HESI Adult Health 1 HESI Exam 1
Remediation Questions and Answers
1.The nurse is preparing to conduct a general mobility
assessment with a client. When should the nurse begin the
mobility assessment?
A: While the client is lying in bed
B: As the client transfers from the bed to chair
C: When the client assumes a sitting position in bed
D: During the actual demonstration of the client walking
ANS: A: While the client is lying in bed
Rationale:
Being the mobility assessment with the client in the most supportive
position & move to a higher level based on how well the client is
tolerating it. This helps to protect the client's safety.
2.What actions should the nurse implement when performing
passive range of motion (PROM) exercises with a client? (SATA)
A: Instruct the client to relax during the exercises
B: Support the extremity of the joint being
exercised C: Slowly stretch the joint's
muscles if pain is present D: Move the joint
,slowly until resistance if felt
E: Continue PROM if joint's muscle spasms to relax muscle:
ANS: A, B, D
Rationale:
Passive range of motion should be complete in slow, smooth actions
through a full range, with adequate support to the extremity. The nurse
encourages the client to relax.
3.Which questions are best for the nurse to ask to assess for
"disuse syn- drome" in clients diagnose with neuromuscular
disease such as muscular dystrophy or multiple sclerosis?
(SATA)
A: What is included in a typical day
for you? B: Do you feel you are
financially stable?
C: In what part of town is your home located?
D: How much assistance do you need to move around?
E: On a scale 1-10, how would you rate overall pain level?:
ANS: A, D, E
Rationale:
These questions are open-ended & will give insight to the client's activity
level throughout the day & eating habits; whether or not their living
environment is
, adaptive or supportive; & their perception of discomfort. The
mnemonic "ABCDE", stands for age, body weight, chronic illness,
discomfort, & environment is an easy way to remember risk factors for
"disuse syndrome."
4.Which factor is most likely to contribute to the development
of osteoarthri- tis?
A: Atrophy of skeletal
muscles B: Calcium
deficiency
C: High body mass index
D: Sedentary lifestyle
ANS: C: High Body Mass Index
Rationale:
Increased weight causes joint changes. For each pound of weight (0.45
KG), there is 4 lbs. (1.8KG) of pressure on the body's weight bearing
joints.
5.What is the most important action for the nurse who is
implementing a standing orders?
A: Compare the order with the client's
current status B: Confirm the order with
the healthcare providers C: Transcribe the
Remediation Questions and Answers
1.The nurse is preparing to conduct a general mobility
assessment with a client. When should the nurse begin the
mobility assessment?
A: While the client is lying in bed
B: As the client transfers from the bed to chair
C: When the client assumes a sitting position in bed
D: During the actual demonstration of the client walking
ANS: A: While the client is lying in bed
Rationale:
Being the mobility assessment with the client in the most supportive
position & move to a higher level based on how well the client is
tolerating it. This helps to protect the client's safety.
2.What actions should the nurse implement when performing
passive range of motion (PROM) exercises with a client? (SATA)
A: Instruct the client to relax during the exercises
B: Support the extremity of the joint being
exercised C: Slowly stretch the joint's
muscles if pain is present D: Move the joint
,slowly until resistance if felt
E: Continue PROM if joint's muscle spasms to relax muscle:
ANS: A, B, D
Rationale:
Passive range of motion should be complete in slow, smooth actions
through a full range, with adequate support to the extremity. The nurse
encourages the client to relax.
3.Which questions are best for the nurse to ask to assess for
"disuse syn- drome" in clients diagnose with neuromuscular
disease such as muscular dystrophy or multiple sclerosis?
(SATA)
A: What is included in a typical day
for you? B: Do you feel you are
financially stable?
C: In what part of town is your home located?
D: How much assistance do you need to move around?
E: On a scale 1-10, how would you rate overall pain level?:
ANS: A, D, E
Rationale:
These questions are open-ended & will give insight to the client's activity
level throughout the day & eating habits; whether or not their living
environment is
, adaptive or supportive; & their perception of discomfort. The
mnemonic "ABCDE", stands for age, body weight, chronic illness,
discomfort, & environment is an easy way to remember risk factors for
"disuse syndrome."
4.Which factor is most likely to contribute to the development
of osteoarthri- tis?
A: Atrophy of skeletal
muscles B: Calcium
deficiency
C: High body mass index
D: Sedentary lifestyle
ANS: C: High Body Mass Index
Rationale:
Increased weight causes joint changes. For each pound of weight (0.45
KG), there is 4 lbs. (1.8KG) of pressure on the body's weight bearing
joints.
5.What is the most important action for the nurse who is
implementing a standing orders?
A: Compare the order with the client's
current status B: Confirm the order with
the healthcare providers C: Transcribe the
