BSN 225 HESI EXAM QUESTIONS WITH 100% CORRECT ANSWERS!!

Reading comprehension for a pt family member Asking someone else to read the form, waiting for help with the forms, and partially or inaccurately filling out forms are behaviors indicative of potential health literacy issues. Needing glasses does not correlate directly with health literacy Comprehending D/C instructions Letting the client perform or return-demonstrate the instillation of ear medication as the nurse observes is the best way to gauge if the client understood the discharge teaching. Which food substances will the nurse include in the child's diet plan to alleviate severe bruises and bleeding caused by a vitamin deficiency? A.Broccoli, spinach, and cabbage When You are giving an enteral feeding its best to Elevate head to prevent aspiration. Which measure would the nurse adopt to ensure effective communication when caring for a non-English-speaking client? Select all that apply Understand cultural and language differences Avoid interpreting based on personal cultural beliefs Provide written information in the primary language Which statement most accurately describes cultural factors that may affect health? Diabetes and cancer rates differ by cultural/ethnic groupsWhat is the first step in developing cultural competence? A.Examine the nurse's own cultural background, values, and beliefs about health and health care. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? Compare the Clients home medications with the providers prescriptions. A nurse is providing discharge instructions to a client who will be using a walker which of the following client statement indicates an understanding of the teaching. A"I will hire someone to trim the tree that hangs low over the stairs of my front porch." 3 multiple choice options Leading cause of trauma in older adults Fire when completing a safety even report, the nurse should The nurse obtains a prescription from a health care provider to restrain a client and instructs an unlicensed assistive personnel (UAP) to apply the safety device to the client. Which observation of unsafe application of the safety device would indicate that further instruction is required by the UAP? a Safety devise straps are secured to the bed frame and never to the side rails to avoid injury if the side rails are released. 3 multiple choice options The nurse cares for the client who is confused. The health care provider ordered that the client have cotton wrist restraints to prevent the client from attempting to remove the intravenous (IV) and indwelling catheter. Which action is essential for the nurse to include in the client's care plan? remove the restrains, assess limbs and provide skin care every hour (Safety)The newly hired nurse is assigned to a very disoriented client with soft wrist restraints. The nurse asks the head nurse for the purpose of the client's restraints. Which response by the head nurse is correct The nurse is caring for a CT on hospice who started on a 25 mcg/hr fentanyl patch yesterday 0800. Today at 2 the pt has complaints of pain 7/10 which intervention is best for the nurse to provide Off to administer 5 mg of morphine orally as prescribed for breakthrough pain ( med was already ordered) You are caring for a hospice client who is at the end of life. Based on this clients' signs and symptoms, the client is comatose, dehydrated, free of pain, constipated without distress and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client? Ordered: 20 mEq KCL in 50 ml to infuse over 30 minutes. What is the flow rate in ml per hour 50ml/30 min x 60 min/ 1 hour = 100ml/hr