HESI Practice Exam Nurs-300/NURS-301
A male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation
instead. What should be the nurse's first response?
A)."It is important that you continue your medication while learning to meditate."
B)."Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C)."Obtain your healthcare provider's permission before starting meditation."
D)."Complementary therapy and western medicine can be effective for you."
A)."It is important that you continue your medication while learning to meditate."
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A).It is more difficult to find a superficial vein in the feet and ankles.
B).A decreased flow rate could result in the formation of a thrombosis.
C).A cannulated extremity is more difficult to move when the leg or foot is used.
D).Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
B).A decreased flow rate could result in the formation of a thrombosis.
When evaluating a client's plan of care, the nurse determines that a desired
outcome was not achieved. Which action should the nurse implement first?
A).Establish a new nursing diagnosis.
B).Note which actions were not implemented.
C).Add additional nursing orders to the plan.
D).Collaborate with the healthcare provider to make changes.
B).Note which actions were not implemented.
A Sub-Saharan African widowed immigrant woman lives with her deceased
husband's brother and his family, which includes the brother-in-law's children
and the widow's adult children. Each family member speaks fluent English.
Surgery is recommended for this client. What is the best plan to obtain consent
for surgery for this client?
A).Obtain an interpreter to explain the procedure to the client.
B).Encourage the client to make her own decision regarding surgery.
C).Ask the family members to provide a clarification of the surgeon's explanation
to the client.
D).Tell the surgeon that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
D).Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow.
Which response by a client with a nursing diagnosis of "Spiritual distress,"
indicates to the nurse that a desired outcome measure has been met?
A).Expresses concern about the meaning and importance of life.
B).Remains angry at God for the continuation of the illness.
C).Accepts that punishment from God is not related to illness.
D).Refuses to participate in religious rituals that have no meaning.
C).Accepts that punishment from God is not related to illness.
At the time of the first dressing change, the client refuses to look at her
mastectomy incision. The nurse tells the client that the incision is healing well,
, but the client refuses to talk about it. Which is the best response to this client's
silence?
A).It is normal to feel angry and depressed, but the sooner you deal with this
surgery, the better you will feel.
B).Looking at your incision can be frightening, but facing this fear is a necessary
part of your recovery."
C).It is OK if you don't want to talk about your surgery. I will be available when
you are ready."
D).I will ask a woman who has had a mastectomy to come by and share her
experiences with you."
C).It is OK if you don't want to talk about your surgery. I will be available when you are
ready."
A female client asks the nurse to find someone who can translate her treatment
concerns into her native language. Which action should the nurse take?
A).Explain that anyone who speaks her language can answer her questions.
B).Provide a translator only in an emergency situation.
C).Ask a family member or friend of the client to translate.
D).Request and document the name of the certified translator.
D).Request and document the name of the certified translator.
Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent
constipation. Each capsule contains 100 mg. How many capsules should the
nurse administer?
3
When conducting an admission assessment, the nurse should ask the client
about the use of complementary healing practices. Which statement is accurate
regarding the use of these practices?
A).Complementary healing practices interfere with the efficacy of the medical
model of treatment.
B).Conventional medications are likely to interact with folk remedies and cause
adverse effects.
C).Many complementary healing practices can be used in conjunction with
conventional practices.
D).Conventional medical practices will ultimately replace the use of
complementary healing practices.
C).Many complementary healing practices can be used in conjunction with conventional
practices.
The nurse is completing a mental assessment for a client who is demonstrating
slow thought processes, personality changes, and emotional lability. Which area
of the brain controls these neuro-cognitive functions?
A).Thalamus.
B).Hypothalamus.
C).Frontal lobe.
D).Parietal lobe.
C).Frontal lobe.
A male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation
instead. What should be the nurse's first response?
A)."It is important that you continue your medication while learning to meditate."
B)."Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C)."Obtain your healthcare provider's permission before starting meditation."
D)."Complementary therapy and western medicine can be effective for you."
A)."It is important that you continue your medication while learning to meditate."
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A).It is more difficult to find a superficial vein in the feet and ankles.
B).A decreased flow rate could result in the formation of a thrombosis.
C).A cannulated extremity is more difficult to move when the leg or foot is used.
D).Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
B).A decreased flow rate could result in the formation of a thrombosis.
When evaluating a client's plan of care, the nurse determines that a desired
outcome was not achieved. Which action should the nurse implement first?
A).Establish a new nursing diagnosis.
B).Note which actions were not implemented.
C).Add additional nursing orders to the plan.
D).Collaborate with the healthcare provider to make changes.
B).Note which actions were not implemented.
A Sub-Saharan African widowed immigrant woman lives with her deceased
husband's brother and his family, which includes the brother-in-law's children
and the widow's adult children. Each family member speaks fluent English.
Surgery is recommended for this client. What is the best plan to obtain consent
for surgery for this client?
A).Obtain an interpreter to explain the procedure to the client.
B).Encourage the client to make her own decision regarding surgery.
C).Ask the family members to provide a clarification of the surgeon's explanation
to the client.
D).Tell the surgeon that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
D).Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow.
Which response by a client with a nursing diagnosis of "Spiritual distress,"
indicates to the nurse that a desired outcome measure has been met?
A).Expresses concern about the meaning and importance of life.
B).Remains angry at God for the continuation of the illness.
C).Accepts that punishment from God is not related to illness.
D).Refuses to participate in religious rituals that have no meaning.
C).Accepts that punishment from God is not related to illness.
At the time of the first dressing change, the client refuses to look at her
mastectomy incision. The nurse tells the client that the incision is healing well,
, but the client refuses to talk about it. Which is the best response to this client's
silence?
A).It is normal to feel angry and depressed, but the sooner you deal with this
surgery, the better you will feel.
B).Looking at your incision can be frightening, but facing this fear is a necessary
part of your recovery."
C).It is OK if you don't want to talk about your surgery. I will be available when
you are ready."
D).I will ask a woman who has had a mastectomy to come by and share her
experiences with you."
C).It is OK if you don't want to talk about your surgery. I will be available when you are
ready."
A female client asks the nurse to find someone who can translate her treatment
concerns into her native language. Which action should the nurse take?
A).Explain that anyone who speaks her language can answer her questions.
B).Provide a translator only in an emergency situation.
C).Ask a family member or friend of the client to translate.
D).Request and document the name of the certified translator.
D).Request and document the name of the certified translator.
Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent
constipation. Each capsule contains 100 mg. How many capsules should the
nurse administer?
3
When conducting an admission assessment, the nurse should ask the client
about the use of complementary healing practices. Which statement is accurate
regarding the use of these practices?
A).Complementary healing practices interfere with the efficacy of the medical
model of treatment.
B).Conventional medications are likely to interact with folk remedies and cause
adverse effects.
C).Many complementary healing practices can be used in conjunction with
conventional practices.
D).Conventional medical practices will ultimately replace the use of
complementary healing practices.
C).Many complementary healing practices can be used in conjunction with conventional
practices.
The nurse is completing a mental assessment for a client who is demonstrating
slow thought processes, personality changes, and emotional lability. Which area
of the brain controls these neuro-cognitive functions?
A).Thalamus.
B).Hypothalamus.
C).Frontal lobe.
D).Parietal lobe.
C).Frontal lobe.
