Exit Hesi (BSN 366- V3) | | Questions and
Answers
Questions in this set (160)
A 64 year-old client scheduled Ask the client if the preference would be to remove the dentures in
for surgery with a general the operating room receiving area
anesthetic refuses to remove a
set of dentures prior to leaving
the unit for the operating room.
What would be the most
appropriate intervention by the
nurse?
The nurse has been teaching Reported behavioral changes
adult clients about cardiac risks
when they visit the
hypertension clinic. Which form
of evaluation would best measure
learning?
The nurse is planning care for an 18 Encourage the child to feed himself finger food
month- old child. Which action
should be included in the child's
care?
A partner is concerned because Such fantasies can gratify unconscious wishes or prepare for
the client frequently daydreams anticipated future events
about moving to Arizona to get
away from the pollution and
crowding in southern California.
The nurse explains that
An appropriate goal for a client Learn self-help techniques
with anxiety would be to
While the nurse is "Is there a reason why you don't want to take your medicine?"
administering medications to a
client, the client states "I do not
want to take that medicine
today." Which of the following
responses by the nurse would
be best?
,While caring for a client, the nurse Auscultate the mass
notes a pulsating mass in the
client's periumbilical area. Which
of the following assessments is
appropriate for the nurse to
perform?
A client is admitted to the "Good morning. You're in the hospital. I am your nurse Elaine Jones."
hospital with a history of
confusion. The client has difficulty
remembering recent events and
becomes disoriented when away
from home. Which statement
would provide the best reality
orientation for this client?
The nurse is teaching the Formula or breast milk
parents of a 3 month-old infant
about nutrition. What is the main
source of fluids for an infant until
about 12 months of age?
The family of a 6 year-old with Epiphyseal fractures often interrupt a child's normal growth pattern
a fractured femur asks the nurse
if the child's height will be affected
by the injury. Which statement is
true concerning long bone
fractures in children?
The nurse is assessing a client December 23
who states her last menstrual
period was March 16, and she has
missed one period. She reports
episodes of nausea and
vomiting.
Pregnancy is confirmed by a
urine test. What will the nurse
calculate as the
estimated date of delivery (EDD)?
When screening children for During the preadolescent growth spurt
scoliosis, at what time of
development would the nurse
expect early signs to appear?
A client with congestive heart Discuss diet with the client to learn the reasons for not following the diet
failure is newly admitted to
home health care. The nurse
discovers that the client has not
been following the prescribed
, diet. What would be the most
appropriate nursing action?
A client states, "People think I'm "I'm not sure what you mean. Tell me a bit more about that."
no good, you know what I
mean?" Which of these
responses would be most
therapeutic?
A client being treated for Noncompliance related to medication side effects
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?
When teaching effective stress Deep breathing
management techniques to a
client 1 hour before surgery,
which of the following should
the nurse recommend?
Answers
Questions in this set (160)
A 64 year-old client scheduled Ask the client if the preference would be to remove the dentures in
for surgery with a general the operating room receiving area
anesthetic refuses to remove a
set of dentures prior to leaving
the unit for the operating room.
What would be the most
appropriate intervention by the
nurse?
The nurse has been teaching Reported behavioral changes
adult clients about cardiac risks
when they visit the
hypertension clinic. Which form
of evaluation would best measure
learning?
The nurse is planning care for an 18 Encourage the child to feed himself finger food
month- old child. Which action
should be included in the child's
care?
A partner is concerned because Such fantasies can gratify unconscious wishes or prepare for
the client frequently daydreams anticipated future events
about moving to Arizona to get
away from the pollution and
crowding in southern California.
The nurse explains that
An appropriate goal for a client Learn self-help techniques
with anxiety would be to
While the nurse is "Is there a reason why you don't want to take your medicine?"
administering medications to a
client, the client states "I do not
want to take that medicine
today." Which of the following
responses by the nurse would
be best?
,While caring for a client, the nurse Auscultate the mass
notes a pulsating mass in the
client's periumbilical area. Which
of the following assessments is
appropriate for the nurse to
perform?
A client is admitted to the "Good morning. You're in the hospital. I am your nurse Elaine Jones."
hospital with a history of
confusion. The client has difficulty
remembering recent events and
becomes disoriented when away
from home. Which statement
would provide the best reality
orientation for this client?
The nurse is teaching the Formula or breast milk
parents of a 3 month-old infant
about nutrition. What is the main
source of fluids for an infant until
about 12 months of age?
The family of a 6 year-old with Epiphyseal fractures often interrupt a child's normal growth pattern
a fractured femur asks the nurse
if the child's height will be affected
by the injury. Which statement is
true concerning long bone
fractures in children?
The nurse is assessing a client December 23
who states her last menstrual
period was March 16, and she has
missed one period. She reports
episodes of nausea and
vomiting.
Pregnancy is confirmed by a
urine test. What will the nurse
calculate as the
estimated date of delivery (EDD)?
When screening children for During the preadolescent growth spurt
scoliosis, at what time of
development would the nurse
expect early signs to appear?
A client with congestive heart Discuss diet with the client to learn the reasons for not following the diet
failure is newly admitted to
home health care. The nurse
discovers that the client has not
been following the prescribed
, diet. What would be the most
appropriate nursing action?
A client states, "People think I'm "I'm not sure what you mean. Tell me a bit more about that."
no good, you know what I
mean?" Which of these
responses would be most
therapeutic?
A client being treated for Noncompliance related to medication side effects
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?
When teaching effective stress Deep breathing
management techniques to a
client 1 hour before surgery,
which of the following should
the nurse recommend?
