NUR 208 HESI Final – Study Guide, Practice Questions & Nursing Exam
Review
3 days following surgery, male client observes his colostomy for the first time. he becomes upset
and tells the nurse that it is much bigger than he expected. what is the best response by the RN
- correct answer ✔✔- instruct client that the stoma will become smaller when the swelling
diminishes
best snack food is best for a client with myasthenia gravis who is at risk for altered nutritional
status - correct answer ✔✔- chocolate pudding
after completing an assessment and determining that a client has a problem. which action
should the RN perform next? - correct answer ✔✔- determine etiology of the problem
on admin pt signs a living will that includes a DNR order. when client stops breathing, the RN
performs CPR and revives the client. what legal issues could be brought on by the RN - correct
answer ✔✔malpractice
RN notices hispanic parents of a toddler offering only broth on the clear liquid tray. Gelatin,
popsicles, juices, remain untouched. what explanation is most appropriate for this behavior -
correct answer ✔✔- hot remedies restore balance after surgery
client with nursing dx of spiritual distress. which indicates to the nurse that a desired outcome
measure has been met - correct answer ✔✔- accepts punishment from god is not related to
illness
which shows that a client understands low Na restriction food - correct answer ✔✔- skim milk,
turkey salad, roll, and vanilla ice cream
, sub saharan afrinca widowed immigrant woman lives with her deceased husbands' brother and
his family. ALl members speaks fluent English. Surgery recommended for the client. Best plan to
obtain consent for surgery for this client - correct answer ✔✔- tell surgeon that the brother in
law will decide after exmplanation of the proposed surgery is provded to him and the widow
when evaluating a pt plan of care. RN determines desired outcome was not achieved. Which
action should the RN implement FIRST - correct answer ✔✔- note which actions were NOT
implemented
- in order to determine why the original plan did not produce the desired outcome
male client removed the covering from an ice pack applied to his knee. what actions should the
RN take first? - correct answer ✔✔- observe appearance of the skin under the ice pack
assessment data to collect that reflects total muscle mass in an adolescent - correct answer
✔✔- upper arm circumference
client died, when the RN asks a family member about funeral arrangements. Family member
refuses to discuss the issue. RN most appropriate action - correct answer ✔✔- remain w/ fam
member w/o discuss funeral arrangement
therapeutic communication - correct answer ✔✔- response should focus on the client (not the
RN or facility)
- determine whether the question pertains to the client or fam members
- responses should be open ended and encourage the client to express how she feels
- eliminate responses that are not honest [do not answer w/ dont worry, everything will be
alright, your doctor knows best]
- response should indicate acceptance of the client [dont tell the alcoholic to stop drinking, dont
tell the depressed pt to not feel that way]
- do not give your own opinion (dont insist the pt should follow advice)
Review
3 days following surgery, male client observes his colostomy for the first time. he becomes upset
and tells the nurse that it is much bigger than he expected. what is the best response by the RN
- correct answer ✔✔- instruct client that the stoma will become smaller when the swelling
diminishes
best snack food is best for a client with myasthenia gravis who is at risk for altered nutritional
status - correct answer ✔✔- chocolate pudding
after completing an assessment and determining that a client has a problem. which action
should the RN perform next? - correct answer ✔✔- determine etiology of the problem
on admin pt signs a living will that includes a DNR order. when client stops breathing, the RN
performs CPR and revives the client. what legal issues could be brought on by the RN - correct
answer ✔✔malpractice
RN notices hispanic parents of a toddler offering only broth on the clear liquid tray. Gelatin,
popsicles, juices, remain untouched. what explanation is most appropriate for this behavior -
correct answer ✔✔- hot remedies restore balance after surgery
client with nursing dx of spiritual distress. which indicates to the nurse that a desired outcome
measure has been met - correct answer ✔✔- accepts punishment from god is not related to
illness
which shows that a client understands low Na restriction food - correct answer ✔✔- skim milk,
turkey salad, roll, and vanilla ice cream
, sub saharan afrinca widowed immigrant woman lives with her deceased husbands' brother and
his family. ALl members speaks fluent English. Surgery recommended for the client. Best plan to
obtain consent for surgery for this client - correct answer ✔✔- tell surgeon that the brother in
law will decide after exmplanation of the proposed surgery is provded to him and the widow
when evaluating a pt plan of care. RN determines desired outcome was not achieved. Which
action should the RN implement FIRST - correct answer ✔✔- note which actions were NOT
implemented
- in order to determine why the original plan did not produce the desired outcome
male client removed the covering from an ice pack applied to his knee. what actions should the
RN take first? - correct answer ✔✔- observe appearance of the skin under the ice pack
assessment data to collect that reflects total muscle mass in an adolescent - correct answer
✔✔- upper arm circumference
client died, when the RN asks a family member about funeral arrangements. Family member
refuses to discuss the issue. RN most appropriate action - correct answer ✔✔- remain w/ fam
member w/o discuss funeral arrangement
therapeutic communication - correct answer ✔✔- response should focus on the client (not the
RN or facility)
- determine whether the question pertains to the client or fam members
- responses should be open ended and encourage the client to express how she feels
- eliminate responses that are not honest [do not answer w/ dont worry, everything will be
alright, your doctor knows best]
- response should indicate acceptance of the client [dont tell the alcoholic to stop drinking, dont
tell the depressed pt to not feel that way]
- do not give your own opinion (dont insist the pt should follow advice)
