HESI PN EXIT V1, V2, V3
TEST BANK All
Questions & Answers
2023 And RATED A+
1
,1.A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't take
these water pills anymore. I drive a truck for a living, and I can't be stopping every
20 minutes to go to the bathroom." Which of these is the best nursing diagnosis?
A) Noncompliance related to medication side effects
B)Knowledge deficit related to misunderstanding of disease state
C)Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
2.When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B)Deep breathing
C)Distraction
D) Imagery
3.When observing 4 year-old children playing in the hospital playroom, what
activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B)Playing with their own toys along side with other children
C)Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
4.The nurse is assessing a 4 month-old infant. Which motor skill would the nurse
anticipate finding?
A) Hold a rattle
2
,B)Bang two blocks
C)Drink from a cup
D) Wave "bye-bye"
5.When teaching a 10 year-old child about their impending heart surgery, which
form of explanation meets the developmental needs of this age child?
A) Provide a verbal explanation just prior to the surgery
B)Provide the child with a booklet to read about the surgery
C)Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
6.The parents of a child who has suddenly been hospitalized for an acute illness
state that they should have taken the child to the pediatrician earlier. Which
approach by the nurse is best when dealing with the parents' comments?
A) Focus on the child's needs and recovery
B)Explain the cause of the child's illness
C)Acknowledge that early care would have been better
D) Accept their feelings without judgment
7.The correct answer is D: Accept their feelings without judgment When caring
for a client with total parenteral nutrition (TPN), what is the most important action
on the part of the nurse?
A) Record the number of stools per day
B)Maintain strict intake and output records
C)Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias
3
, 8.When caring for a client who is receiving a thrombolytic agent to open a clot
occluded coronary artery after a myocardial infarction, which finding would be of
greatest concern to the nurse?
A) Sero sanginous drainage from gums
B)Hematemesis
C)Pink frothy sputum
D) Slight red color at urine
9.A 52 year-old client is being transfused with one unit of packed cells. A half
hour after the transfusion was initiated, the client complains of chills and
headache. Which action should the nurse implement first?
A) Notify the health care provider
B)Check the client's temperature
C)Stop the transfusion
D) Obtain a urine specimen
10.An adolescent client is hospitalized with menarthrosis from a Hemophilia A
bleeding episode. Which order should be questioned by the nurse?
A) Passive range of motion
B)Replacement of factor VIII
C)Aspirin for pain management
D) Immobilization splint
11.The nurse is giving instructions to the mother of a newborn infant with oral
candidiasis. Which statement by the mother would indicate the need for further
teaching?
A) "Nystatin should be given 4 times a day after my baby eats."
4
TEST BANK All
Questions & Answers
2023 And RATED A+
1
,1.A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't take
these water pills anymore. I drive a truck for a living, and I can't be stopping every
20 minutes to go to the bathroom." Which of these is the best nursing diagnosis?
A) Noncompliance related to medication side effects
B)Knowledge deficit related to misunderstanding of disease state
C)Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
2.When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B)Deep breathing
C)Distraction
D) Imagery
3.When observing 4 year-old children playing in the hospital playroom, what
activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B)Playing with their own toys along side with other children
C)Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
4.The nurse is assessing a 4 month-old infant. Which motor skill would the nurse
anticipate finding?
A) Hold a rattle
2
,B)Bang two blocks
C)Drink from a cup
D) Wave "bye-bye"
5.When teaching a 10 year-old child about their impending heart surgery, which
form of explanation meets the developmental needs of this age child?
A) Provide a verbal explanation just prior to the surgery
B)Provide the child with a booklet to read about the surgery
C)Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
6.The parents of a child who has suddenly been hospitalized for an acute illness
state that they should have taken the child to the pediatrician earlier. Which
approach by the nurse is best when dealing with the parents' comments?
A) Focus on the child's needs and recovery
B)Explain the cause of the child's illness
C)Acknowledge that early care would have been better
D) Accept their feelings without judgment
7.The correct answer is D: Accept their feelings without judgment When caring
for a client with total parenteral nutrition (TPN), what is the most important action
on the part of the nurse?
A) Record the number of stools per day
B)Maintain strict intake and output records
C)Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias
3
, 8.When caring for a client who is receiving a thrombolytic agent to open a clot
occluded coronary artery after a myocardial infarction, which finding would be of
greatest concern to the nurse?
A) Sero sanginous drainage from gums
B)Hematemesis
C)Pink frothy sputum
D) Slight red color at urine
9.A 52 year-old client is being transfused with one unit of packed cells. A half
hour after the transfusion was initiated, the client complains of chills and
headache. Which action should the nurse implement first?
A) Notify the health care provider
B)Check the client's temperature
C)Stop the transfusion
D) Obtain a urine specimen
10.An adolescent client is hospitalized with menarthrosis from a Hemophilia A
bleeding episode. Which order should be questioned by the nurse?
A) Passive range of motion
B)Replacement of factor VIII
C)Aspirin for pain management
D) Immobilization splint
11.The nurse is giving instructions to the mother of a newborn infant with oral
candidiasis. Which statement by the mother would indicate the need for further
teaching?
A) "Nystatin should be given 4 times a day after my baby eats."
4
