BSN 225 Hesi Prep
which standard of practive is being performed when a nurse administers the prescribed
medicated nebulizer treatment to a patient who has developed wheezing and shortness
of breath in the emergency department?
A. planning
B. evaluation
C. assessment
D. implementation - CORRECT ANSWER-D. implementation
implementation phase is where the nurse follows through on the decided plan of action.
Once the patient and the nurse on the diagnosis, a plan of action can be developed.
Each problem is assigned a clear, measurable goal for the expected outcome. Once all
nusing intervention actions have taken place, the nurse completes an evaluation to
determine if the patient goals have been met. The first step of the nursing process is
assessment. During this phase, the nurse gathers information about a patient's
psychological, physiologic, sociologic, and spiritual status.
Which trait of critical thinking is the nurse exhibiting when instructing the parents of a
malnourished child to make the child's food colorful and attractive?
A. fairness
B. curiosity
C. discipline
D. creativity - CORRECT ANSWER-D. creativity
Nurses require various traits such as creativity, fairness, risk taking, curiousity,
discipline, and perseverance. In this case the nurseis trying to stimulate the appetite of
the child by instructing the parents to make the food colorful and attractive. This shows
that the nurse is using the trait of creativity. Fairness is the trait of a nurse who avoids
personal bias while caring for a patient/ Curiosity is the trait of a critical thinking nurse
who always tries to ask "why?" A disciplined nurse follows a systemativ approach to
plan and achieve goals.
Which Quality and Safety in the Education of Nurses (QSEN) competency is the nurse
exhibiting by working with a couple to determine what they know about their
medications and helping them decide on one care provider rather than two when caring
for an older-adult couple in a community-based assisted living facility?
A. safety
B. informatics
C. patient-centered care
D. teamwork and collaboration - CORRECT ANSWER-B. safety
,Helping patients understand the consequences and complications of multiple health
care providers and multiple medications helps ensure patient safety. Informatics is a
multidisciplinary field that uses health inforamtion technology to improve health care via
any combination of high quality, higher efficiency, and new opportunities. Patient-
centered care focuses on direct care rendered to patients. Teamwork and collaboration
seeks information or help from other health care professions and disciplines
A 40-year-old patient is experiencing poorly controlled hypertension. The dietitian
recommends several dietary modifications to the patient. The patient tries to explain the
reason for her poor dietary compliance; she says she works extra hours and does not
have the time to cook. The patient further adds that she has diabetes. The patient
expresses that it is difficult for her to choos a diet that is low in sugar and low in salt and
carbohydrates. The nurse communicates this to the dietitian using SBAR technique.
Which patient information would be addressed first?
A. the need for a diet revision
b. the desire for a dietary consult
c. current medical conditions of chronic diabtese w/ hypertension
d. the need for the patient to eat low-salt, low-sugar meals - CORRECT ANSWER-C.
Current medical conditions of chronic diabetes w/ hypertension
When using SBAR communication protocol, the nurse should first identify the patient's
situation. In this case, that means the nurse should convey that the patient is suffering
from chronic diabetes and hypertension. The nurse then should further address the
breakdown of the situation and ask the dietitian to consider revising the diet. Following
the dietary assessment and consult, the recommendations for dietary changes--
including low-salt and low-sugar meals--should be made.
Which health pattern in Gordon's model describes the patient's spiritual attitude?
A. Value-belief pattern
B. Role-relationship pattern
C. Cognitive-perceptual pattern
D. Self-perception-- self-concept pattern - CORRECT ANSWER-A. Value-belief pattern
According to Gordon's model, there are 11 health patterns. Each pattern describes a
particular characteristic. The value-belief pattern describes a patient's spiritual attitude,
the values and beliefs that guide the choices or decisions of the patient. The role-
relationship pattern describes a patient's pattern of role engagements and relationships.
The cognitive=perceptual pattern describes memory, decision-making ability, language
adequacy, and sensory-perceptual patterns/ A patient's concept of self or perception of
self is described by the self-perception--self-concept pattern
Which standard of practive is the nurse performing when applying a cold compress to a
patient's sprained ankle and instructing the patient to elevate the leg?
A. Diagnosis
B. Evaluation
C. Assessment
, D. Implementation - CORRECT ANSWER-C. Implementation
The nurse is delivering care to the patient; therefore the standard practived by the nurse
is implementation. Developing a nuring diagnosis involves analyzing the assessed data.
Evaluation refers to determining the effectiveness of the implemented patient care in
meeting the patient goals. Assessment is the process of collecting data related to the
health and illness of the patient
Which body mass index (BMI) would require hospitalization?
A. 12.5 kg/m2
B 18.9 kg/m2
C. 21.2 kg/m2
D. 24.6 kg/m2 - CORRECT ANSWER-A. 12.5 kg/m2
Patients whose BMI is less than 13 kg/m2 are considered severely malnourished and
require highly skilled nursing care w/ hospitalization. A BMI of 18.5 to 24.9 kg/m2
indicates that the patient has normal weight and does not require nursing care and
hospitalization
Which action would the nurse take when unable to find information about the medication
in any of the hospital databases or electronic health records when attempting to
decrease the patient's adverse reactions to prescribed medications?
A. avoid administering medication
B. contact the hospital pharmacist
C. contact the primary health care provider
D. ask the patient for written consent before administering - CORRECT ANSWER-B.
contact the hospital pharmacist
When a primary health care provider prescribes a mediation, the nurse is
knowledgeable of its use, the expected outcome, and any adverse effects and drug
interactions. The nurse requests the information form the pharmacist when the
informatio nis not available in any of the resources available. The nurse cannot avoid
administering the medication if the information is unavailable. Instead, the nurse obtains
the information from another resource. The nurse contacts the pharmacist rather than
informing the primary health care provider. The patient's written consent is required only
if the drug is still under trial or if it has potentially harmful adverse reactions.
Which action would the nurse aboid when assisting an older adult w/ dysphagia to eat?
A. thick liquids
B. sitting the patient upright during meal time
C. giving large bites to stimulate swallow reflex
D. keeping the patient upright for a minimum of 45 minutes after eating - CORRECT
ANSWER-C. Giving large bites to stimulate swallow reflex
Bites should be small to help avoid aspiration. Thickened liquids are easy to swallow.
Making the patient sit upright while eating helps the nurse prevent aspiration. Keeping
which standard of practive is being performed when a nurse administers the prescribed
medicated nebulizer treatment to a patient who has developed wheezing and shortness
of breath in the emergency department?
A. planning
B. evaluation
C. assessment
D. implementation - CORRECT ANSWER-D. implementation
implementation phase is where the nurse follows through on the decided plan of action.
Once the patient and the nurse on the diagnosis, a plan of action can be developed.
Each problem is assigned a clear, measurable goal for the expected outcome. Once all
nusing intervention actions have taken place, the nurse completes an evaluation to
determine if the patient goals have been met. The first step of the nursing process is
assessment. During this phase, the nurse gathers information about a patient's
psychological, physiologic, sociologic, and spiritual status.
Which trait of critical thinking is the nurse exhibiting when instructing the parents of a
malnourished child to make the child's food colorful and attractive?
A. fairness
B. curiosity
C. discipline
D. creativity - CORRECT ANSWER-D. creativity
Nurses require various traits such as creativity, fairness, risk taking, curiousity,
discipline, and perseverance. In this case the nurseis trying to stimulate the appetite of
the child by instructing the parents to make the food colorful and attractive. This shows
that the nurse is using the trait of creativity. Fairness is the trait of a nurse who avoids
personal bias while caring for a patient/ Curiosity is the trait of a critical thinking nurse
who always tries to ask "why?" A disciplined nurse follows a systemativ approach to
plan and achieve goals.
Which Quality and Safety in the Education of Nurses (QSEN) competency is the nurse
exhibiting by working with a couple to determine what they know about their
medications and helping them decide on one care provider rather than two when caring
for an older-adult couple in a community-based assisted living facility?
A. safety
B. informatics
C. patient-centered care
D. teamwork and collaboration - CORRECT ANSWER-B. safety
,Helping patients understand the consequences and complications of multiple health
care providers and multiple medications helps ensure patient safety. Informatics is a
multidisciplinary field that uses health inforamtion technology to improve health care via
any combination of high quality, higher efficiency, and new opportunities. Patient-
centered care focuses on direct care rendered to patients. Teamwork and collaboration
seeks information or help from other health care professions and disciplines
A 40-year-old patient is experiencing poorly controlled hypertension. The dietitian
recommends several dietary modifications to the patient. The patient tries to explain the
reason for her poor dietary compliance; she says she works extra hours and does not
have the time to cook. The patient further adds that she has diabetes. The patient
expresses that it is difficult for her to choos a diet that is low in sugar and low in salt and
carbohydrates. The nurse communicates this to the dietitian using SBAR technique.
Which patient information would be addressed first?
A. the need for a diet revision
b. the desire for a dietary consult
c. current medical conditions of chronic diabtese w/ hypertension
d. the need for the patient to eat low-salt, low-sugar meals - CORRECT ANSWER-C.
Current medical conditions of chronic diabetes w/ hypertension
When using SBAR communication protocol, the nurse should first identify the patient's
situation. In this case, that means the nurse should convey that the patient is suffering
from chronic diabetes and hypertension. The nurse then should further address the
breakdown of the situation and ask the dietitian to consider revising the diet. Following
the dietary assessment and consult, the recommendations for dietary changes--
including low-salt and low-sugar meals--should be made.
Which health pattern in Gordon's model describes the patient's spiritual attitude?
A. Value-belief pattern
B. Role-relationship pattern
C. Cognitive-perceptual pattern
D. Self-perception-- self-concept pattern - CORRECT ANSWER-A. Value-belief pattern
According to Gordon's model, there are 11 health patterns. Each pattern describes a
particular characteristic. The value-belief pattern describes a patient's spiritual attitude,
the values and beliefs that guide the choices or decisions of the patient. The role-
relationship pattern describes a patient's pattern of role engagements and relationships.
The cognitive=perceptual pattern describes memory, decision-making ability, language
adequacy, and sensory-perceptual patterns/ A patient's concept of self or perception of
self is described by the self-perception--self-concept pattern
Which standard of practive is the nurse performing when applying a cold compress to a
patient's sprained ankle and instructing the patient to elevate the leg?
A. Diagnosis
B. Evaluation
C. Assessment
, D. Implementation - CORRECT ANSWER-C. Implementation
The nurse is delivering care to the patient; therefore the standard practived by the nurse
is implementation. Developing a nuring diagnosis involves analyzing the assessed data.
Evaluation refers to determining the effectiveness of the implemented patient care in
meeting the patient goals. Assessment is the process of collecting data related to the
health and illness of the patient
Which body mass index (BMI) would require hospitalization?
A. 12.5 kg/m2
B 18.9 kg/m2
C. 21.2 kg/m2
D. 24.6 kg/m2 - CORRECT ANSWER-A. 12.5 kg/m2
Patients whose BMI is less than 13 kg/m2 are considered severely malnourished and
require highly skilled nursing care w/ hospitalization. A BMI of 18.5 to 24.9 kg/m2
indicates that the patient has normal weight and does not require nursing care and
hospitalization
Which action would the nurse take when unable to find information about the medication
in any of the hospital databases or electronic health records when attempting to
decrease the patient's adverse reactions to prescribed medications?
A. avoid administering medication
B. contact the hospital pharmacist
C. contact the primary health care provider
D. ask the patient for written consent before administering - CORRECT ANSWER-B.
contact the hospital pharmacist
When a primary health care provider prescribes a mediation, the nurse is
knowledgeable of its use, the expected outcome, and any adverse effects and drug
interactions. The nurse requests the information form the pharmacist when the
informatio nis not available in any of the resources available. The nurse cannot avoid
administering the medication if the information is unavailable. Instead, the nurse obtains
the information from another resource. The nurse contacts the pharmacist rather than
informing the primary health care provider. The patient's written consent is required only
if the drug is still under trial or if it has potentially harmful adverse reactions.
Which action would the nurse aboid when assisting an older adult w/ dysphagia to eat?
A. thick liquids
B. sitting the patient upright during meal time
C. giving large bites to stimulate swallow reflex
D. keeping the patient upright for a minimum of 45 minutes after eating - CORRECT
ANSWER-C. Giving large bites to stimulate swallow reflex
Bites should be small to help avoid aspiration. Thickened liquids are easy to swallow.
Making the patient sit upright while eating helps the nurse prevent aspiration. Keeping
