to all postoperative
clients.
