CASAL 1;Davis/HESI questions and answers 2023
The nurse is preparing to perform a physical assessment. What should be included in
the preparation of the client?
-Select a time when the client is relaxed and receptive.
-Establish rapport with the client
-Alert the client before touching him or her
-Consider developmental and cultural differences
The nurse is teaching a group of students the components of a physical examination.
What should be included in the discussion? Select all that apply.
-auscultation
-percussion
-inspection
-palpation
As the nurse prepares for a physical assessment, what should be considered? Select all
that apply.
preparing the client, the environment and equipment, infection control
The nurse hears some adventitious heart sounds when auscultating the anterior chest.
What could the nurse be hearing? Select all that apply.
Third sound, fourth sound, murmur
The nurse is assessing the abdomen for a client returning from an abdominal surgery.
Which assessment technique should the nurse perform first?
inspection
The nurse is caring for a client with postsurgical pain. At what point is it important to
assess the pain level? Select all that apply.
after physical activity, before physical activity, at the beginning of the shift, and when
there are non-verbal cues of pain
Which pain scales are used to determine a client's level of pain? Select all that apply
FACES, visual analog scale, numeric
Elenore is an older adult who lives alone and has fallen and fractured her hip. She
cannot get to the phone to call for help. Her pain worsens as time passes and she
becomes confused as she waits for someone to find her. What factors are exacerbating
the situation? Select all that apply.
Fear and helplessness and cognitive impairment
The nurse is caring for a client with untreated prolonged pain sustained in an
automobile accident. Which assessment findings could result from the pain? Select all
that apply.
Hypertension, fever, nausea and vomiting, atelectasis
The nurse is assessing a client after an abdominal surgery who speaks a different
language. Which nonverbal assessment changes could indicate pain is present? Select
all that apply.
Confusion, restlessness, moaning, irritability
The nurse is caring for a client after a large abdominal surgery. He is restless and
uncomfortable. Which positioning change could be most beneficial? Select all that
apply.
Head elevation and side lying
, The nurse is speaking with a group of nursing students about the use of heat and ice for
pain control. Which situations are best for this modality? Select all that apply.
Low back pain with spasticity, activity induced muscle pain, pain from obstetric
procedures
The nurse is providing comfort to a person who has fallen on the hiking trail and broken
his ankle. Which techniques can be used until medical help arrives? Select all that
apply.
Massage, relaxation, meditation, controlled breathing, imagery
The nurse is preparing for heat and cold application. Which of the following statements
are true? Select all that apply.
Heat/cold devices can cause superficial tissue damage
Heat/cold devices should never come in direct contact with the skin
Heat/cold devices should be used intermittently
The nurse is teaching a family about phantom pain. Which statement is correct?
Phantom pain is real and should be treated as such
The nurse is preparing medications in solid form. How should the nurse anticipate they
are measured? Select all that apply.
Grams or milligrams
In order to safely measure quantity desired, what does the nurse need to know? Select
all that apply.
Desired dose, dose on hand, quantity on hand
What is the preferred system for medication dosing in the United States?
Metric
The physician has prescribed meperidine, 50 mg. The pharmacy has meperidine 75
mg/mL available. How many milliliters should the nurse deliver?
.67 ml
The physician prescribed atropine sulfate, 0.1 mg subcutaneous now, prior to surgery.
The pharmacy has atropine sulfate, 0.05 mg per mL available. How many milliliters
should the nurse administer?
2 ml
Medication errors are common in healthcare. What are some frequently reported
reasons for errors to occur? Select all that apply.
Lack of knowledge, fatigue, poor handwriting, labeling errors and in adequate staffing
Which factors are included in the six rights of medication administration?
Right patient, right medication, right route
When should the three checks take place? Select all that apply.
Before preparing the medication, after preparing the medication, at the clients bedside
What should the nurse confirm as two identifiers? Select all that apply.
Name, birthday, medical record number
What are some advantages to computerized safety methods in medication
administration? Select all that apply.
Alert for errors, Confirm compatibility, Monitor for safe dressing, perform medication
calculations
In what forms can oral medications be delivered? Select all that apply.
Tablet, sublingual, liquid, powder, buccal
What is the term for medication delivered by nebulization?
The nurse is preparing to perform a physical assessment. What should be included in
the preparation of the client?
-Select a time when the client is relaxed and receptive.
-Establish rapport with the client
-Alert the client before touching him or her
-Consider developmental and cultural differences
The nurse is teaching a group of students the components of a physical examination.
What should be included in the discussion? Select all that apply.
-auscultation
-percussion
-inspection
-palpation
As the nurse prepares for a physical assessment, what should be considered? Select all
that apply.
preparing the client, the environment and equipment, infection control
The nurse hears some adventitious heart sounds when auscultating the anterior chest.
What could the nurse be hearing? Select all that apply.
Third sound, fourth sound, murmur
The nurse is assessing the abdomen for a client returning from an abdominal surgery.
Which assessment technique should the nurse perform first?
inspection
The nurse is caring for a client with postsurgical pain. At what point is it important to
assess the pain level? Select all that apply.
after physical activity, before physical activity, at the beginning of the shift, and when
there are non-verbal cues of pain
Which pain scales are used to determine a client's level of pain? Select all that apply
FACES, visual analog scale, numeric
Elenore is an older adult who lives alone and has fallen and fractured her hip. She
cannot get to the phone to call for help. Her pain worsens as time passes and she
becomes confused as she waits for someone to find her. What factors are exacerbating
the situation? Select all that apply.
Fear and helplessness and cognitive impairment
The nurse is caring for a client with untreated prolonged pain sustained in an
automobile accident. Which assessment findings could result from the pain? Select all
that apply.
Hypertension, fever, nausea and vomiting, atelectasis
The nurse is assessing a client after an abdominal surgery who speaks a different
language. Which nonverbal assessment changes could indicate pain is present? Select
all that apply.
Confusion, restlessness, moaning, irritability
The nurse is caring for a client after a large abdominal surgery. He is restless and
uncomfortable. Which positioning change could be most beneficial? Select all that
apply.
Head elevation and side lying
, The nurse is speaking with a group of nursing students about the use of heat and ice for
pain control. Which situations are best for this modality? Select all that apply.
Low back pain with spasticity, activity induced muscle pain, pain from obstetric
procedures
The nurse is providing comfort to a person who has fallen on the hiking trail and broken
his ankle. Which techniques can be used until medical help arrives? Select all that
apply.
Massage, relaxation, meditation, controlled breathing, imagery
The nurse is preparing for heat and cold application. Which of the following statements
are true? Select all that apply.
Heat/cold devices can cause superficial tissue damage
Heat/cold devices should never come in direct contact with the skin
Heat/cold devices should be used intermittently
The nurse is teaching a family about phantom pain. Which statement is correct?
Phantom pain is real and should be treated as such
The nurse is preparing medications in solid form. How should the nurse anticipate they
are measured? Select all that apply.
Grams or milligrams
In order to safely measure quantity desired, what does the nurse need to know? Select
all that apply.
Desired dose, dose on hand, quantity on hand
What is the preferred system for medication dosing in the United States?
Metric
The physician has prescribed meperidine, 50 mg. The pharmacy has meperidine 75
mg/mL available. How many milliliters should the nurse deliver?
.67 ml
The physician prescribed atropine sulfate, 0.1 mg subcutaneous now, prior to surgery.
The pharmacy has atropine sulfate, 0.05 mg per mL available. How many milliliters
should the nurse administer?
2 ml
Medication errors are common in healthcare. What are some frequently reported
reasons for errors to occur? Select all that apply.
Lack of knowledge, fatigue, poor handwriting, labeling errors and in adequate staffing
Which factors are included in the six rights of medication administration?
Right patient, right medication, right route
When should the three checks take place? Select all that apply.
Before preparing the medication, after preparing the medication, at the clients bedside
What should the nurse confirm as two identifiers? Select all that apply.
Name, birthday, medical record number
What are some advantages to computerized safety methods in medication
administration? Select all that apply.
Alert for errors, Confirm compatibility, Monitor for safe dressing, perform medication
calculations
In what forms can oral medications be delivered? Select all that apply.
Tablet, sublingual, liquid, powder, buccal
What is the term for medication delivered by nebulization?
