HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
1. community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices should the
nurse recommend? (Select all that apply.)
a. Take a nap in the afternoon.
b. Sleep where you sleep best.
c. Use sedatives as a last resort.
d. Watch television right before sleep.
e. Decrease fluids 2 to 4 hours before sleep.
f. Get up if unable to fall asleep in 15 to 30 minutes.
ANS: B, C, E, F
The nurse should instruct the patient to sleep where he or she sleeps best, to
use sedatives as a last resort, to decrease fluid intake to cut down on bathroom
trips, and, if unable to sleep in 15 to 30 minutes, to get up out of bed. Naps
should be eliminated if they are not part of the individual’s routine schedule,
and if naps are taken, they should be limited to 20 minutes or less a day.
Television can stimulate and disrupt sleep patterns.
MATCHING
The nurse is caring for a group of patients who have sleeping disruptions.
Match the condition to the intervention the nurse will use.
a. Use continuous positive airway pressure.
b. Offer a small meal several hours before bedtime.
c. Administer antidepressants.
d. Administer modafinil (Provigel).
e. Do not startle.
f. Administer benzodiazepine-like drugs.
1
, HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
1.Cata
plex
2.Narc
olepsy
3.Inso
mnia
4.Hiat
al
hernia
5.Slee
pwalki
ng
6.Obstructive sleep apnea
1.ANS:C2.ANS:D3.ANS:F4.ANS:B5.ANS:E6.ANS:A
Chapter 44: Pain Management
Potter et al.: Fundamentals of
Nursing, 9th Edition MULTIPLE
CHOICE
1.An oriented patient has recently had surgery. Which action is best for the
nurse to take to assess this patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability to cope.
ANS: B
One of the most subjective and therefore most useful characteristics for
reporting pain is its severity. Therefore, the best way to assess a patient’s pain
is to ask the patient to rate the pain. Nonverbal communication, such as body
language, is not as effective in assessing pain, especially when the patient is
oriented. Heart rate sometimes increases when a patient is in pain, but this is 2
not a symptom that is specific to pain. Pain sometimes affects a patient’s
HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
1. community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices should the
nurse recommend? (Select all that apply.)
a. Take a nap in the afternoon.
b. Sleep where you sleep best.
c. Use sedatives as a last resort.
d. Watch television right before sleep.
e. Decrease fluids 2 to 4 hours before sleep.
f. Get up if unable to fall asleep in 15 to 30 minutes.
ANS: B, C, E, F
The nurse should instruct the patient to sleep where he or she sleeps best, to
use sedatives as a last resort, to decrease fluid intake to cut down on bathroom
trips, and, if unable to sleep in 15 to 30 minutes, to get up out of bed. Naps
should be eliminated if they are not part of the individual’s routine schedule,
and if naps are taken, they should be limited to 20 minutes or less a day.
Television can stimulate and disrupt sleep patterns.
MATCHING
The nurse is caring for a group of patients who have sleeping disruptions.
Match the condition to the intervention the nurse will use.
a. Use continuous positive airway pressure.
b. Offer a small meal several hours before bedtime.
c. Administer antidepressants.
d. Administer modafinil (Provigel).
e. Do not startle.
f. Administer benzodiazepine-like drugs.
1
, HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
1.Cata
plex
2.Narc
olepsy
3.Inso
mnia
4.Hiat
al
hernia
5.Slee
pwalki
ng
6.Obstructive sleep apnea
1.ANS:C2.ANS:D3.ANS:F4.ANS:B5.ANS:E6.ANS:A
Chapter 44: Pain Management
Potter et al.: Fundamentals of
Nursing, 9th Edition MULTIPLE
CHOICE
1.An oriented patient has recently had surgery. Which action is best for the
nurse to take to assess this patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability to cope.
ANS: B
One of the most subjective and therefore most useful characteristics for
reporting pain is its severity. Therefore, the best way to assess a patient’s pain
is to ask the patient to rate the pain. Nonverbal communication, such as body
language, is not as effective in assessing pain, especially when the patient is
oriented. Heart rate sometimes increases when a patient is in pain, but this is 2
not a symptom that is specific to pain. Pain sometimes affects a patient’s
