HESI RN Fundamentals ACCURATE
TESTED VERSIONS OF THE EXAM
FROM 2023TO 2024 | ACCURATE AND
VERIFIED ANSWERS | NEXT GEN
FORMAT | GUARANTEED PASS WITH
150+ QUESTIONS
The nurse views the patient as an open system that needs help in coping with stressors. Which
theorist is the nurse using?
a. King
b. Levine
c. Neuman
d. Johnson
- ANSWERS-c. Neuman
Neuman views a patient as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a patient as a unique
personal system that is constantly interacting/transacting with other systems that the nurse
helps with goal attainment. Levine believes nurses promote balance between nursing
interventions and patient participation to assist in conserving energy needed for healing.
Johnson perceives patients as a collection of subsystems that forms an overall behavioral
system focusing on balance.
The operating room nurse is providing a hand-off report to the postanesthesia care unit (PACU)
nurse. Which components will the operating room nurse include? (Select all that apply.)
,a.
IV fluids
b.
Vital signs
c.
Insurance data
d.
Family location
e.
Anesthesia provided
f.
Estimated blood loss
- ANSWERS-ANS: A, B, E, F
,The surgical teams report will include topics such as the type of anesthesia provided, vital sign
trends, intraoperative medications, IV fluids, estimated blood and urine loss, and pertinent
information about the surgical wound (e.g., dressings, tubes, drains). When the patient enters
the PACU, the nurse and members of the surgical team discuss his or her status. A standardized
approach or tool for hand-off communications assists in providing accurate information about a
patient's care, treatment and services, current condition, and any recent or anticipated
changes. The hand-off is interactive, multidisciplinary, and done at the patient's bedside,
allowing for a communication exchange that gives caregivers the chance to dialogue and ask
questions. Insurance data and family location are unnecessary.
The nurse is caring for a patient diagnosed with essential hypertension. The health care
provider prescribes blood pressure medication that the nurse administers. The nurse then
monitors the patient's blood pressure for several days to help determine effectiveness. Which
system component is the nurse evaluating?
a. Input
b. Output
c. Content
d. Feedback
- ANSWERS-b. Output
Output is the end product of a system and, in the case of the nursing process, it is defined as
whether the patient's health status improves or remains stable as a result of nursing care. Input
consists of the data that come from a patient's assessment. Feedback serves to inform a system
about how it functions. Content is the product and information obtained from the system.
A nurse is administering a vaccine to a child who is visually impaired. After the needle enters
the arm, the child says, "Ow, that was sharp!" How will the nurse interpret the finding when the
child said that it was sharp?
, a.
The child's sensation is intact.
b.
The child's reception is intact.
c.
The child's perception is intact.
d.
The child's reaction is intact.
- ANSWERS-ANS: C
When a person becomes conscious of a stimulus and receives the information, perception takes
place. Perception includes integration and interpretation of stimuli based on the person's
experiences. Sensation is a general term that refers to awareness of sensory stimuli through the
body's sense mechanisms. Reception begins with stimulation of a nerve cell called a receptor,
which is usually for only one type of stimulus such as light, touch, taste, or sound. Reaction is
how a person responds to a perceived stimulus.
A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is
placed in isolation until cultures can be obtained and declared noninfectious. During the
isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of
needs is the nurse promoting when the family is encouraged to visit?
TESTED VERSIONS OF THE EXAM
FROM 2023TO 2024 | ACCURATE AND
VERIFIED ANSWERS | NEXT GEN
FORMAT | GUARANTEED PASS WITH
150+ QUESTIONS
The nurse views the patient as an open system that needs help in coping with stressors. Which
theorist is the nurse using?
a. King
b. Levine
c. Neuman
d. Johnson
- ANSWERS-c. Neuman
Neuman views a patient as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a patient as a unique
personal system that is constantly interacting/transacting with other systems that the nurse
helps with goal attainment. Levine believes nurses promote balance between nursing
interventions and patient participation to assist in conserving energy needed for healing.
Johnson perceives patients as a collection of subsystems that forms an overall behavioral
system focusing on balance.
The operating room nurse is providing a hand-off report to the postanesthesia care unit (PACU)
nurse. Which components will the operating room nurse include? (Select all that apply.)
,a.
IV fluids
b.
Vital signs
c.
Insurance data
d.
Family location
e.
Anesthesia provided
f.
Estimated blood loss
- ANSWERS-ANS: A, B, E, F
,The surgical teams report will include topics such as the type of anesthesia provided, vital sign
trends, intraoperative medications, IV fluids, estimated blood and urine loss, and pertinent
information about the surgical wound (e.g., dressings, tubes, drains). When the patient enters
the PACU, the nurse and members of the surgical team discuss his or her status. A standardized
approach or tool for hand-off communications assists in providing accurate information about a
patient's care, treatment and services, current condition, and any recent or anticipated
changes. The hand-off is interactive, multidisciplinary, and done at the patient's bedside,
allowing for a communication exchange that gives caregivers the chance to dialogue and ask
questions. Insurance data and family location are unnecessary.
The nurse is caring for a patient diagnosed with essential hypertension. The health care
provider prescribes blood pressure medication that the nurse administers. The nurse then
monitors the patient's blood pressure for several days to help determine effectiveness. Which
system component is the nurse evaluating?
a. Input
b. Output
c. Content
d. Feedback
- ANSWERS-b. Output
Output is the end product of a system and, in the case of the nursing process, it is defined as
whether the patient's health status improves or remains stable as a result of nursing care. Input
consists of the data that come from a patient's assessment. Feedback serves to inform a system
about how it functions. Content is the product and information obtained from the system.
A nurse is administering a vaccine to a child who is visually impaired. After the needle enters
the arm, the child says, "Ow, that was sharp!" How will the nurse interpret the finding when the
child said that it was sharp?
, a.
The child's sensation is intact.
b.
The child's reception is intact.
c.
The child's perception is intact.
d.
The child's reaction is intact.
- ANSWERS-ANS: C
When a person becomes conscious of a stimulus and receives the information, perception takes
place. Perception includes integration and interpretation of stimuli based on the person's
experiences. Sensation is a general term that refers to awareness of sensory stimuli through the
body's sense mechanisms. Reception begins with stimulation of a nerve cell called a receptor,
which is usually for only one type of stimulus such as light, touch, taste, or sound. Reaction is
how a person responds to a perceived stimulus.
A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is
placed in isolation until cultures can be obtained and declared noninfectious. During the
isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of
needs is the nurse promoting when the family is encouraged to visit?
