Exit Hesi (BSN 366- V3) (Latest Update )
Questions and Verified Answers | 100% Correct | Grade
A - Nightingale
A 64 year-old client scheduled for surgery with a general anesthetic refuses to
remove a set of dentures prior to leaving the unit for the operating room. What
would be the most appropriate intervention by the nurse? - ~ ANSWER ~
Ask the client if the preference would be to remove the dentures in the operating
room receiving area
The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning? - ~
ANSWER ~ Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be
included in the child's care? - ~ ANSWER ~ Encourage the child
to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The
,nurse explains that - ~ ANSWER ~ Such fantasies can gratify
unconscious wishes or prepare for anticipated future events
An appropriate goal for a client with anxiety would be to - ~ ANSWER ~
Learn self-help techniques
While the nurse is administering medications to a client, the client states "I do not
want to take that medicine today." Which of the following responses by the nurse
would be best? - ~ ANSWER ~ "Is there a reason why you don't
want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's
periumbilical area. Which of the following assessments is appropriate for the
nurse to perform? - ~ ANSWER ~ Auscultate the mass
A client is admitted to the hospital with a history of confusion. The client has
difficulty remembering recent events and becomes disoriented when away from
home. Which statement would provide the best reality orientation for this client?
- ~ ANSWER ~ "Good morning. You're in the hospital. I am your
nurse Elaine Jones."
,The nurse is teaching the parents of a 3 month-old infant about nutrition. What is
the main source of fluids for an infant until about 12 months of age? - ~
ANSWER ~ Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's
height will be affected by the injury. Which statement is true concerning long
bone fractures in children? - ~ ANSWER ~ Epiphyseal fractures
often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16,
and she has missed one period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the nurse calculate as the
estimated date of delivery (EDD)? - ~ ANSWER ~ December 23
When screening children for scoliosis, at what time of development would the
nurse expect early signs to appear? - ~ ANSWER ~ During the
preadolescent growth spurt
, A client with congestive heart failure is newly admitted to home health care. The
nurse discovers that the client has not been following the prescribed diet. What
would be the most appropriate nursing action? - ~ ANSWER ~
Discuss diet with the client to learn the reasons for not following the diet
A client states, "People think I'm no good, you know what I mean?" Which of
these responses would be most therapeutic? - ~ ANSWER ~
"I'm not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic for follow
up. The client says, "I know these pills are important, but I just can't take these
water pills anymore. I drive a truck for a living, and I can't be stopping every 20
minutes to go to the bathroom." Which of these is the best nursing diagnosis? -
~ ANSWER ~ Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour before
surgery, which of the following should the nurse recommend? - ~ ANSWER ~
Deep breathing
Questions and Verified Answers | 100% Correct | Grade
A - Nightingale
A 64 year-old client scheduled for surgery with a general anesthetic refuses to
remove a set of dentures prior to leaving the unit for the operating room. What
would be the most appropriate intervention by the nurse? - ~ ANSWER ~
Ask the client if the preference would be to remove the dentures in the operating
room receiving area
The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning? - ~
ANSWER ~ Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be
included in the child's care? - ~ ANSWER ~ Encourage the child
to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The
,nurse explains that - ~ ANSWER ~ Such fantasies can gratify
unconscious wishes or prepare for anticipated future events
An appropriate goal for a client with anxiety would be to - ~ ANSWER ~
Learn self-help techniques
While the nurse is administering medications to a client, the client states "I do not
want to take that medicine today." Which of the following responses by the nurse
would be best? - ~ ANSWER ~ "Is there a reason why you don't
want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's
periumbilical area. Which of the following assessments is appropriate for the
nurse to perform? - ~ ANSWER ~ Auscultate the mass
A client is admitted to the hospital with a history of confusion. The client has
difficulty remembering recent events and becomes disoriented when away from
home. Which statement would provide the best reality orientation for this client?
- ~ ANSWER ~ "Good morning. You're in the hospital. I am your
nurse Elaine Jones."
,The nurse is teaching the parents of a 3 month-old infant about nutrition. What is
the main source of fluids for an infant until about 12 months of age? - ~
ANSWER ~ Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's
height will be affected by the injury. Which statement is true concerning long
bone fractures in children? - ~ ANSWER ~ Epiphyseal fractures
often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16,
and she has missed one period. She reports episodes of nausea and vomiting.
Pregnancy is confirmed by a urine test. What will the nurse calculate as the
estimated date of delivery (EDD)? - ~ ANSWER ~ December 23
When screening children for scoliosis, at what time of development would the
nurse expect early signs to appear? - ~ ANSWER ~ During the
preadolescent growth spurt
, A client with congestive heart failure is newly admitted to home health care. The
nurse discovers that the client has not been following the prescribed diet. What
would be the most appropriate nursing action? - ~ ANSWER ~
Discuss diet with the client to learn the reasons for not following the diet
A client states, "People think I'm no good, you know what I mean?" Which of
these responses would be most therapeutic? - ~ ANSWER ~
"I'm not sure what you mean. Tell me a bit more about that."
A client being treated for hypertension returns to the community clinic for follow
up. The client says, "I know these pills are important, but I just can't take these
water pills anymore. I drive a truck for a living, and I can't be stopping every 20
minutes to go to the bathroom." Which of these is the best nursing diagnosis? -
~ ANSWER ~ Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour before
surgery, which of the following should the nurse recommend? - ~ ANSWER ~
Deep breathing
