HESI Passpoint The Nursing Process questions
and answers with solutions
The nurse is revising a client's plan of care. Revision of the care plan takes place in which step of
the nursing process?
Planning
Evaluation
Data collection
Implementation
Evaluation
Which intervention does the nurse educator include in his or her preparation as an example of
primary prevention?
Using occupational therapy to help a client cope with arthritis
Obtaining a Papanicolaou (PAP) test to screen for cervical cancer
Administering digoxin to a client with heart failure
Administering a measles, mumps, and rubella immunization to an infant
Administering a measles, mumps, and rubella immunization to an infant
We have an expert-written solution to this problem!
A nurse is seen accessing a client's medical record in an area where she doesn't provide care.
Which action by the nurse is best?
Notify the charge nurse and nursing supervisor of the incident.
,Ask the nurse why she's accessing the medical record and ask her to leave the client care area.
No action is necessary.
Notify security and the client's physician of the incident.
Notify the charge nurse and nursing supervisor of the incident.
The parents of a pediatric client are waiting in the surgical family lounge while their son
undergoes emergency surgery. A physician enters the family lounge and tells another family that
surgery for their family member was unsuccessful. What should the nurse do to best serve
these families?
Escort the parents who are waiting to hear about their son to another area.
Escort the family who received the discouraging news to a private area.
Ask the physician to inquire about the progress of the pediatric client's surgery.
Do nothing.
Escort the family who received the discouraging news to a private area.
We have an expert-written solution to this problem!
While driving home from work, a nurse realizes that she failed to communicate to the oncoming
nurse that a client asked for more information about advance directives. Which action would be
appropriate for the nurse to take?
Perform an Internet search on advance directives and provide the client with the information in
the morning.
Return to work immediately and inform the nurse who is caring for the client.
Phone the nurse caring for the client and inform her of the client's request.
Provide the client with information when she returns to work in the morning.
,Phone the nurse caring for the client and inform her of the client's request.
We have an expert-written solution to this problem!
Professional regulations and laws that govern nursing practice are in place for what reason?
to protect the safety of the public
to ensure that practicing nurses are of good moral standing
to limit the number of nurses in practice
to ensure that enough new nurses are always available
to protect the safety of the public
The nurse obtains laboratory results on assigned clients during morning report. Which results
needs to be immediately reported to the health care provider?
glucose level 98 mg/dL
hemoglobin 13.6 mg/dL
potassium level 6.2 mg/dL
creatinine level 0.6 mg/dL
potassium level 6.2 mg/dL
An older adult client has been admitted to the medical-surgical unit after surgery. While the
nurse is off the floor, the client falls out of bed, resulting in a fracture of the right leg. The nurse
finding the client states that the "side rails were left down and the bed was in the high
position." Which charge is most appropriate for the nurse's actions?
comparative negligence
battery
, collective liability
negligence
negligence
We have an expert-written solution to this problem!
A client presents to the clinic because she thinks she may be pregnant. The licensed practical
nurse is reviewing the client's medical record. Which finding would the nurse identify as a
positive sign?
fetal heart tones auscultated
amenorrhea
enlarging uterus
quickening
fetal heart tones auscultated
A nurse is reviewing prenatal care with a client. Which statement by the client best expresses an
adequate understanding of the nutritional needs during pregnancy?
"Even though I need to eat more, I should make sure I don't fill up with junk food."
"After gaining a few pounds each month, I'll really get big and put on 20 pounds or so."
"I guess I'll get big and gain 20 to 30 pounds and look pregnant."
"Since I have to eat for two, I should eat whatever I want whenever I feel hungry."
"Even though I need to eat more, I should make sure I don't fill up with junk food."
A client in active labor is having difficulty remaining focused. Her husband, sister, and mother
are in the room with her. The fetal monitor shows slowing of the fetal heart rate (FHR) that
begins after the peak of each contraction. What is the priority nursing action?
and answers with solutions
The nurse is revising a client's plan of care. Revision of the care plan takes place in which step of
the nursing process?
Planning
Evaluation
Data collection
Implementation
Evaluation
Which intervention does the nurse educator include in his or her preparation as an example of
primary prevention?
Using occupational therapy to help a client cope with arthritis
Obtaining a Papanicolaou (PAP) test to screen for cervical cancer
Administering digoxin to a client with heart failure
Administering a measles, mumps, and rubella immunization to an infant
Administering a measles, mumps, and rubella immunization to an infant
We have an expert-written solution to this problem!
A nurse is seen accessing a client's medical record in an area where she doesn't provide care.
Which action by the nurse is best?
Notify the charge nurse and nursing supervisor of the incident.
,Ask the nurse why she's accessing the medical record and ask her to leave the client care area.
No action is necessary.
Notify security and the client's physician of the incident.
Notify the charge nurse and nursing supervisor of the incident.
The parents of a pediatric client are waiting in the surgical family lounge while their son
undergoes emergency surgery. A physician enters the family lounge and tells another family that
surgery for their family member was unsuccessful. What should the nurse do to best serve
these families?
Escort the parents who are waiting to hear about their son to another area.
Escort the family who received the discouraging news to a private area.
Ask the physician to inquire about the progress of the pediatric client's surgery.
Do nothing.
Escort the family who received the discouraging news to a private area.
We have an expert-written solution to this problem!
While driving home from work, a nurse realizes that she failed to communicate to the oncoming
nurse that a client asked for more information about advance directives. Which action would be
appropriate for the nurse to take?
Perform an Internet search on advance directives and provide the client with the information in
the morning.
Return to work immediately and inform the nurse who is caring for the client.
Phone the nurse caring for the client and inform her of the client's request.
Provide the client with information when she returns to work in the morning.
,Phone the nurse caring for the client and inform her of the client's request.
We have an expert-written solution to this problem!
Professional regulations and laws that govern nursing practice are in place for what reason?
to protect the safety of the public
to ensure that practicing nurses are of good moral standing
to limit the number of nurses in practice
to ensure that enough new nurses are always available
to protect the safety of the public
The nurse obtains laboratory results on assigned clients during morning report. Which results
needs to be immediately reported to the health care provider?
glucose level 98 mg/dL
hemoglobin 13.6 mg/dL
potassium level 6.2 mg/dL
creatinine level 0.6 mg/dL
potassium level 6.2 mg/dL
An older adult client has been admitted to the medical-surgical unit after surgery. While the
nurse is off the floor, the client falls out of bed, resulting in a fracture of the right leg. The nurse
finding the client states that the "side rails were left down and the bed was in the high
position." Which charge is most appropriate for the nurse's actions?
comparative negligence
battery
, collective liability
negligence
negligence
We have an expert-written solution to this problem!
A client presents to the clinic because she thinks she may be pregnant. The licensed practical
nurse is reviewing the client's medical record. Which finding would the nurse identify as a
positive sign?
fetal heart tones auscultated
amenorrhea
enlarging uterus
quickening
fetal heart tones auscultated
A nurse is reviewing prenatal care with a client. Which statement by the client best expresses an
adequate understanding of the nutritional needs during pregnancy?
"Even though I need to eat more, I should make sure I don't fill up with junk food."
"After gaining a few pounds each month, I'll really get big and put on 20 pounds or so."
"I guess I'll get big and gain 20 to 30 pounds and look pregnant."
"Since I have to eat for two, I should eat whatever I want whenever I feel hungry."
"Even though I need to eat more, I should make sure I don't fill up with junk food."
A client in active labor is having difficulty remaining focused. Her husband, sister, and mother
are in the room with her. The fetal monitor shows slowing of the fetal heart rate (FHR) that
begins after the peak of each contraction. What is the priority nursing action?
