HESI PREP - HEALTH ASSESSMENT PRACTICE EXAM WESTERN
GOVERNORS UNIVERSITY NEWEST ACTUAL EXAM COMPLETE 130
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW VERSION!!
1. The nurse is performing a health interview on a patient who has a language
barrier, and no interpreter is available. Which is the best example of an
appropriate question for the nurse to ask in this situation?
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?"
A) "Do you take medicine?"
Page: 46 In a situation where there is a language barrier and no interpreter
available, use simple words avoiding medical jargon. Avoid using contractions
and pronouns. Use nouns repeatedly and discuss one topic at a time.
2. A female patient does not speak English well, and the nurse needs to choose an
interpreter. Which of the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department
A) A trained interpreter
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Page: 46 whenever possible, the nurse should use a trained interpreter,
preferably one who knows medical terminology. In general, an older, more
mature interpreter is preferred to a younger, less experienced one, and the same
gender is preferred when possible.
3. The nurse is conducting an interview. Which of these statements is true
regarding open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed.
B) They allow for self-expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and
obtain narrative information. These features enhance communication during an
interview. The other statements are appropriate for closed or direct questions.
4. The nurse is conducting an interview in an outpatient clinic and is using a
computer to record data. Which is the best use of the computer in this situation?
Select all that apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
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A) Collect the patient's data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should begin
the interview as usual by greeting the patient, establishing rapport, and
collecting the patient's narrative story in a direct face-to-face manner. Only after
the narrative is fully explored should the nurse type data into the computer.
When typing, the nurse should position the monitor so that the patient can see
it.
5. During an assessment, the nurse notices that a patient is handling a small
charm that is tied to a leather strip around his neck. Which action by the nurse is
appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary.
A) Ask the patient about the item and its significance.
Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as
charms, are often seen as an important means of protection from "evil spirits"
by some cultures.
6. In an interview, the nurse may find it necessary to take notes to aid his or her
memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse
records what is said.
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C) Note-taking allows the nurse to shift attention away from the patient, resulting
in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort.
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be
aware that note-taking during the interview has disadvantages. It breaks eye
contact too often, and it shifts attention away from the patient, which
diminishes his or her sense of importance. It also may interrupt the patient's
narrative flow, and it impedes the observation of the patient's nonverbal
behavior.
7. During an interview, the nurse states, "You mentioned shortness of breath. Tell
me more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the
topic to be discussed but only in general terms. The nurse should use it to begin
the interview, to introduce a new section of questions, and whenever the
person introduces a new topic.
8. A nurse is taking complete health histories on all of the patients attending a
wellness workshop. On the history form, one of the written questions asks, "You
don't smoke, drink, or take drugs, do you?" This question is an example of:
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