BSN 225 Hesi Prep Questions and Answers with Verified Solutions |
Latest Update
QUESTION
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
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
QUESTION
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
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
,QUESTION
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
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.
QUESTION
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
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.
,QUESTION
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
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
QUESTION
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
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.
, QUESTION
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
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
QUESTION
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
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.
QUESTION
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
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 the patient upright for
45 to 60 minutes after eating helps in gastric emptying and prevents aspiration.
Latest Update
QUESTION
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
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
QUESTION
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
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
,QUESTION
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
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.
QUESTION
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
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.
,QUESTION
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
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
QUESTION
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
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.
, QUESTION
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
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
QUESTION
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
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.
QUESTION
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
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 the patient upright for
45 to 60 minutes after eating helps in gastric emptying and prevents aspiration.
