Adult Health (HESI) final
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The
patient and family have expressed concern about the drug. What is the nurse's
responsibility in this particular situation? - provide information so that the patient can
decide whether to accept or refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing.
The daughter wants to enroll in a program that is of short duration and makes her
eligible to take the nursing license examination. Which educational program would the
nurse recommend to this student? - associates degree program in nursing
The community health nurse is conducting a program on health and fitness awareness
for medically under served people. Who would be categorized as medically under
served? - people of a poor socioeconomic status
The nursing mentor observes that a nursing student is deficient in communication skills
but is good at understanding nursing theories. How would the mentor intervene with
respect to this student? - help the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements. Which action
would the remaining nurses take? Select all that apply. One, some, or all responses
may be correct. - -use the patient contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risks and benefits of the surgery to the
family and discusses the patient's wishes with the family. Which role is the nurse playing
for the patient? - advocate
Nurses are responsible for the quality of care provided to patients. Which will help
nurses practice safe nursing? Select all that apply. One, some, or all responses may be
correct. - -acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action would the
nurse take to ensure individual patient satisfaction? select all that apply. One, some, or
all responses may be correct. - -provide quality care to each patient
-ensure that patients leave with a positive image of nursing
-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the patient, the
nurse learns that he has a twin brother. Which nursing action is appropriate for the
,patient's brother? select all that apply. One, some, or all responses may be correct. - -
educate the patient's brother on reasons to get a colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school. Which
responsibilities fall under the role of the nurse educator? - provide student with practical
and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree in nursing
about next steps in advanced nursing education. Which educational option would be
included? Select all that apply. One, some, or all responses may be correct. - -bachelor
of science in nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the leg elevated
and applies cold compresses on the affected ankle. Which standard of practice is the
nurse performing? - implementation
The health care provider asks the certified registered nurse anesthetist (CRNA) to
provide spinal anesthesia to a patient who is scheduled for a hernia operation. What is
the CRNA's next step? - provide the anesthesia under the supervision of a health care
provider with knowledge of surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer subcutaneous
insulin. Which key element would the nurse keep in mind before teaching the patient
about health care principles? - match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice registered nurses? -
function independently
Which teaching about Quality and Safety Education for nurses (QSEN) competencies,
the nurse states, "This competency uses tools such as flowcharts and diagrams to
make the process of care explicit". Which QSEN competency is the nurse referring to? -
quality improvement
A patient has been advised to have a total knee replacement because of osteoarthritis.
The patient is not willing to undergo the surgery, but family members want to get the
surgery done to relieve the disability. The nurse explains the details of the surgery and
the risks associated with it, and also discusses the patient's wishes with the family.
Which nursing role is the nurse playing here? - advocate
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse give the prescribed medicated nebulizer treatment now and in 4
hours. Which standard practice is performed? - implementation
, A patient in labor has been brought to the certified nurse midwife (CNM). Which
intervention would the CNM undertake in this situation? Select all that apply. One,
some, or all responses may be correct. - -conduct the labor
-provide care for the newborn
The nurse educator is delivering a lecture on nursing as a profession to a group of
nursing students who have recently joined the baccalaureate nursing degree course.
Which statement is true? Select all that apply. One, some, or all responses may be
correct. - -the nurse is responsible to provide specific health care to patients
-the nurse is responsible and accountable to the patients
-nurses have to follow a specific code of ethics while delivering care
A 50 y/o patient is admitted with acute exacerbation of asthma. The patient is treated
with bronchodilators and oxygen therapy. The patient is clinically stable and is planned
for discharge. The nurse teaches the patient about deep-breathing exercises. The nurse
has initiated these exercises to improve the patient's lung capacity. Which professional
behavior is the nurse showing. - Autonomy: initiation of independent nursing
interventions without medical errors
The nurse is working with a young family who has one child with a congenital heart
disease. The parents are trying to determine the risks of a second child being born with
congenital heart disease. Which information is important in assisting the parents in this
decision? - genomics: study of all the genes in an individual and the interactions of
these genes with one another and with that individuals environment
The critical care nurse is using a computerized decision support system to correctly
position ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. Which Quality and Safety Education of Nurses (QSEN) competency is this
an example of? - informatics
The nurse is caring for a patient who has been admitted to the hospital with terminal
leukemia. The patient has expressed a preference for non pharmacological pain control.
The nurse refers to articles and systematic reviews to learn the best possible non-
pharmacological methods to treat cancer pain. How would the nurse's actions be
categorized, according to the Quality and safety Education for Nurses (QSEN)
competencies? Select all that apply. One, some, or all responses may be correct. - -
patient centered care
-evidence based practice
The nurse is assessing a patient who has been admitted for congestive heart failure.
The nurse practitioner suspects a pulmonary pathology and asks for a chest x-ray to
confirm the findings. Which standard of practice is the nurse practitioner performing? -
prescriptive authority
The nurse is caring for an older-adult couple in a community-based assisted-living
agency. During the family assessment, the nurse notes that the couple has many
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The
patient and family have expressed concern about the drug. What is the nurse's
responsibility in this particular situation? - provide information so that the patient can
decide whether to accept or refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing.
The daughter wants to enroll in a program that is of short duration and makes her
eligible to take the nursing license examination. Which educational program would the
nurse recommend to this student? - associates degree program in nursing
The community health nurse is conducting a program on health and fitness awareness
for medically under served people. Who would be categorized as medically under
served? - people of a poor socioeconomic status
The nursing mentor observes that a nursing student is deficient in communication skills
but is good at understanding nursing theories. How would the mentor intervene with
respect to this student? - help the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements. Which action
would the remaining nurses take? Select all that apply. One, some, or all responses
may be correct. - -use the patient contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risks and benefits of the surgery to the
family and discusses the patient's wishes with the family. Which role is the nurse playing
for the patient? - advocate
Nurses are responsible for the quality of care provided to patients. Which will help
nurses practice safe nursing? Select all that apply. One, some, or all responses may be
correct. - -acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action would the
nurse take to ensure individual patient satisfaction? select all that apply. One, some, or
all responses may be correct. - -provide quality care to each patient
-ensure that patients leave with a positive image of nursing
-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the patient, the
nurse learns that he has a twin brother. Which nursing action is appropriate for the
,patient's brother? select all that apply. One, some, or all responses may be correct. - -
educate the patient's brother on reasons to get a colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school. Which
responsibilities fall under the role of the nurse educator? - provide student with practical
and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree in nursing
about next steps in advanced nursing education. Which educational option would be
included? Select all that apply. One, some, or all responses may be correct. - -bachelor
of science in nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the leg elevated
and applies cold compresses on the affected ankle. Which standard of practice is the
nurse performing? - implementation
The health care provider asks the certified registered nurse anesthetist (CRNA) to
provide spinal anesthesia to a patient who is scheduled for a hernia operation. What is
the CRNA's next step? - provide the anesthesia under the supervision of a health care
provider with knowledge of surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer subcutaneous
insulin. Which key element would the nurse keep in mind before teaching the patient
about health care principles? - match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice registered nurses? -
function independently
Which teaching about Quality and Safety Education for nurses (QSEN) competencies,
the nurse states, "This competency uses tools such as flowcharts and diagrams to
make the process of care explicit". Which QSEN competency is the nurse referring to? -
quality improvement
A patient has been advised to have a total knee replacement because of osteoarthritis.
The patient is not willing to undergo the surgery, but family members want to get the
surgery done to relieve the disability. The nurse explains the details of the surgery and
the risks associated with it, and also discusses the patient's wishes with the family.
Which nursing role is the nurse playing here? - advocate
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse give the prescribed medicated nebulizer treatment now and in 4
hours. Which standard practice is performed? - implementation
, A patient in labor has been brought to the certified nurse midwife (CNM). Which
intervention would the CNM undertake in this situation? Select all that apply. One,
some, or all responses may be correct. - -conduct the labor
-provide care for the newborn
The nurse educator is delivering a lecture on nursing as a profession to a group of
nursing students who have recently joined the baccalaureate nursing degree course.
Which statement is true? Select all that apply. One, some, or all responses may be
correct. - -the nurse is responsible to provide specific health care to patients
-the nurse is responsible and accountable to the patients
-nurses have to follow a specific code of ethics while delivering care
A 50 y/o patient is admitted with acute exacerbation of asthma. The patient is treated
with bronchodilators and oxygen therapy. The patient is clinically stable and is planned
for discharge. The nurse teaches the patient about deep-breathing exercises. The nurse
has initiated these exercises to improve the patient's lung capacity. Which professional
behavior is the nurse showing. - Autonomy: initiation of independent nursing
interventions without medical errors
The nurse is working with a young family who has one child with a congenital heart
disease. The parents are trying to determine the risks of a second child being born with
congenital heart disease. Which information is important in assisting the parents in this
decision? - genomics: study of all the genes in an individual and the interactions of
these genes with one another and with that individuals environment
The critical care nurse is using a computerized decision support system to correctly
position ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. Which Quality and Safety Education of Nurses (QSEN) competency is this
an example of? - informatics
The nurse is caring for a patient who has been admitted to the hospital with terminal
leukemia. The patient has expressed a preference for non pharmacological pain control.
The nurse refers to articles and systematic reviews to learn the best possible non-
pharmacological methods to treat cancer pain. How would the nurse's actions be
categorized, according to the Quality and safety Education for Nurses (QSEN)
competencies? Select all that apply. One, some, or all responses may be correct. - -
patient centered care
-evidence based practice
The nurse is assessing a patient who has been admitted for congestive heart failure.
The nurse practitioner suspects a pulmonary pathology and asks for a chest x-ray to
confirm the findings. Which standard of practice is the nurse practitioner performing? -
prescriptive authority
The nurse is caring for an older-adult couple in a community-based assisted-living
agency. During the family assessment, the nurse notes that the couple has many
