Adult Health (HESI) final
An elderly patient has been put on a potentially toxic drug for treatment of
arthritis. The patient and family have expressed concern about the drug.
What is the nurse's responsibility in this particular situation? Correct answers
provide information so that the patient can decide whether to accept or
refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career
in nursing. The daughter wants to enroll in a program that is of short
duration and makes her eligible to take the nursing license examination.
Which educational program would the nurse recommend to this student?
Correct answers associates degree program in nursing
The community health nurse is conducting a program on health and fitness
awareness for medically under served people. Who would be categorized as
medically under served? Correct answers people of a poor socioeconomic
status
The nursing mentor observes that a nursing student is deficient in
communication skills but is good at understanding nursing theories. How
would the mentor intervene with respect to this student? Correct answers
help the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements.
Which action would the remaining nurses take? Select all that apply. One,
some, or all responses may be correct. Correct answers -use the patient
contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and discusses the patient's wishes
with the family. Which role is the nurse playing for the patient? Correct
answers advocate
Nurses are responsible for the quality of care provided to patients. Which
will help nurses practice safe nursing? Select all that apply. One, some, or all
responses may be correct. Correct answers -acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action
would the nurse take to ensure individual patient satisfaction? select all that
apply. One, some, or all responses may be correct. Correct answers -provide
quality care to each patient
-ensure that patients leave with a positive image of nursing
,-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the
patient, the nurse learns that he has a twin brother. Which nursing action
is appropriate for the patient's brother? select all that apply. One, some,
or all responses may be correct. Correct answers -educate the patient's
brother on reasons to get a colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school.
Which responsibilities fall under the role of the nurse educator? Correct
answers provide student with practical and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree
in nursing about next steps in advanced nursing education. Which
educational option would be included? Select all that apply. One, some, or
all responses may be correct. Correct answers -bachelor of science in
nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the
leg elevated and applies cold compresses on the affected ankle. Which
standard of practice is the nurse performing? Correct answers
implementation
The health care provider asks the certified registered nurse anesthetist
(CRNA) to provide spinal anesthesia to a patient who is scheduled for a
hernia operation. What is the CRNA's next step? Correct answers provide the
anesthesia under the supervision of a health care provider with knowledge of
surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer
subcutaneous insulin. Which key element would the nurse keep in mind
before teaching the patient about health care principles? Correct answers
match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice
registered nurses? Correct answers function independently
Which teaching about Quality and Safety Education for nurses (QSEN)
competencies, the nurse states, "This competency uses tools such as
flowcharts and diagrams to make the process of care explicit". Which QSEN
competency is the nurse referring to? Correct answers quality improvement
A patient has been advised to have a total knee replacement because of
osteoarthritis. The patient is not willing to undergo the surgery, but family
members want to get the surgery done to relieve the disability. The nurse
explains the details of the surgery and the risks associated with it, and also
discusses the patient's wishes with the family.
Which nursing role is the nurse playing here? Correct answers advocate
, A patient in the emergency department has developed wheezing and
shortness of breath. The nurse give the prescribed medicated nebulizer
treatment now and in 4 hours. Which standard practice is performed?
Correct answers implementation
A patient in labor has been brought to the certified nurse midwife
(CNM). Which intervention would the CNM undertake in this situation?
Select all that apply. One, some, or all responses may be correct.
Correct answers -conduct the labor
-provide care for the newborn
The nurse educator is delivering a lecture on nursing as a profession to a
group of nursing students who have recently joined the baccalaureate
nursing degree course. Which statement is true? Select all that apply.
One, some, or all responses may be correct. Correct answers -the nurse is
responsible to provide specific health care to patients
-the nurse is responsible and accountable to the patients
-nurses have to follow a specific code of ethics while delivering care
A 50 y/o patient is admitted with acute exacerbation of asthma. The patient
is treated with bronchodilators and oxygen therapy. The patient is clinically
stable and is planned for discharge. The nurse teaches the patient about
deep-breathing exercises. The nurse has initiated these exercises to improve
the patient's lung capacity. Which professional behavior is the nurse showing.
Correct answers Autonomy: initiation of independent nursing interventions
without medical errors
The nurse is working with a young family who has one child with a
congenital heart disease. The parents are trying to determine the risks of a
second child being born with congenital heart disease. Which information is
important in assisting the parents in this decision? Correct answers
genomics: study of all the genes in an individual and the interactions of
these genes with one another and with that individuals environment
The critical care nurse is using a computerized decision support system to
correctly position ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. Which Quality and Safety Education of
Nurses (QSEN) competency is this an example of? Correct answers
informatics
The nurse is caring for a patient who has been admitted to the hospital with
terminal leukemia. The patient has expressed a preference for non
pharmacological pain control. The nurse refers to articles and systematic
reviews to learn the best possible non- pharmacological methods to treat
cancer pain. How would the nurse's actions be categorized, according to the
Quality and safety Education for Nurses (QSEN) competencies? Select all that
apply. One, some, or all responses may be correct.
Correct answers -patient centered care
-evidence based practice
The nurse is assessing a patient who has been admitted for congestive
heart failure. The nurse practitioner suspects a pulmonary pathology and
asks for a chest x-ray to
An elderly patient has been put on a potentially toxic drug for treatment of
arthritis. The patient and family have expressed concern about the drug.
What is the nurse's responsibility in this particular situation? Correct answers
provide information so that the patient can decide whether to accept or
refuse the treatment
The nurse is caring for a patient whose daughter wishes to pursue a career
in nursing. The daughter wants to enroll in a program that is of short
duration and makes her eligible to take the nursing license examination.
Which educational program would the nurse recommend to this student?
Correct answers associates degree program in nursing
The community health nurse is conducting a program on health and fitness
awareness for medically under served people. Who would be categorized as
medically under served? Correct answers people of a poor socioeconomic
status
The nursing mentor observes that a nursing student is deficient in
communication skills but is good at understanding nursing theories. How
would the mentor intervene with respect to this student? Correct answers
help the student build nursing skills
In a hospital, there is an acute shortage of nurses because of retirements.
Which action would the remaining nurses take? Select all that apply. One,
some, or all responses may be correct. Correct answers -use the patient
contact time efficiently
-use the patient contact time professionally
The nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and discusses the patient's wishes
with the family. Which role is the nurse playing for the patient? Correct
answers advocate
Nurses are responsible for the quality of care provided to patients. Which
will help nurses practice safe nursing? Select all that apply. One, some, or all
responses may be correct. Correct answers -acquiring knowledge
-improving competencies
-acquiring technical skills
The nurse usually is assigned multiple patients at one time. Which action
would the nurse take to ensure individual patient satisfaction? select all that
apply. One, some, or all responses may be correct. Correct answers -provide
quality care to each patient
-ensure that patients leave with a positive image of nursing
,-manage time, and approach all patients with compassion
A 40 y/o man is diagnosed with colon cancer. While interacting with the
patient, the nurse learns that he has a twin brother. Which nursing action
is appropriate for the patient's brother? select all that apply. One, some,
or all responses may be correct. Correct answers -educate the patient's
brother on reasons to get a colonoscopy
-encourage the patient's brother to get an annual stool test
The nurse is being appointed as nurse educator in a nursing school.
Which responsibilities fall under the role of the nurse educator? Correct
answers provide student with practical and theoretical knowledge
The senior nurse is explaining to the nurse who holds an associate degree
in nursing about next steps in advanced nursing education. Which
educational option would be included? Select all that apply. One, some, or
all responses may be correct. Correct answers -bachelor of science in
nursing (BSN)
-Bachelor in Nursing (BN)
A patient has a sprained ankle. The nurse instructs the patient to keep the
leg elevated and applies cold compresses on the affected ankle. Which
standard of practice is the nurse performing? Correct answers
implementation
The health care provider asks the certified registered nurse anesthetist
(CRNA) to provide spinal anesthesia to a patient who is scheduled for a
hernia operation. What is the CRNA's next step? Correct answers provide the
anesthesia under the supervision of a health care provider with knowledge of
surgical anesthesia
The nurse is teaching a patient with diabetes how to self-administer
subcutaneous insulin. Which key element would the nurse keep in mind
before teaching the patient about health care principles? Correct answers
match the teaching with the patient's capabilities
Which role is true about the general practice of advanced practice
registered nurses? Correct answers function independently
Which teaching about Quality and Safety Education for nurses (QSEN)
competencies, the nurse states, "This competency uses tools such as
flowcharts and diagrams to make the process of care explicit". Which QSEN
competency is the nurse referring to? Correct answers quality improvement
A patient has been advised to have a total knee replacement because of
osteoarthritis. The patient is not willing to undergo the surgery, but family
members want to get the surgery done to relieve the disability. The nurse
explains the details of the surgery and the risks associated with it, and also
discusses the patient's wishes with the family.
Which nursing role is the nurse playing here? Correct answers advocate
, A patient in the emergency department has developed wheezing and
shortness of breath. The nurse give the prescribed medicated nebulizer
treatment now and in 4 hours. Which standard practice is performed?
Correct answers implementation
A patient in labor has been brought to the certified nurse midwife
(CNM). Which intervention would the CNM undertake in this situation?
Select all that apply. One, some, or all responses may be correct.
Correct answers -conduct the labor
-provide care for the newborn
The nurse educator is delivering a lecture on nursing as a profession to a
group of nursing students who have recently joined the baccalaureate
nursing degree course. Which statement is true? Select all that apply.
One, some, or all responses may be correct. Correct answers -the nurse is
responsible to provide specific health care to patients
-the nurse is responsible and accountable to the patients
-nurses have to follow a specific code of ethics while delivering care
A 50 y/o patient is admitted with acute exacerbation of asthma. The patient
is treated with bronchodilators and oxygen therapy. The patient is clinically
stable and is planned for discharge. The nurse teaches the patient about
deep-breathing exercises. The nurse has initiated these exercises to improve
the patient's lung capacity. Which professional behavior is the nurse showing.
Correct answers Autonomy: initiation of independent nursing interventions
without medical errors
The nurse is working with a young family who has one child with a
congenital heart disease. The parents are trying to determine the risks of a
second child being born with congenital heart disease. Which information is
important in assisting the parents in this decision? Correct answers
genomics: study of all the genes in an individual and the interactions of
these genes with one another and with that individuals environment
The critical care nurse is using a computerized decision support system to
correctly position ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. Which Quality and Safety Education of
Nurses (QSEN) competency is this an example of? Correct answers
informatics
The nurse is caring for a patient who has been admitted to the hospital with
terminal leukemia. The patient has expressed a preference for non
pharmacological pain control. The nurse refers to articles and systematic
reviews to learn the best possible non- pharmacological methods to treat
cancer pain. How would the nurse's actions be categorized, according to the
Quality and safety Education for Nurses (QSEN) competencies? Select all that
apply. One, some, or all responses may be correct.
Correct answers -patient centered care
-evidence based practice
The nurse is assessing a patient who has been admitted for congestive
heart failure. The nurse practitioner suspects a pulmonary pathology and
asks for a chest x-ray to
