1
HESI EXIT Family Registered nurse
Practitioner FINAL EXAMS(GRADED
A,RATIONALE AND 100% VERIFIED).
1. Which of the following nursing actions demonstrates that the
registered nurse understands the nursing process?
a) Prioritizing patient goals, documenting all health records precisely,
conducting the health history, and documenting the nursing diagnosis
b) Reviewing health record, documenting patient goals, identifying etiology of
the nursing problem, and evaluating treatment outcome.
c) Assessing for allergies, administering analgesic, obtaining baseline vital
signs, and documenting nursing diagnosis as acute pain
d) Obtaining vital signs, documenting nursing diagnosis as acute pain,
administering analgesic, and evaluating comfort level
d) Obtaining vital signs, documenting nursing diagnosis as acute pain,
administering analgesic, and evaluating comfort level
Rationale: Steps of the nursing process in order are: Assessment, Diagnosis,
Planning, Implementation, and Evaluation. Assessment is the systematic
collection of data to determine the patient's health status and any actual or
potential health problems. Nursing diagnoses are actual or potential health
problems that can be managed by independent nursing interventions. Planning
is the development of goals and outcomes. Implementation is the actualization
, 2
of the plan of care through nursing interventions. Evaluation is the
determination of the patient’s responses to the nursing interventions and the
extent to which the outcomes have been achieved.
2. The registered nurse educator is planning a teaching session for nursing
students related to treatment and management of gestational diabetes. The
registered nurse educator arranges for a dietitian, pharmacist, and physician
assistant to participate in the lesson plan. Which professional registered nurse
competency is the registered nurse educator demonstrating?
a) Evidence-based practice
b) Patient-centered care
c) Interdisciplinary teamwork
d) Quality improvement measures
c) Interdisciplinary teamwork
Rationale: By integrating interdisciplinary core competencies into their
respective curricula the registered nurse educator is demonstrating
interdisciplinary teamwork. A case-study approach planning care around
individual patient preferences is an example of patient-centered care.
Conducting an evidence- based literature review related to gestational diabetes
reflects evidence-based practice. Providing education related to
measures/indicators or tools used to assess the level of care provided within a
system of care to populations of patients with gestational diabetes exemplifies
a quality improvement measure.
3. A nursing student observes the home care registered nurse provide education
to a patient with congestive heart failure (CHF). The registered nurse teaches
the patient how to read food labels and calculate sodium content. The nursing
student recognizes that the home care registered nurse is aware of which of the
following basic principles of patient education?
a) The home care registered nurse is providing hospital discharge instructions
b) The home care registered nurse has a physician order to teach a 2-g sodium diet
c) Patients are required to learn about their therapeutic nutritional regimen
d) Patient instruction related to self-care activities promotes patient
independence
,d) Patient instruction related to self-care activities promotes patient
independence
Rationale: Teaching is a function of nursing to assist patients to alter lifestyle
patterns that increase health risk. By teaching the client how to calculate sodium
content of foods the registered nurse is facilitating independence in nutrition
sickness management. Patients have the right to decide whether or not to learn.
Teaching is an independent function of nursing and does not require a
physician’s order. Teaching related to food labels in the patient home is an
appropriate environment for this client. The registered nurse can use actual
foods from the patient’s kitchen.
4. A registered nurse working in the intensive care unit (ICU) refers to the
Institute for Healthcare Improvement (IHI) Ventilator Bundle prior to planning
patient care. The registered nurse realizes nursing interventions outlined in the
bundle will improve patients’ outcomes. Which of the following statement
best describes how IHI- established nursing interventions should be included
in each bundle?
a) Nursing interventions found within the IHI bundles were selected based on
the ability to provide optimal time management for the nurse
b) Best practice derived from valid and reliable research studies guided nursing
interventions being added to the IHI bundles
c) Registered nurse case managers serving as patient advocates
recommended nursing interventions to be included in the IHI bundles
based on patient preference
d) Hospitals, physicians, and nurses worked collaboratively to design patient
care activities included in IHI bundles
b) Best practice derived from valid and reliable research studies guided nursing
interventions being added to the IHI bundles
Rationale: Bundles include evidence-based practices. Hospitals, physicians, and
nurses work collaboratively to provide care directed by bundles. Nurses
advocate on behalf of the patient. Effective time management is a key element
in the provision of care, however; IHI-based bundles on evidence-based
practice.
5. A 54-year-old woman on a fixed income has had an electrocardiogram (ECG)
as part of her annual physical examination. Her physician notes an abnormal Q
wave on an otherwise unremarkable ECG. What legislation supports this focus
, on sickness prevention, health promotion, and management of chronic
conditions?
a) Building a Safer Health System Act
b) The Patient Protection and Affordable Care Act
c) Healthcare Research and Quality Improvement Bill
d) A New Health System for the 21st Century Bill
b) The Patient Protection and Affordable Care Act
Rationale: The Patient Protection and Affordable Care Act, also known as the
ACA, supports access to quality, affordable health care, improved access to
innovative and preventive health care programs and therapies, and expanded
insurance coverage. “To Err Is Human: Building a Safer Health System” and
“Crossing the Quality Chasm: A New Health System for the 21st Century” are
IOM reports. Centers for Medicare and Medicaid Services (CMS) partnered
with the Agency for Healthcare Research and Quality (AHRQ) to launch the
Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS) survey.
6. According to Hood and Leddy (2007), which of the following are
components of wellness?
a) Inability to obtain personal goals
b) Expression of disharmony
c) Feelings of well-being
d) Inability to adapt to changing situations
c) Appropriateness of services
Rationale: The goals of care management are quality, appropriateness, and
timeliness of services as well as cost reduction. Case managers do not have
prescriptive authority. Fixed-price reimbursement is a feature of managed care.
Case managers do not use the nursing process.
7. The school registered nurse informs the mother of a second-grade student that
she found lice in her child’s hair. The mother explains to the registered nurse
that she has another child to pick up and cannot stay to receive education
related to the treatment of lice at this time. The mother reassures the registered
nurse that she will “look up treatment
HESI EXIT Family Registered nurse
Practitioner FINAL EXAMS(GRADED
A,RATIONALE AND 100% VERIFIED).
1. Which of the following nursing actions demonstrates that the
registered nurse understands the nursing process?
a) Prioritizing patient goals, documenting all health records precisely,
conducting the health history, and documenting the nursing diagnosis
b) Reviewing health record, documenting patient goals, identifying etiology of
the nursing problem, and evaluating treatment outcome.
c) Assessing for allergies, administering analgesic, obtaining baseline vital
signs, and documenting nursing diagnosis as acute pain
d) Obtaining vital signs, documenting nursing diagnosis as acute pain,
administering analgesic, and evaluating comfort level
d) Obtaining vital signs, documenting nursing diagnosis as acute pain,
administering analgesic, and evaluating comfort level
Rationale: Steps of the nursing process in order are: Assessment, Diagnosis,
Planning, Implementation, and Evaluation. Assessment is the systematic
collection of data to determine the patient's health status and any actual or
potential health problems. Nursing diagnoses are actual or potential health
problems that can be managed by independent nursing interventions. Planning
is the development of goals and outcomes. Implementation is the actualization
, 2
of the plan of care through nursing interventions. Evaluation is the
determination of the patient’s responses to the nursing interventions and the
extent to which the outcomes have been achieved.
2. The registered nurse educator is planning a teaching session for nursing
students related to treatment and management of gestational diabetes. The
registered nurse educator arranges for a dietitian, pharmacist, and physician
assistant to participate in the lesson plan. Which professional registered nurse
competency is the registered nurse educator demonstrating?
a) Evidence-based practice
b) Patient-centered care
c) Interdisciplinary teamwork
d) Quality improvement measures
c) Interdisciplinary teamwork
Rationale: By integrating interdisciplinary core competencies into their
respective curricula the registered nurse educator is demonstrating
interdisciplinary teamwork. A case-study approach planning care around
individual patient preferences is an example of patient-centered care.
Conducting an evidence- based literature review related to gestational diabetes
reflects evidence-based practice. Providing education related to
measures/indicators or tools used to assess the level of care provided within a
system of care to populations of patients with gestational diabetes exemplifies
a quality improvement measure.
3. A nursing student observes the home care registered nurse provide education
to a patient with congestive heart failure (CHF). The registered nurse teaches
the patient how to read food labels and calculate sodium content. The nursing
student recognizes that the home care registered nurse is aware of which of the
following basic principles of patient education?
a) The home care registered nurse is providing hospital discharge instructions
b) The home care registered nurse has a physician order to teach a 2-g sodium diet
c) Patients are required to learn about their therapeutic nutritional regimen
d) Patient instruction related to self-care activities promotes patient
independence
,d) Patient instruction related to self-care activities promotes patient
independence
Rationale: Teaching is a function of nursing to assist patients to alter lifestyle
patterns that increase health risk. By teaching the client how to calculate sodium
content of foods the registered nurse is facilitating independence in nutrition
sickness management. Patients have the right to decide whether or not to learn.
Teaching is an independent function of nursing and does not require a
physician’s order. Teaching related to food labels in the patient home is an
appropriate environment for this client. The registered nurse can use actual
foods from the patient’s kitchen.
4. A registered nurse working in the intensive care unit (ICU) refers to the
Institute for Healthcare Improvement (IHI) Ventilator Bundle prior to planning
patient care. The registered nurse realizes nursing interventions outlined in the
bundle will improve patients’ outcomes. Which of the following statement
best describes how IHI- established nursing interventions should be included
in each bundle?
a) Nursing interventions found within the IHI bundles were selected based on
the ability to provide optimal time management for the nurse
b) Best practice derived from valid and reliable research studies guided nursing
interventions being added to the IHI bundles
c) Registered nurse case managers serving as patient advocates
recommended nursing interventions to be included in the IHI bundles
based on patient preference
d) Hospitals, physicians, and nurses worked collaboratively to design patient
care activities included in IHI bundles
b) Best practice derived from valid and reliable research studies guided nursing
interventions being added to the IHI bundles
Rationale: Bundles include evidence-based practices. Hospitals, physicians, and
nurses work collaboratively to provide care directed by bundles. Nurses
advocate on behalf of the patient. Effective time management is a key element
in the provision of care, however; IHI-based bundles on evidence-based
practice.
5. A 54-year-old woman on a fixed income has had an electrocardiogram (ECG)
as part of her annual physical examination. Her physician notes an abnormal Q
wave on an otherwise unremarkable ECG. What legislation supports this focus
, on sickness prevention, health promotion, and management of chronic
conditions?
a) Building a Safer Health System Act
b) The Patient Protection and Affordable Care Act
c) Healthcare Research and Quality Improvement Bill
d) A New Health System for the 21st Century Bill
b) The Patient Protection and Affordable Care Act
Rationale: The Patient Protection and Affordable Care Act, also known as the
ACA, supports access to quality, affordable health care, improved access to
innovative and preventive health care programs and therapies, and expanded
insurance coverage. “To Err Is Human: Building a Safer Health System” and
“Crossing the Quality Chasm: A New Health System for the 21st Century” are
IOM reports. Centers for Medicare and Medicaid Services (CMS) partnered
with the Agency for Healthcare Research and Quality (AHRQ) to launch the
Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS) survey.
6. According to Hood and Leddy (2007), which of the following are
components of wellness?
a) Inability to obtain personal goals
b) Expression of disharmony
c) Feelings of well-being
d) Inability to adapt to changing situations
c) Appropriateness of services
Rationale: The goals of care management are quality, appropriateness, and
timeliness of services as well as cost reduction. Case managers do not have
prescriptive authority. Fixed-price reimbursement is a feature of managed care.
Case managers do not use the nursing process.
7. The school registered nurse informs the mother of a second-grade student that
she found lice in her child’s hair. The mother explains to the registered nurse
that she has another child to pick up and cannot stay to receive education
related to the treatment of lice at this time. The mother reassures the registered
nurse that she will “look up treatment
