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HESI Fundamentals of Nursing : Study Guide & Practice Questions & Labvalue

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HESI Fundamentals of Nursing : Study Guide & Practice Questions & Labvalue

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HESI Fundamentals of Nursing : Study Guide & Practice
Questions & Labvalue
A nurse is educating a nursing student about nursing history. The nurse explains that
throughout ancient history, nursing care was provided by family members and -
ANSWER: Male Priests

A nurse educates a nursing student about the Nurse Practice Act. The nursing
student demonstrates understanding when he or she states: - ANSWER: "The Nurse
Practice Act establishes the scope of practice for each level of nurse."

The Nurse Practice Act is enforced by the - ANSWER: State Board of Nursing.

A nurse is caring for multiple patients on a medical unit. The nurse can best practice
the art of nursing with an emphasis on caring by - ANSWER: Individualizing care
provided to each patient.

The ability of a nurse to care for several patients, help families understand what is
happening to a patient, and notice changes in a patient's condition are all examples
of an important characteristic of nurses known as - ANSWER: Being responsible.

A nurse feels that his patient needs to be placed in a protective-restraint device to
protect him from injury. To place a patient in restraints, - ANSWER: The nurse must
have documentation that other methods have been used and failed to protect the
patient.

A nurse explains to coworkers that care provided for a patient is based on the Nurse
Practice Act (NPA), which covers the - ANSWER: Rules and regulations that nurses
must practice.

Aware that continuing education is a must in providing a high standard of patient
care, a nurse will enhance her practice by - ANSWER: Using research to improve
practice

A nursing student wants to use some information from an actual patient's chart to
prepare a student care plan for class. The student must understand that any data
collected from a patient's chart should - ANSWER: Be written in a way that it
maintains confidentiality for the patient.

The nursing process is a - ANSWER: Decision-making framework used by nurses to
determine the needs of patients.

While caring for a newly admitted patient, a registered nurse (RN) gathers
information by interviewing the patient to obtain a health history and reviewing the
results of laboratory and diagnostic tests. This step in the nursing process is called -
ANSWER: Assessment.

, A nurse is performing an admission assessment on a patient. When collecting
objective and subjective data, the nurse identifies as subjective data that - ANSWER:
The patient reports feelings of fatigue.

While performing a shift assessment, a nurse visually examines a patient's body for
rashes and breaks in the skin, and looks for normal appearance of eyes, ears, nose,
mouth, limbs, and genitals. This is an example of an assessment technique called -
ANSWER: Inspection.

While performing a focused assessment, a nurse listens to a patient's heart and lung
sounds. This is an example of an assessment technique called - ANSWER:
Auscultation.

A nursing instructor explains that a complete nursing diagnosis may be a one-part,
two-part, or three-part statement. Three-part statements are often called PES
statements, which stands for - ANSWER: Problem, etiology, and signs and symptoms.

After increasing fluid intake and administering stool softeners for a patient
complaining of constipation, a nurse calls the physician to obtain an order to
administer an enema. This is an example of a(n) - ANSWER: Dependent intervention.

A nursing instructor is educating a class of student nurses about charting direct
statements made by a patient. - ANSWER: States, "The pain is getting worse. I don't
know if I can stand it or not."

While documenting in a patient's chart, a nurse realizes that it is the wrong patient's
chart. The nurse should - ANSWER: Write "mistaken entry" and his or her initials just
above incorrect entry.

A nursing instructor educates a class of nursing students about SOAPIER charting.
The nursing instructor teaches that the acronym SOAPIER stands for - ANSWER:
Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation,
Revision.

A patient complains of feeling short of breath. His oxygen saturation level is 86%.
When auscultating his lung sounds, a nurse notes wheezes and crackles throughout.
The patient has a productive cough of thick green mucus. The nurse should chart
these actions under the section of DAR charting that is called - ANSWER: Data

A nursing instructor explains to students that the confidentiality of a patient's chart,
the results of diagnostic procedures and consultations, and any notes they might
write regarding the patient's health status is guaranteed by - ANSWER: the Health
Insurance Portability and Accountability Act (HIPAA).

A Native American patient tells a nurse that she does not desire medical treatment
for her terminal illness.

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