Medical Surgical Nursing nn nn nn
Concepts For nn nn
Interprofessional Collaborative Care nn nn
(Hesi)
nn nn nn
When nndescribing nnpatient nneducation nnapproaches, nnthe nnnurse nneducator nnwould nnexplain nnthat
nninformal nnteaching nnis nnan nnapproach nnthat nn
nn
a. follows nnformalized nnplans nn
b. has nnstandardized nncontent nn
c. often nnoccurs nnone-to-one nn
d. addresses nngroup nnneeds nn- nnCORRECT nnANSWER nn-C. nnInformal nnteaching nnis nnindividualized nnone nnon
nnone nnteaching nnwhich nnrepresents nnthe nnmajority nnof nnpatient nneducation nndone nnby nnnurses nnthat
nnoccurs nnwhen nnan nnintervention nnis nnexplained nnor nna nnquestion nnis nnanswered. nnGroup nnneeds nnare
nnoften nnthe nnfocus nnof nnformal nnpatient nneducation nncourses nnor nnclasses. nnInformal nnteaching nndoes
nnnot nnnecessarily nnfollow nna nnspecific nnformalized nnplan. nnIt nnmay nnbe nnplanned nnwith nnspecific
nncontent, nnbut nnit nnis nnindividualized nnresponses nnto nnpatient nnneeds. nnFormal nnteaching nninvolves
nnthe nnuse nnof nna nncurriculum/course nnplan nnwith nnstandardized nncontent. nn
nn
A nnpatient nnexpresses nna nnstrong nninterest nnin nnreturning nnto nntheir nnwork, nnfamily, nnand nnhobbies nnafter
nnhaving nna nnstroke. nnWhich nntheory nntype nnwould nnthe nnnurse nnuse nnto nndevelop nna nnplan nnof nncare nnfor
nnthe nnbest nnresults nnof nnthis nnpatient's nnmotivation nnstyle? nn
nn
a. field nn
b. biological nn
c. cognitive nn
d. sociologic nn- nnCORRECT nnANSWER nn-C. nnCognitive nntheorists nnbelieve nnthat nnattention, nnrelevance,
nnconfidence, nnand nnsatisfaction nn(ARCS) nnare nnthe nnconditions nnthat, nnwhen nnintegrated, nnmotivate
nnsomeone nnto nnlearn. nnField nntheorists nnplace nnsignificance nnon nnhow nnachievement, nnpower, nnthe
, need nnfor nnaffiliation, nnand nnavoidance nnmotives nninfluence nnindividual nnbehavior. nnSociologic
nn
theories nnare nnnot nninvolved nnin nnmotivation. nn
nn
nn
The nnnurse nnis nnassessing nna nngroup nnof nnclients. nnWhich nnclients nnare nnat nngreater nnrisk nnfor
nnhypothermia nnor nnfrostbite? nn(select nnall nnthat nnapply) nn
nn
a. an nnolder nnwoman nnwith nnhypertension nn
b. a nnyoung nnman nnwith nna nnbody nnmass nnindex nnof nn42 nn
c. a nnyoung nnmany nnwho nnhas nnjust nnconsumed nnsix nnmartinis nn
d. an nnolder nnman nnwho nnsmokes nna nnpack nnof nncigarettes nna nnday nn
e. a nnyoung nnwoman nnwho nnis nnanorexic nn
f. a nnyoung nnwoman nnwho nnis nndiabetic nn- nnCORRECT nnANSWER nn-C, nnD, nnE, nnF nn
nn
clients nnwith nnpoor nnnutrition, nnfatigue, nnand nnmultiple nnchronic nnillnesses nnare nnat nngreater nnrisk nnfor
nnhypothermia. nnClients nnwho nnsmoke, nnconsume nnalcohol, nnor nnhave nnimpaired nnperipheral nncirculation
nnhave nna nnhigher nnincidence nnof nnfrostbite. nn
nn
Which nnstatement nnmade nnby nna nnnurse nnrepresents nnthe nnneed nnfor nnfurther nneducation nnregarding
nnpain nnmanagement nnin nnolder nnadult nnclients? nn
nn
a. older nnadults nntend nnto nnreport nnpain nnless nnoften nnthan nnyounger nnadults nn
b. older nnclients nnusually nnhave nnmore nnexperience nnwith nnpain nnthan nnyounger nnclients nn
c. older nnadults nnare nnat nngreatest nnrisk nnfor nnunder nntreated nnpain nn
d. older nnclients nnhave nna nndifferent nnpain nnmechanism nnand nndo nnnot nnfeel nnit nnas nnmuch nn- nnCORRECT
nnANSWER nn-D nn
nn
There nnis nnno nnevidence nnto nnsupport nnthe nnidea nnthat nnolder nnadult nnclients nnperceive nnpain nnany
nndifferently nnthan nnyounger nnclients. nnThe nnother nnstatements nnare nnaccurate nnregarding nnolder nnclients
nnand nnpain. nn
The nnnurse nnis nnworking nnat nna nnfirst nnaid nnbooth nnfor nna nnspring nntraining nngame nnon nna nnhot nnday. nnA
nnspectator nncomes nnin, nnreporting nnthat nnhe nnis nnnot nnfeeling nnwell. nnVital nnsigns nnare nntemp nn104.1 nnF,
, pulse nn132 nnBPM, nnrespirs nn26 nnbreaths/min, nnand nnblood nnpressure nn106/66 nnmm nnHg. nnHe nntrips
nn
over nnhis nnfeet nnas nnthe nnnurse nnleads nnhim nnto nna nncot. nnWhat nnis nnthe nnpriory nnaction nnof nnthe nnnurse?
nn
nn
nn
a. admin nntylenol nn650 nnmg nnorally nn
b. encourage nnrest, nnand nnreassess nnin nn15 nnminutes nn
c. sponge nnthe nnvictim nnwith nncool nnwater nnand nnremove nnhis nnshirt nn
d. encourage nndrinking nnof nncool nnwater nnor nnsports nndrink nn- nnCORRECT nnANSWER nn-C nn
nn
The nnspectator nnshows nnsigns nnof nnheat nnstroke, nnwhich nnis nna nnmedical nnemergency. nnThe nnspectator
nnshould nnbe nntransported nnto nnthe nnED nnASAP. nnThe nnnurs nnshould nntake nnactions nnto nnlower nnhis nnbody
nntemp nnin nnteh nnmeantime nnby nnremoving nnhis nnshirt nnand nnsponging nnhis nnbody nnwith nncool nnwater.
nnLowering nnbody nntemp nnby nndrinking nncool nnfluids nnor nntaking nnacetaminophen nnis nnnot nnas nneffective
nnin nnan nnemergency nnsituation. nnThe nnclient nnneeds nnto nnbe nncooled nnquickly nnand nnis nna nnpriority nnfor
nntreatment nn
nn
The nnclient nnis nnreceiving nnan nnIV nnof nn60 nnmEq nnof nnpotassium nnchloride nnina nn1000 nnmL nnsolution nnof
nndextrose nn5% nnin nn0.45% nnsaline. nnThe nnclient nnstates nnthat nnthe nnarea nnaround nnthe nnIV nnsite nnburns.
nnWhat nnintervention nndoes nnthe nnnurse nnperform nnfirst? nn
nn
a. assess nnfor nna nnblood nnreturn nn
b. notify nnthe nnphysician nn
c. document nnthe nnfinding nn
d. stop nnthe nnIV nninfusion nn- nnCORRECT nnANSWER nn-D nn
nn
Potassium nnis nna nnsevere nntissue nnirritant. nnThe nnsafest nnaction nnis nnto nndiscontinue nnthe nnsolution nnthat
nncontains nnthe nnpotassium nnand nndiscontinue nnthe nnIV nnaltogether, nnin nnwhich nncase nnthe nnclient nnwould
nnneed nnanother nnsite nnstarted. nnAssessing nnfor nna nnblood nnreturn nnmay nnor nnmay nnnot nnbe nnsuccessful.
nnThe nnsolution nncould nnbe nndiluted nn(less nnpotassium) nnand nnthe nnrate nncould nnbe nnslowed nnonce nnit nnis
nndetermined nnthat nnthe nnneedle nnis nnin nnthe nnvein. nn
A nnnurse nnis nncaring nnfor nnan nnolder nnadult nnclient nnwho nnlives nnalone. nnWhich nneconomic nnsituation
nnpresents nnthe nnmost nnserious nnproblem nnfor nnthis nnclient? nn
nn
, a. costs nnof nncreating nna nnliving nnwill nn
b. stock nnmarket nnfluctuations nn
c. increased nnprovider nnbenefits nn
d. social nnsecurity nnas nnthe nnbasis nnof nnincome nn- nnCORRECT nnANSWER nn-D nn
nn
Older nnadults nnon nnfixed nnincomes nnare nnunable nnto nnadjust nntheir nnincome nnto nnmeet nnrising nncosts
nnassociated nnwith nnmeeting nnbasic nnneeds nn
nn
Controlling nnpain nnis nnimportant nnto nnpromoting nnwellness. nnUnrelieved nnpain nnhas nnbeen nnassociated
nnwith nn nn
nn
a. prolonged nnstress nnresponse nnand nna nncascade nnof nnharmful nneffects nnsystem nnwide. nn
b. decreased nntumor nngrowth nnand nnlongevity nn
c. large nntidal nnvolumes nnand nndecreased nnlung nncapacity nn
d. decreased nncarbohydrate, nnprotein, nnand nnfat nndestruction nn- nnCORRECT nnANSWER nn-A nn
nn
Pain nntriggers nna nnnumber nnof nnphysiologic nnstress nnresponses nnin nnthe nnhuman nnbody. nnUnrelieved nnpain
nncan nnprolong nnthe nnstress nnresponse nnand nnproduce nna nncascade nnof nnharmful nneffects nnin nnall nnbody
nnsystems. nnThe nnstress nnresponse nncauses nnthe nnendocrine nnsystem nnto nnrelease nnexcessive nnamounts
nnof nnhormones, nnsuch nnas nncortisol, nncatecholamines, nnand nnglucagon. nnInsulin nnand nntestosterone
nnlevels nndecrease. nnIncreased nnendocrine nnactivity nnin nnturn nninitiates nna nnnumber nnof nnmetabolic
nnprocesses, nnin nnparticular, nnaccelerated nncarbohydrate, nnprotein, nnand nnfat nndestruction, nnwhcih nncan
nnresult nnin nnweight nnloss, nntachycardia, nnincreased nnrespiratory nnrate, nnshock, nnand nneven nndeath. nnThe
nnimmune nnsystem nnis nnalso nnaffected nnby nnpain nnas nndemonstrated nnby nnresearch nnshowing nna nnlink
nnbetween nnunrelieved nnpain nnand nna nnhigher nnincidence nnof nnnosocomial nninfections nnand nnincreased
nntumor nngrowth. nnLarge nntidal nnvolumes nnare nnnot nnassociated nnwith nnpain nnwhile nndecreased nnlung
nncapacity nnis nnassociated nnwith nnunrelieved nnpain. nnDecreased nntumor nngrowth nnand nnlongevity nnare
nnnot nnassociated nnwith nnunrelieved nnpain. nnDecreased nncarbs, nnprotein, nnand nnfat nnare nnnot nnassociated
nnwith nnpain nnor nnstress nnresponse. nn
Which nnintervention nnin nna nnclient nnwith nndehydration nninduced nnconfusion nnis nnmost nnlikely nnto nnrelieve
nnthe nnconfusion? nn
a. increasing nnthe nnIV nnflow nnrate nnto nn250 nnmL/hr nn
b. applying nnoxygen nnby nnmask nnor nnnasal nncannula nn
Concepts For nn nn
Interprofessional Collaborative Care nn nn
(Hesi)
nn nn nn
When nndescribing nnpatient nneducation nnapproaches, nnthe nnnurse nneducator nnwould nnexplain nnthat
nninformal nnteaching nnis nnan nnapproach nnthat nn
nn
a. follows nnformalized nnplans nn
b. has nnstandardized nncontent nn
c. often nnoccurs nnone-to-one nn
d. addresses nngroup nnneeds nn- nnCORRECT nnANSWER nn-C. nnInformal nnteaching nnis nnindividualized nnone nnon
nnone nnteaching nnwhich nnrepresents nnthe nnmajority nnof nnpatient nneducation nndone nnby nnnurses nnthat
nnoccurs nnwhen nnan nnintervention nnis nnexplained nnor nna nnquestion nnis nnanswered. nnGroup nnneeds nnare
nnoften nnthe nnfocus nnof nnformal nnpatient nneducation nncourses nnor nnclasses. nnInformal nnteaching nndoes
nnnot nnnecessarily nnfollow nna nnspecific nnformalized nnplan. nnIt nnmay nnbe nnplanned nnwith nnspecific
nncontent, nnbut nnit nnis nnindividualized nnresponses nnto nnpatient nnneeds. nnFormal nnteaching nninvolves
nnthe nnuse nnof nna nncurriculum/course nnplan nnwith nnstandardized nncontent. nn
nn
A nnpatient nnexpresses nna nnstrong nninterest nnin nnreturning nnto nntheir nnwork, nnfamily, nnand nnhobbies nnafter
nnhaving nna nnstroke. nnWhich nntheory nntype nnwould nnthe nnnurse nnuse nnto nndevelop nna nnplan nnof nncare nnfor
nnthe nnbest nnresults nnof nnthis nnpatient's nnmotivation nnstyle? nn
nn
a. field nn
b. biological nn
c. cognitive nn
d. sociologic nn- nnCORRECT nnANSWER nn-C. nnCognitive nntheorists nnbelieve nnthat nnattention, nnrelevance,
nnconfidence, nnand nnsatisfaction nn(ARCS) nnare nnthe nnconditions nnthat, nnwhen nnintegrated, nnmotivate
nnsomeone nnto nnlearn. nnField nntheorists nnplace nnsignificance nnon nnhow nnachievement, nnpower, nnthe
, need nnfor nnaffiliation, nnand nnavoidance nnmotives nninfluence nnindividual nnbehavior. nnSociologic
nn
theories nnare nnnot nninvolved nnin nnmotivation. nn
nn
nn
The nnnurse nnis nnassessing nna nngroup nnof nnclients. nnWhich nnclients nnare nnat nngreater nnrisk nnfor
nnhypothermia nnor nnfrostbite? nn(select nnall nnthat nnapply) nn
nn
a. an nnolder nnwoman nnwith nnhypertension nn
b. a nnyoung nnman nnwith nna nnbody nnmass nnindex nnof nn42 nn
c. a nnyoung nnmany nnwho nnhas nnjust nnconsumed nnsix nnmartinis nn
d. an nnolder nnman nnwho nnsmokes nna nnpack nnof nncigarettes nna nnday nn
e. a nnyoung nnwoman nnwho nnis nnanorexic nn
f. a nnyoung nnwoman nnwho nnis nndiabetic nn- nnCORRECT nnANSWER nn-C, nnD, nnE, nnF nn
nn
clients nnwith nnpoor nnnutrition, nnfatigue, nnand nnmultiple nnchronic nnillnesses nnare nnat nngreater nnrisk nnfor
nnhypothermia. nnClients nnwho nnsmoke, nnconsume nnalcohol, nnor nnhave nnimpaired nnperipheral nncirculation
nnhave nna nnhigher nnincidence nnof nnfrostbite. nn
nn
Which nnstatement nnmade nnby nna nnnurse nnrepresents nnthe nnneed nnfor nnfurther nneducation nnregarding
nnpain nnmanagement nnin nnolder nnadult nnclients? nn
nn
a. older nnadults nntend nnto nnreport nnpain nnless nnoften nnthan nnyounger nnadults nn
b. older nnclients nnusually nnhave nnmore nnexperience nnwith nnpain nnthan nnyounger nnclients nn
c. older nnadults nnare nnat nngreatest nnrisk nnfor nnunder nntreated nnpain nn
d. older nnclients nnhave nna nndifferent nnpain nnmechanism nnand nndo nnnot nnfeel nnit nnas nnmuch nn- nnCORRECT
nnANSWER nn-D nn
nn
There nnis nnno nnevidence nnto nnsupport nnthe nnidea nnthat nnolder nnadult nnclients nnperceive nnpain nnany
nndifferently nnthan nnyounger nnclients. nnThe nnother nnstatements nnare nnaccurate nnregarding nnolder nnclients
nnand nnpain. nn
The nnnurse nnis nnworking nnat nna nnfirst nnaid nnbooth nnfor nna nnspring nntraining nngame nnon nna nnhot nnday. nnA
nnspectator nncomes nnin, nnreporting nnthat nnhe nnis nnnot nnfeeling nnwell. nnVital nnsigns nnare nntemp nn104.1 nnF,
, pulse nn132 nnBPM, nnrespirs nn26 nnbreaths/min, nnand nnblood nnpressure nn106/66 nnmm nnHg. nnHe nntrips
nn
over nnhis nnfeet nnas nnthe nnnurse nnleads nnhim nnto nna nncot. nnWhat nnis nnthe nnpriory nnaction nnof nnthe nnnurse?
nn
nn
nn
a. admin nntylenol nn650 nnmg nnorally nn
b. encourage nnrest, nnand nnreassess nnin nn15 nnminutes nn
c. sponge nnthe nnvictim nnwith nncool nnwater nnand nnremove nnhis nnshirt nn
d. encourage nndrinking nnof nncool nnwater nnor nnsports nndrink nn- nnCORRECT nnANSWER nn-C nn
nn
The nnspectator nnshows nnsigns nnof nnheat nnstroke, nnwhich nnis nna nnmedical nnemergency. nnThe nnspectator
nnshould nnbe nntransported nnto nnthe nnED nnASAP. nnThe nnnurs nnshould nntake nnactions nnto nnlower nnhis nnbody
nntemp nnin nnteh nnmeantime nnby nnremoving nnhis nnshirt nnand nnsponging nnhis nnbody nnwith nncool nnwater.
nnLowering nnbody nntemp nnby nndrinking nncool nnfluids nnor nntaking nnacetaminophen nnis nnnot nnas nneffective
nnin nnan nnemergency nnsituation. nnThe nnclient nnneeds nnto nnbe nncooled nnquickly nnand nnis nna nnpriority nnfor
nntreatment nn
nn
The nnclient nnis nnreceiving nnan nnIV nnof nn60 nnmEq nnof nnpotassium nnchloride nnina nn1000 nnmL nnsolution nnof
nndextrose nn5% nnin nn0.45% nnsaline. nnThe nnclient nnstates nnthat nnthe nnarea nnaround nnthe nnIV nnsite nnburns.
nnWhat nnintervention nndoes nnthe nnnurse nnperform nnfirst? nn
nn
a. assess nnfor nna nnblood nnreturn nn
b. notify nnthe nnphysician nn
c. document nnthe nnfinding nn
d. stop nnthe nnIV nninfusion nn- nnCORRECT nnANSWER nn-D nn
nn
Potassium nnis nna nnsevere nntissue nnirritant. nnThe nnsafest nnaction nnis nnto nndiscontinue nnthe nnsolution nnthat
nncontains nnthe nnpotassium nnand nndiscontinue nnthe nnIV nnaltogether, nnin nnwhich nncase nnthe nnclient nnwould
nnneed nnanother nnsite nnstarted. nnAssessing nnfor nna nnblood nnreturn nnmay nnor nnmay nnnot nnbe nnsuccessful.
nnThe nnsolution nncould nnbe nndiluted nn(less nnpotassium) nnand nnthe nnrate nncould nnbe nnslowed nnonce nnit nnis
nndetermined nnthat nnthe nnneedle nnis nnin nnthe nnvein. nn
A nnnurse nnis nncaring nnfor nnan nnolder nnadult nnclient nnwho nnlives nnalone. nnWhich nneconomic nnsituation
nnpresents nnthe nnmost nnserious nnproblem nnfor nnthis nnclient? nn
nn
, a. costs nnof nncreating nna nnliving nnwill nn
b. stock nnmarket nnfluctuations nn
c. increased nnprovider nnbenefits nn
d. social nnsecurity nnas nnthe nnbasis nnof nnincome nn- nnCORRECT nnANSWER nn-D nn
nn
Older nnadults nnon nnfixed nnincomes nnare nnunable nnto nnadjust nntheir nnincome nnto nnmeet nnrising nncosts
nnassociated nnwith nnmeeting nnbasic nnneeds nn
nn
Controlling nnpain nnis nnimportant nnto nnpromoting nnwellness. nnUnrelieved nnpain nnhas nnbeen nnassociated
nnwith nn nn
nn
a. prolonged nnstress nnresponse nnand nna nncascade nnof nnharmful nneffects nnsystem nnwide. nn
b. decreased nntumor nngrowth nnand nnlongevity nn
c. large nntidal nnvolumes nnand nndecreased nnlung nncapacity nn
d. decreased nncarbohydrate, nnprotein, nnand nnfat nndestruction nn- nnCORRECT nnANSWER nn-A nn
nn
Pain nntriggers nna nnnumber nnof nnphysiologic nnstress nnresponses nnin nnthe nnhuman nnbody. nnUnrelieved nnpain
nncan nnprolong nnthe nnstress nnresponse nnand nnproduce nna nncascade nnof nnharmful nneffects nnin nnall nnbody
nnsystems. nnThe nnstress nnresponse nncauses nnthe nnendocrine nnsystem nnto nnrelease nnexcessive nnamounts
nnof nnhormones, nnsuch nnas nncortisol, nncatecholamines, nnand nnglucagon. nnInsulin nnand nntestosterone
nnlevels nndecrease. nnIncreased nnendocrine nnactivity nnin nnturn nninitiates nna nnnumber nnof nnmetabolic
nnprocesses, nnin nnparticular, nnaccelerated nncarbohydrate, nnprotein, nnand nnfat nndestruction, nnwhcih nncan
nnresult nnin nnweight nnloss, nntachycardia, nnincreased nnrespiratory nnrate, nnshock, nnand nneven nndeath. nnThe
nnimmune nnsystem nnis nnalso nnaffected nnby nnpain nnas nndemonstrated nnby nnresearch nnshowing nna nnlink
nnbetween nnunrelieved nnpain nnand nna nnhigher nnincidence nnof nnnosocomial nninfections nnand nnincreased
nntumor nngrowth. nnLarge nntidal nnvolumes nnare nnnot nnassociated nnwith nnpain nnwhile nndecreased nnlung
nncapacity nnis nnassociated nnwith nnunrelieved nnpain. nnDecreased nntumor nngrowth nnand nnlongevity nnare
nnnot nnassociated nnwith nnunrelieved nnpain. nnDecreased nncarbs, nnprotein, nnand nnfat nnare nnnot nnassociated
nnwith nnpain nnor nnstress nnresponse. nn
Which nnintervention nnin nna nnclient nnwith nndehydration nninduced nnconfusion nnis nnmost nnlikely nnto nnrelieve
nnthe nnconfusion? nn
a. increasing nnthe nnIV nnflow nnrate nnto nn250 nnmL/hr nn
b. applying nnoxygen nnby nnmask nnor nnnasal nncannula nn
