HESI - Medical Surgical Nursing test
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1. When describing patient C. Informal teaching is individualized one on one teaching which
education approaches, the represents the majority of patient education done by nurses
nurse educator would ex- that occurs when an intervention is explained or a question is
plain that informal teachinganswered. Group needs are often the focus of formal patient
is an approach that education courses or classes. Informal teaching does not nec-
essarily follow a specific formalized plan. It may be planned
a. follows formalized plans with specific content, but it is individualized responses to patient
b. has standardized content needs. Formal teaching involves the use of a curriculum/course
c. often occurs one-to-one plan with standardized content.
d. addresses group needs
2. A patient expresses a strong C. Cognitive theorists believe that attention, relevance, confi-
interest in returning to their dence, and satisfaction (ARCS) are the conditions that, when
work, family, and hobbies af- integrated, motivate someone to learn. Field theorists place
ter having a stroke. Which significance on how achievement, power, the need for affiliation,
theory type would the nurse and avoidance motives influence individual behavior. Sociologic
use to develop a plan of care theories are not involved in motivation.
for the best results of this pa-
tient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
3. The nurse is assessing a C, D, E, F
group of clients. Which
clients are at greater risk clients with poor nutrition, fatigue, and multiple chronic ill-
for hypothermia or frostbite? nesses are at greater risk for hypothermia. Clients who smoke,
(select all that apply) consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite.
a. an older woman with hy-
, HESI - Medical Surgical Nursing test
Study online at https://quizlet.com/_3m27bu
pertension
b. a young man with a body
mass index of 42
c. a young many who has just
consumed six martinis
d. an older man who smokes
a pack of cigarettes a day
e. a young woman who is
anorexic
f. a young woman who is dia-
betic
4. Which statement made by a D
nurse represents the need
for further education regard- There is no evidence to support the idea that older adult clients
ing pain management in old- perceive pain any differently than younger clients. The other
er adult clients? statements are accurate regarding older clients and pain.
a. older adults tend to report
pain less often than younger
adults
b. older clients usually have
more experience with pain
than younger clients
c. older adults are at greatest
risk for under treated pain
d. older clients have a differ-
ent pain mechanism and do
not feel it as much
5. The nurse is working at a first C
aid booth for a spring train-
, HESI - Medical Surgical Nursing test
Study online at https://quizlet.com/_3m27bu
ing game on a hot day. A The spectator shows signs of heat stroke, which is a medical
spectator comes in, report- emergency. The spectator should be transported to the ED ASAP.
ing that he is not feeling well. The nurs should take actions to lower his body temp in teh
Vital signs are temp 104.1 meantime by removing his shirt and sponging his body with
F, pulse 132 BPM, respirs 26 cool water. Lowering body temp by drinking cool fluids or taking
breaths/min, and blood pres- acetaminophen is not as effective in an emergency situation. The
sure 106/66 mm Hg. He trips client needs to be cooled quickly and is a priority for treatment
over his feet as the nurse
leads him to a cot. What
is the priory action of the
nurse?
a. admin tylenol 650 mg oral-
ly
b. encourage rest, and re-
assess in 15 minutes
c. sponge the victim with cool
water and remove his shirt
d. encourage drinking of cool
water or sports drink
6. The client is receiving an IV D
of 60 mEq of potassium chlo-
ride ina 1000 mL solution of Potassium is a severe tissue irritant. The safest action is to dis-
dextrose 5% in 0.45% saline. continue the solution that contains the potassium and discontin-
The client states that the area ue the IV altogether, in which case the client would need another
around the IV site burns. site started. Assessing for a blood return may or may not be
What intervention does the successful. The solution could be diluted (less potassium) and
nurse perform first? the rate could be slowed once it is determined that the needle
is in the vein.
a. assess for a blood return
b. notify the physician
, HESI - Medical Surgical Nursing test
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c. document the finding
d. stop the IV infusion
7. A nurse is caring for an D
older adult client who lives
alone. Which economic situ- Older adults on fixed incomes are unable to adjust their income
ation presents the most seri- to meet rising costs associated with meeting basic needs
ous problem for this client?
a. costs of creating a living
will
b. stock market fluctuations
c. increased provider bene-
fits
d. social security as the basis
of income
8. Controlling pain is important A
to promoting wellness. Unre-
lieved pain has been associ- Pain triggers a number of physiologic stress responses in the
ated with human body. Unrelieved pain can prolong the stress response
and produce a cascade of harmful effects in all body systems.
a. prolonged stress response The stress response causes the endocrine system to release ex-
and a cascade of harmful ef- cessive amounts of hormones, such as cortisol, catecholamines,
fects system wide. and glucagon. Insulin and testosterone levels decrease. In-
b. decreased tumor growth creased endocrine activity in turn initiates a number of meta-
and longevity bolic processes, in particular, accelerated carbohydrate, protein,
c. large tidal volumes and de- and fat destruction, whcih can result in weight loss, tachycardia,
creased lung capacity increased respiratory rate, shock, and even death. The immune
d. decreased carbohydrate, system is also affected by pain as demonstrated by research
protein, and fat destruction showing a link between unrelieved pain and a higher incidence
of nosocomial infections and increased tumor growth. Large
Study online at https://quizlet.com/_3m27bu
1. When describing patient C. Informal teaching is individualized one on one teaching which
education approaches, the represents the majority of patient education done by nurses
nurse educator would ex- that occurs when an intervention is explained or a question is
plain that informal teachinganswered. Group needs are often the focus of formal patient
is an approach that education courses or classes. Informal teaching does not nec-
essarily follow a specific formalized plan. It may be planned
a. follows formalized plans with specific content, but it is individualized responses to patient
b. has standardized content needs. Formal teaching involves the use of a curriculum/course
c. often occurs one-to-one plan with standardized content.
d. addresses group needs
2. A patient expresses a strong C. Cognitive theorists believe that attention, relevance, confi-
interest in returning to their dence, and satisfaction (ARCS) are the conditions that, when
work, family, and hobbies af- integrated, motivate someone to learn. Field theorists place
ter having a stroke. Which significance on how achievement, power, the need for affiliation,
theory type would the nurse and avoidance motives influence individual behavior. Sociologic
use to develop a plan of care theories are not involved in motivation.
for the best results of this pa-
tient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic
3. The nurse is assessing a C, D, E, F
group of clients. Which
clients are at greater risk clients with poor nutrition, fatigue, and multiple chronic ill-
for hypothermia or frostbite? nesses are at greater risk for hypothermia. Clients who smoke,
(select all that apply) consume alcohol, or have impaired peripheral circulation have
a higher incidence of frostbite.
a. an older woman with hy-
, HESI - Medical Surgical Nursing test
Study online at https://quizlet.com/_3m27bu
pertension
b. a young man with a body
mass index of 42
c. a young many who has just
consumed six martinis
d. an older man who smokes
a pack of cigarettes a day
e. a young woman who is
anorexic
f. a young woman who is dia-
betic
4. Which statement made by a D
nurse represents the need
for further education regard- There is no evidence to support the idea that older adult clients
ing pain management in old- perceive pain any differently than younger clients. The other
er adult clients? statements are accurate regarding older clients and pain.
a. older adults tend to report
pain less often than younger
adults
b. older clients usually have
more experience with pain
than younger clients
c. older adults are at greatest
risk for under treated pain
d. older clients have a differ-
ent pain mechanism and do
not feel it as much
5. The nurse is working at a first C
aid booth for a spring train-
, HESI - Medical Surgical Nursing test
Study online at https://quizlet.com/_3m27bu
ing game on a hot day. A The spectator shows signs of heat stroke, which is a medical
spectator comes in, report- emergency. The spectator should be transported to the ED ASAP.
ing that he is not feeling well. The nurs should take actions to lower his body temp in teh
Vital signs are temp 104.1 meantime by removing his shirt and sponging his body with
F, pulse 132 BPM, respirs 26 cool water. Lowering body temp by drinking cool fluids or taking
breaths/min, and blood pres- acetaminophen is not as effective in an emergency situation. The
sure 106/66 mm Hg. He trips client needs to be cooled quickly and is a priority for treatment
over his feet as the nurse
leads him to a cot. What
is the priory action of the
nurse?
a. admin tylenol 650 mg oral-
ly
b. encourage rest, and re-
assess in 15 minutes
c. sponge the victim with cool
water and remove his shirt
d. encourage drinking of cool
water or sports drink
6. The client is receiving an IV D
of 60 mEq of potassium chlo-
ride ina 1000 mL solution of Potassium is a severe tissue irritant. The safest action is to dis-
dextrose 5% in 0.45% saline. continue the solution that contains the potassium and discontin-
The client states that the area ue the IV altogether, in which case the client would need another
around the IV site burns. site started. Assessing for a blood return may or may not be
What intervention does the successful. The solution could be diluted (less potassium) and
nurse perform first? the rate could be slowed once it is determined that the needle
is in the vein.
a. assess for a blood return
b. notify the physician
, HESI - Medical Surgical Nursing test
Study online at https://quizlet.com/_3m27bu
c. document the finding
d. stop the IV infusion
7. A nurse is caring for an D
older adult client who lives
alone. Which economic situ- Older adults on fixed incomes are unable to adjust their income
ation presents the most seri- to meet rising costs associated with meeting basic needs
ous problem for this client?
a. costs of creating a living
will
b. stock market fluctuations
c. increased provider bene-
fits
d. social security as the basis
of income
8. Controlling pain is important A
to promoting wellness. Unre-
lieved pain has been associ- Pain triggers a number of physiologic stress responses in the
ated with human body. Unrelieved pain can prolong the stress response
and produce a cascade of harmful effects in all body systems.
a. prolonged stress response The stress response causes the endocrine system to release ex-
and a cascade of harmful ef- cessive amounts of hormones, such as cortisol, catecholamines,
fects system wide. and glucagon. Insulin and testosterone levels decrease. In-
b. decreased tumor growth creased endocrine activity in turn initiates a number of meta-
and longevity bolic processes, in particular, accelerated carbohydrate, protein,
c. large tidal volumes and de- and fat destruction, whcih can result in weight loss, tachycardia,
creased lung capacity increased respiratory rate, shock, and even death. The immune
d. decreased carbohydrate, system is also affected by pain as demonstrated by research
protein, and fat destruction showing a link between unrelieved pain and a higher incidence
of nosocomial infections and increased tumor growth. Large
