HESI
Meylin Avelar
Hesi Study Guide
Chapter 2
1. You are caring for a patient who has just suffered a mild heart attack. You are developing his
discharge education plan. Which statement by the patient indicates his readiness to change his
behavior?
A. “I don’t think I really had a heart attack.”
B. “I already exercise 3 times a week.”
C. “I know my dad died early from heart disease.” Correct
D. “I travel too much to eat healthy.”
The first component of the health belief model is an individual’s perception of his or her susceptibility
to an illness such as the familial risk for coronary artery disease.
2. You are caring for a patient who was a victim of intimate partner violence. She tells you that
she is very concerned about where she will stay once she leaves the hospital. According to
Maslow’s hierarchy of needs, with which level of needs are you most concerned?
A. Physiological
B. Selfactualization
C. Love and belongingness
D. Safety and security Correct
The second level on the hierarchy of needs consists of safety needs, which include establishing
stability and consistency. These psychological needs include the security of a home and a family.
3. A 50yearold woman decides to have an annual mammogram. Which level of prevention is
this patient practicing?
A. Primary prevention
B. Secondary prevention Correct
C. Tertiary prevention
D. Rehabilitation
Secondary prevention includes screening techniques and treating disease, if present, at an early
stage to limit disability by delaying the consequences of advanced disease.
4. A 55yearold patient is being discharged from the hospital after a heart attack. He is being
referred to a cardiac program where he will receive education on healthy eating, exercise, and stress
reduction. This is an example of:
A. primary prevention.
, Meylin Avelar
B. secondary prevention.
C. tertiary prevention. Correct
D. rehabilitation.
Tertiary prevention occurs when a defect or disability is permanent, irreversible, and stabilized. It
involves minimizing the effects of longterm disease or disability by interventions directed at
preventing complications and deterioration.
5. A 30yearold woman has just found out that her mother has been diagnosed with breast
cancer. This is an example of which type of risk factor for the 30yearold?
A. Age
B. Lifestyle
C. Genetic Correct
D. Environment
Heredity or genetic predisposition to specific illness is a major physical risk factor. Examples of
genetic risk factors include family histories of cancer, heart disease, and kidney disease.
6. A 45yearold woman diagnosed with depression states, “I don’t understand why everyone
thinks I should seek counseling.” This is an example of which state of behavior change?
A. Precontemplation Correct
B. Contemplation
C. Preparation
D. Maintenance
The precontemplation stage is when the patient does not intend to make changes within the next 6
months, is unaware of the problem, or underestimates it.
7. Which of the following are examples of external variables influencing illness
behavior? (Select all that apply.)
A. Social group Correct
B. Cultural background Correct
C. Patient perception of the illness
D. Accessibility of health care Correct
External variables influencing a patient’s illness behavior include the visibility of symptoms, social
group, cultural background, economic variables, accessibility of the health care system, and social
support.
, Meylin Avelar
8. Which of the following variables influence a patient’s health beliefs and practices? (Select all
that apply.)
A. Developmental stage Correct
B. Emotional factors Correct
C. Family practices Correct
D. Genetic background
A person’s concept of illness depends on the person’s developmental stage. A person’s degree of
anxiety or stress influences health beliefs and practices. The way that families use health care
services generally influences their health practices. Cultural background influences a person’s
beliefs, values, and customs.
9. _____ is behavior that is motivated by the desire to increase wellbeing and actualize human
health potential, whereas _____ is behavior that is motivated by a desire to avoid illness, detect it
early, or maintain function within the constraints of an illness. (Put a comma and space between
each answer choice.)
Correct
health promotion, health
Correct Responses: "The health promotion and health protection are components from the health
promotion model by Pender., Health promotion, health protection"
10. A _____ is any situation, habit, environmental condition, physiological condition, or other
variable that increases the vulnerability of an individual to an illness.
Correct
risk factor
Correct Responses: "risk factor, A risk factor is any situation, habit, environmental condition,
physiological condition, or other variable that increases the vulnerability of an individual or a group to
an illness or accident. The presence of risk factors does not mean that a disease will develop, but
risk factors increase the chances that the individual will experience a particular disease."
Chapter 9
1. 1.ID: 1954109782
A patient tells the nurse, “I have had this dull ache in my side now for 4 days; it really hurts when I
bend over.” The nurse responds, “All right, go on.” The nurse’s response is an example of:
A. inference.
B. a cue.
C. backchanneling. Correct
, Meylin Avelar
D. openended question.
Backchanneling gives positive comments such as “all right,” “go on,” or “uhhuh” to the speaker,
thus indicating that you heard what the patient is saying and are interested in hearing the full story.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 1954109705
The nurse prepares to administer care to a patient by first positioning him more comfortably. She
inspects his surgical wound and reinforces the dressing with extra tape. She explains the procedure
that she will use for insertion of a urinary catheter. She prepares the patient and inserts the catheter.
Which of the following steps is a dependent nursing intervention?
A. Insertion of the urinary catheter Correct
B. Reinforcement of dressing with tape
C. Instruction about the procedure for insertion of the urinary catheter
D. Positioning the patient for comfort
Insertion of a urinary catheter is the only dependent intervention, which requires an order from a
health care provider.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 1954109720
A patient has a pressure ulcer resulting from urine incontinence and sustained pressure over her
coccyx. The nursing plan of care includes a goal of “Pressure ulcer heals in 3 weeks.” Which of the
following is an evaluative measure for this goal?
A. Turn patient every 90 minutes.
B. Measure the diameter of the ulcer. Correct
C. Measure the color of patient’s urine.
D. Determine patient’s report of discomfort during turning.
The intent of the therapy is to promote wound healing. Therefore the objective evaluative measure
for attainment of the goal is to measure the size of the wound.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 1954109773
A nurse has been interviewing a newly assigned patient. The cues from the assessment suggest
that the patient has a problem breathing. The nurse does not validate the findings by doing a
physical examination. This is an example of which type of error?
A. Error in data clustering
B. Error in data collection Correct
Meylin Avelar
Hesi Study Guide
Chapter 2
1. You are caring for a patient who has just suffered a mild heart attack. You are developing his
discharge education plan. Which statement by the patient indicates his readiness to change his
behavior?
A. “I don’t think I really had a heart attack.”
B. “I already exercise 3 times a week.”
C. “I know my dad died early from heart disease.” Correct
D. “I travel too much to eat healthy.”
The first component of the health belief model is an individual’s perception of his or her susceptibility
to an illness such as the familial risk for coronary artery disease.
2. You are caring for a patient who was a victim of intimate partner violence. She tells you that
she is very concerned about where she will stay once she leaves the hospital. According to
Maslow’s hierarchy of needs, with which level of needs are you most concerned?
A. Physiological
B. Selfactualization
C. Love and belongingness
D. Safety and security Correct
The second level on the hierarchy of needs consists of safety needs, which include establishing
stability and consistency. These psychological needs include the security of a home and a family.
3. A 50yearold woman decides to have an annual mammogram. Which level of prevention is
this patient practicing?
A. Primary prevention
B. Secondary prevention Correct
C. Tertiary prevention
D. Rehabilitation
Secondary prevention includes screening techniques and treating disease, if present, at an early
stage to limit disability by delaying the consequences of advanced disease.
4. A 55yearold patient is being discharged from the hospital after a heart attack. He is being
referred to a cardiac program where he will receive education on healthy eating, exercise, and stress
reduction. This is an example of:
A. primary prevention.
, Meylin Avelar
B. secondary prevention.
C. tertiary prevention. Correct
D. rehabilitation.
Tertiary prevention occurs when a defect or disability is permanent, irreversible, and stabilized. It
involves minimizing the effects of longterm disease or disability by interventions directed at
preventing complications and deterioration.
5. A 30yearold woman has just found out that her mother has been diagnosed with breast
cancer. This is an example of which type of risk factor for the 30yearold?
A. Age
B. Lifestyle
C. Genetic Correct
D. Environment
Heredity or genetic predisposition to specific illness is a major physical risk factor. Examples of
genetic risk factors include family histories of cancer, heart disease, and kidney disease.
6. A 45yearold woman diagnosed with depression states, “I don’t understand why everyone
thinks I should seek counseling.” This is an example of which state of behavior change?
A. Precontemplation Correct
B. Contemplation
C. Preparation
D. Maintenance
The precontemplation stage is when the patient does not intend to make changes within the next 6
months, is unaware of the problem, or underestimates it.
7. Which of the following are examples of external variables influencing illness
behavior? (Select all that apply.)
A. Social group Correct
B. Cultural background Correct
C. Patient perception of the illness
D. Accessibility of health care Correct
External variables influencing a patient’s illness behavior include the visibility of symptoms, social
group, cultural background, economic variables, accessibility of the health care system, and social
support.
, Meylin Avelar
8. Which of the following variables influence a patient’s health beliefs and practices? (Select all
that apply.)
A. Developmental stage Correct
B. Emotional factors Correct
C. Family practices Correct
D. Genetic background
A person’s concept of illness depends on the person’s developmental stage. A person’s degree of
anxiety or stress influences health beliefs and practices. The way that families use health care
services generally influences their health practices. Cultural background influences a person’s
beliefs, values, and customs.
9. _____ is behavior that is motivated by the desire to increase wellbeing and actualize human
health potential, whereas _____ is behavior that is motivated by a desire to avoid illness, detect it
early, or maintain function within the constraints of an illness. (Put a comma and space between
each answer choice.)
Correct
health promotion, health
Correct Responses: "The health promotion and health protection are components from the health
promotion model by Pender., Health promotion, health protection"
10. A _____ is any situation, habit, environmental condition, physiological condition, or other
variable that increases the vulnerability of an individual to an illness.
Correct
risk factor
Correct Responses: "risk factor, A risk factor is any situation, habit, environmental condition,
physiological condition, or other variable that increases the vulnerability of an individual or a group to
an illness or accident. The presence of risk factors does not mean that a disease will develop, but
risk factors increase the chances that the individual will experience a particular disease."
Chapter 9
1. 1.ID: 1954109782
A patient tells the nurse, “I have had this dull ache in my side now for 4 days; it really hurts when I
bend over.” The nurse responds, “All right, go on.” The nurse’s response is an example of:
A. inference.
B. a cue.
C. backchanneling. Correct
, Meylin Avelar
D. openended question.
Backchanneling gives positive comments such as “all right,” “go on,” or “uhhuh” to the speaker,
thus indicating that you heard what the patient is saying and are interested in hearing the full story.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 1954109705
The nurse prepares to administer care to a patient by first positioning him more comfortably. She
inspects his surgical wound and reinforces the dressing with extra tape. She explains the procedure
that she will use for insertion of a urinary catheter. She prepares the patient and inserts the catheter.
Which of the following steps is a dependent nursing intervention?
A. Insertion of the urinary catheter Correct
B. Reinforcement of dressing with tape
C. Instruction about the procedure for insertion of the urinary catheter
D. Positioning the patient for comfort
Insertion of a urinary catheter is the only dependent intervention, which requires an order from a
health care provider.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 1954109720
A patient has a pressure ulcer resulting from urine incontinence and sustained pressure over her
coccyx. The nursing plan of care includes a goal of “Pressure ulcer heals in 3 weeks.” Which of the
following is an evaluative measure for this goal?
A. Turn patient every 90 minutes.
B. Measure the diameter of the ulcer. Correct
C. Measure the color of patient’s urine.
D. Determine patient’s report of discomfort during turning.
The intent of the therapy is to promote wound healing. Therefore the objective evaluative measure
for attainment of the goal is to measure the size of the wound.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 1954109773
A nurse has been interviewing a newly assigned patient. The cues from the assessment suggest
that the patient has a problem breathing. The nurse does not validate the findings by doing a
physical examination. This is an example of which type of error?
A. Error in data clustering
B. Error in data collection Correct
