HESI - MEDICAL SURGICAL NURSING TEST WITH
QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE
C. Informal teaching is individualized one on one teaching which represents
the majority of patient education done by nurses that occurs when an
intervention is explained or a question is answered. Group needs are often
the focus of formal patient education courses or classes. Informal teaching
does not necessarily follow a specific formalized plan. It may be planned
with specific content, but it is individualized responses to patient needs.
Formal teaching involves the use of a curriculum/course plan with
standardized content.
When describing patient education approaches, the nurse educator would
explain that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
,C. Cognitive theorists believe that attention, relevance, confidence, and
satisfaction (ARCS) are the conditions that, when integrated, motivate
someone to learn. Field theorists place significance on how achievement,
power, the need for affiliation, and avoidance motives influence individual
behavior. Sociologic theories are not involved in motivation.
A patient expresses a strong interest in returning to their work, family, and
hobbies after having a stroke. Which theory type would the nurse use to
develop a plan of care for the best results of this patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at
greater risk for hypothermia. Clients who smoke, consume alcohol, or have
impaired peripheral circulation have a higher incidence of frostbite.
,The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult clients perceive
pain any differently than younger clients. The other statements are
accurate regarding older clients and pain.
Which statement made by a nurse represents the need for further
education regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
, c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as much
C
The spectator shows signs of heat stroke, which is a medical emergency. The
spectator should be transported to the ED ASAP. The nurs should take
actions to lower his body temp in teh meantime by removing his shirt and
sponging his body with cool water. Lowering body temp by drinking cool
fluids or taking acetaminophen is not as effective in an emergency situation.
The client needs to be cooled quickly and is a priority for treatment
The nurse is working at a first aid booth for a spring training game on a
hot day. A spectator comes in, reporting that he is not feeling well. Vital
signs are temp 104.1 F, pulse 132 BPM, respirs 26 breaths/min, and blood
pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to a
cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink
QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE
C. Informal teaching is individualized one on one teaching which represents
the majority of patient education done by nurses that occurs when an
intervention is explained or a question is answered. Group needs are often
the focus of formal patient education courses or classes. Informal teaching
does not necessarily follow a specific formalized plan. It may be planned
with specific content, but it is individualized responses to patient needs.
Formal teaching involves the use of a curriculum/course plan with
standardized content.
When describing patient education approaches, the nurse educator would
explain that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
,C. Cognitive theorists believe that attention, relevance, confidence, and
satisfaction (ARCS) are the conditions that, when integrated, motivate
someone to learn. Field theorists place significance on how achievement,
power, the need for affiliation, and avoidance motives influence individual
behavior. Sociologic theories are not involved in motivation.
A patient expresses a strong interest in returning to their work, family, and
hobbies after having a stroke. Which theory type would the nurse use to
develop a plan of care for the best results of this patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at
greater risk for hypothermia. Clients who smoke, consume alcohol, or have
impaired peripheral circulation have a higher incidence of frostbite.
,The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult clients perceive
pain any differently than younger clients. The other statements are
accurate regarding older clients and pain.
Which statement made by a nurse represents the need for further
education regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
, c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as much
C
The spectator shows signs of heat stroke, which is a medical emergency. The
spectator should be transported to the ED ASAP. The nurs should take
actions to lower his body temp in teh meantime by removing his shirt and
sponging his body with cool water. Lowering body temp by drinking cool
fluids or taking acetaminophen is not as effective in an emergency situation.
The client needs to be cooled quickly and is a priority for treatment
The nurse is working at a first aid booth for a spring training game on a
hot day. A spectator comes in, reporting that he is not feeling well. Vital
signs are temp 104.1 F, pulse 132 BPM, respirs 26 breaths/min, and blood
pressure 106/66 mm Hg. He trips over his feet as the nurse leads him to a
cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink
