HESI Fundamentals Practice Test B
What is the rationale for using the nursing process in planning care for clients?
A. As a scientific process to identify nursing diagnoses of a clients' healthcare
problems.
B. To establish nursing theory that incorporates the biopsychosocial nature of
humans.
C. As a tool to organize thinking and clinical decision making about clients'
healthcare needs.
D. To promote the management of client care in collaboration with other
healthcare professionals.
(ANS-: C)
What activity should the nurse use in the evaluation phase of the nursing process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been alleviated.
D. Examine the effectiveness of nursing interventions toward meeting client
outcomes. (ANS-: D
Which statement is an example of a correctly written nursing diagnosis statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract infection.
C. Risk for impaired tissue integrity related to client's refusal to turn.
D. Ineffective coping related to response to positive biopsy test results.
(ANS-: D
,What action by the nurse demonstrates culturally sensitive care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care and cultural folk
remedies.
D. Applies knowledge of a cultural group unless a client embraces Western
customs. (ANS-: A
A nurse is becoming increasingly frustrated by the family members' efforts to
participate in the care of a hospitalized client. What action should the nurse
implement to cope with these feelings of frustration?
A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the
client. (ANS-: B
Which technique is most important for the nurse to implement when performing a
physical assessment?
A. A head-to-toe approach.
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model. (ANS-: C
,A 73-year-old Hispanic client is seen at the community health clinic with a history
of protein malnutrition. What information should the nurse obtain first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client. (ANS-: B
The nurse formulates the nursing diagnosis of, "Ineffective health maintenance
related to lack of motivation" for a client with Type 2 diabetes. Which finding
supports this nursing diagnosis?
A. Does not check capillary blood glucose as directed.
B. Occasionally forgets to take daily prescribed medication.
C. Cannot identify signs or symptoms of high and low blood glucose.
D. Eats anything and does not think diet makes a difference in health.
(ANS: D
Which statement correctly identifies a written learning objective for a client with
peripheral vascular disease?
A. The nurse will provide client instruction for daily foot care.
B. The client will demonstrate proper trimming toenail technique.
C. Upon discharge, the client will list three ways to protect the feet from injury.
D. After instruction, the nurse will ensure the client understands foot care rationale.
(ANS-: C
, A middle-aged woman who enjoys being a teacher and mentor feels that she
should pass down her legacy of knowledge and skills to the younger generation.
According to Erikson, she is involved in what developmental stage?
A. Generativity.
B. Ego integrity.
C. Identification.
D. Valuing wisdom
(ANS-: A
Which statement best describes durable power of attorney for health care?
A. The client signs a document that designates another person to make legally
binding healthcare decisions if client is unable to do so.
B. The healthcare decisions made by another person designated by the client are
not legally binding.
C. Instructions about actions to be taken in the event of a client's terminal or
irreversible condition are not legally binding.
D. Directions regarding care in the event of a terminal or irreversible condition
must be documented to ensure that they are legally binding.
(ANS- A
A male client with an infected wound tells the nurse that he follows a macrobiotic
diet. Which type of foods should the nurse recommend that the client select from
the hospital menu?
A. Low fat and low sodium foods.
B. Combination of plant proteins to provide essential amino acids.
C. Limited complex carbohydrates and fiber.
D. Increased amount of vitamin C and beta carotene rich foods.
What is the rationale for using the nursing process in planning care for clients?
A. As a scientific process to identify nursing diagnoses of a clients' healthcare
problems.
B. To establish nursing theory that incorporates the biopsychosocial nature of
humans.
C. As a tool to organize thinking and clinical decision making about clients'
healthcare needs.
D. To promote the management of client care in collaboration with other
healthcare professionals.
(ANS-: C)
What activity should the nurse use in the evaluation phase of the nursing process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been alleviated.
D. Examine the effectiveness of nursing interventions toward meeting client
outcomes. (ANS-: D
Which statement is an example of a correctly written nursing diagnosis statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract infection.
C. Risk for impaired tissue integrity related to client's refusal to turn.
D. Ineffective coping related to response to positive biopsy test results.
(ANS-: D
,What action by the nurse demonstrates culturally sensitive care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care and cultural folk
remedies.
D. Applies knowledge of a cultural group unless a client embraces Western
customs. (ANS-: A
A nurse is becoming increasingly frustrated by the family members' efforts to
participate in the care of a hospitalized client. What action should the nurse
implement to cope with these feelings of frustration?
A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the
client. (ANS-: B
Which technique is most important for the nurse to implement when performing a
physical assessment?
A. A head-to-toe approach.
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model. (ANS-: C
,A 73-year-old Hispanic client is seen at the community health clinic with a history
of protein malnutrition. What information should the nurse obtain first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client. (ANS-: B
The nurse formulates the nursing diagnosis of, "Ineffective health maintenance
related to lack of motivation" for a client with Type 2 diabetes. Which finding
supports this nursing diagnosis?
A. Does not check capillary blood glucose as directed.
B. Occasionally forgets to take daily prescribed medication.
C. Cannot identify signs or symptoms of high and low blood glucose.
D. Eats anything and does not think diet makes a difference in health.
(ANS: D
Which statement correctly identifies a written learning objective for a client with
peripheral vascular disease?
A. The nurse will provide client instruction for daily foot care.
B. The client will demonstrate proper trimming toenail technique.
C. Upon discharge, the client will list three ways to protect the feet from injury.
D. After instruction, the nurse will ensure the client understands foot care rationale.
(ANS-: C
, A middle-aged woman who enjoys being a teacher and mentor feels that she
should pass down her legacy of knowledge and skills to the younger generation.
According to Erikson, she is involved in what developmental stage?
A. Generativity.
B. Ego integrity.
C. Identification.
D. Valuing wisdom
(ANS-: A
Which statement best describes durable power of attorney for health care?
A. The client signs a document that designates another person to make legally
binding healthcare decisions if client is unable to do so.
B. The healthcare decisions made by another person designated by the client are
not legally binding.
C. Instructions about actions to be taken in the event of a client's terminal or
irreversible condition are not legally binding.
D. Directions regarding care in the event of a terminal or irreversible condition
must be documented to ensure that they are legally binding.
(ANS- A
A male client with an infected wound tells the nurse that he follows a macrobiotic
diet. Which type of foods should the nurse recommend that the client select from
the hospital menu?
A. Low fat and low sodium foods.
B. Combination of plant proteins to provide essential amino acids.
C. Limited complex carbohydrates and fiber.
D. Increased amount of vitamin C and beta carotene rich foods.
