HESI EXAM
The nurse is reviewing a patient's list of nursing diagnoses in the medical
record.
most The nursing diagnosis is diarrhea related to intestinal colitis.
recent
Why is this stated
incorrectly an diagnosis statement? correct answers It identifies
the medical
diagnosis instead of the patient's response to the
diagnosis
Nurses in the presurgical unit are preparing patients with different medical
conditions
surgical for
procedures. The nurse knows to expect which type of medical
condition
cause to
an increased risk of infection and delayed wound healing after
surgery? Bone
answers correct
marrow
depression
-Immunological disorder, the nurse will expect an increased risk of infection
and
wound delayed
healing after
surgery.
The nurse is given a form with preset standard findings for recording a
progress
The nursenote.
reports the findings in the following way: "Physical Exam: All
systemsexcept
normal withinleft lower extremity, casted d/t to heel fracture. Review of
Systems:
normal All pain in the left foot." What kind of documentation and
except
informatics
correct is this?
answers Charting by
exception
-uses forms that have predefined normal findings, the nurse only
documents
that are notfindings
standard. Unless documented, all other findings are assumed to
be normal
The nurse is interviewing a patient with cognitive impairment. Which strategy
should
nurse avoidthe while communicating with this patient? correct answers
Using detailedwhile asking questions to help the patient
explanations
understand
The caregiver of a patient with terminal illness is receiving respite care.
Which type
primary andof
preventive care services offers this kind of care? correct
answers
and parishBlock
nursing
-a preventative and primary care service that provides services in
respite care, aides, spiritual health, help with errands, and
homemaker
transportation
-respite care provides short term relief or time off for people providing home
care
ill, disables,
to an or frail older
adult
A patient is diagnosed with metabolic acidosis. Which physiological
conditionsas
identified can be for the patient's condition? correct answers
causes
Ketoacidosis
have increased-may
metabolic
acid
Oliguric renal disease - may not be able to excrete al the acid from
the body
A patient visited the primary health care provider complaining of pain and
tenderness
the joints ofinfingers of the left hand. The primary health care
provider observed
, rheumatoid nodules. Which nursing interventions are beneficial?
correct answers
Administering ordered
analgesics
-arthritic joint pain is caused by inflammation
(chronic)
-analgesics relieve
pain
A surgeon obtains patient consent for an appendectomy. While operating,
the surgeon
also removes the patient's gallbladder. This mistake could be classified as
whichcorrect
tort? type ofanswers
Battery
Torts are intentional or unintentional mistakes that are infringements
of civil law
surgeon did not get consent to remove
bladder
The nurse is attending to an elderly patient scheduled for a hernia operation.
The nurse
understands that due to aging, the patient may have rigidity of the blood
vessel
and walls
a reduction in sympathetic and parasympathetic innervation to the
heart. What
would risk
be increased I this patient following surgery? correct answers
Hemorrhage
Increased systolic blood
pressure
Increased diastolic blood
pressure
-blood vessel walls become rigid, causing a reduction in
sympathetic and innervation to the
parasympathetic
heart
Which are defining characteristics of constipation? correct answers Hard or
dry stools
pain or straining with
defecation
no bowel movement for four
days
Which type of loss does a toddler experience associated with separation
anxiety
mom fromstarting preschool? correct answers
when
Maturational loss
The nurse is caring for a patient with cancer who was previously in a state of
denial
has nowbutaccepted the illness. The patient asks the nurse questions about
the illness
and expresses emotions openly. What interventions should the nurse
performcorrect
stage? at this answers Involve the family in teaching information for
discharge
Encourage the expression of
feelings
Set aside formal times for
discussion
The primary health care provider suggests discontinuing the peripheral
intravenous
access of a patient. Which nursing actions are beneficial to the
patient? Inspecting
answers correct catheter tip after
removing may
-catheter it break and cause embolization, which is an
emergency situation
The health care provider has asked for a postmortem examination on a
patient.
which Under
circumstances can a health care provider make the decision to
perform ancorrect answers The patient's death occurred under
autopsy?
suspicious
circumstanc
es
The patient died within 1 hour of being admitted to the
hospital
- only to determine cause of
death
The nurse is reviewing a patient's list of nursing diagnoses in the medical
record.
most The nursing diagnosis is diarrhea related to intestinal colitis.
recent
Why is this stated
incorrectly an diagnosis statement? correct answers It identifies
the medical
diagnosis instead of the patient's response to the
diagnosis
Nurses in the presurgical unit are preparing patients with different medical
conditions
surgical for
procedures. The nurse knows to expect which type of medical
condition
cause to
an increased risk of infection and delayed wound healing after
surgery? Bone
answers correct
marrow
depression
-Immunological disorder, the nurse will expect an increased risk of infection
and
wound delayed
healing after
surgery.
The nurse is given a form with preset standard findings for recording a
progress
The nursenote.
reports the findings in the following way: "Physical Exam: All
systemsexcept
normal withinleft lower extremity, casted d/t to heel fracture. Review of
Systems:
normal All pain in the left foot." What kind of documentation and
except
informatics
correct is this?
answers Charting by
exception
-uses forms that have predefined normal findings, the nurse only
documents
that are notfindings
standard. Unless documented, all other findings are assumed to
be normal
The nurse is interviewing a patient with cognitive impairment. Which strategy
should
nurse avoidthe while communicating with this patient? correct answers
Using detailedwhile asking questions to help the patient
explanations
understand
The caregiver of a patient with terminal illness is receiving respite care.
Which type
primary andof
preventive care services offers this kind of care? correct
answers
and parishBlock
nursing
-a preventative and primary care service that provides services in
respite care, aides, spiritual health, help with errands, and
homemaker
transportation
-respite care provides short term relief or time off for people providing home
care
ill, disables,
to an or frail older
adult
A patient is diagnosed with metabolic acidosis. Which physiological
conditionsas
identified can be for the patient's condition? correct answers
causes
Ketoacidosis
have increased-may
metabolic
acid
Oliguric renal disease - may not be able to excrete al the acid from
the body
A patient visited the primary health care provider complaining of pain and
tenderness
the joints ofinfingers of the left hand. The primary health care
provider observed
, rheumatoid nodules. Which nursing interventions are beneficial?
correct answers
Administering ordered
analgesics
-arthritic joint pain is caused by inflammation
(chronic)
-analgesics relieve
pain
A surgeon obtains patient consent for an appendectomy. While operating,
the surgeon
also removes the patient's gallbladder. This mistake could be classified as
whichcorrect
tort? type ofanswers
Battery
Torts are intentional or unintentional mistakes that are infringements
of civil law
surgeon did not get consent to remove
bladder
The nurse is attending to an elderly patient scheduled for a hernia operation.
The nurse
understands that due to aging, the patient may have rigidity of the blood
vessel
and walls
a reduction in sympathetic and parasympathetic innervation to the
heart. What
would risk
be increased I this patient following surgery? correct answers
Hemorrhage
Increased systolic blood
pressure
Increased diastolic blood
pressure
-blood vessel walls become rigid, causing a reduction in
sympathetic and innervation to the
parasympathetic
heart
Which are defining characteristics of constipation? correct answers Hard or
dry stools
pain or straining with
defecation
no bowel movement for four
days
Which type of loss does a toddler experience associated with separation
anxiety
mom fromstarting preschool? correct answers
when
Maturational loss
The nurse is caring for a patient with cancer who was previously in a state of
denial
has nowbutaccepted the illness. The patient asks the nurse questions about
the illness
and expresses emotions openly. What interventions should the nurse
performcorrect
stage? at this answers Involve the family in teaching information for
discharge
Encourage the expression of
feelings
Set aside formal times for
discussion
The primary health care provider suggests discontinuing the peripheral
intravenous
access of a patient. Which nursing actions are beneficial to the
patient? Inspecting
answers correct catheter tip after
removing may
-catheter it break and cause embolization, which is an
emergency situation
The health care provider has asked for a postmortem examination on a
patient.
which Under
circumstances can a health care provider make the decision to
perform ancorrect answers The patient's death occurred under
autopsy?
suspicious
circumstanc
es
The patient died within 1 hour of being admitted to the
hospital
- only to determine cause of
death
