DANC 2325 HESI NURSING VERSION FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS
FULL SOLUTION
Question:
● Which critical thinking skill refers to the use of knowledge and experience to choose effective
client care strategies? A. Evaluation B. Explanation C. Interpretation D. Self-regulation.
Answer:
Explanation Explanation involves using knowledge and experience to choose strategies to use to
care for clients. Evaluation is applicable when using criteria to determine the results of nursing
actions. Interpretation is involved in the orderly collection of data. Self-regulation is applicable
when the nurse identifies ways to improve his or her own performance.
Question:
● A nurse is teaching members of a health care team how to help disabled clients stand and transfer
from the bed to a chair. To protect the caregivers from injury, the nurse teaches them to lift the client
by first placing their arms under the client's axillae and doing what next? A. Bending and then
straightening their knees B. Bending at the waist and then straightening the back C. Placing one foot
in front of the other and then leaning back D. Placing pressure against the client's axillae and then
raising their arms.
Answer:
Bending and then straightening their knees. The leg bones and muscles are used for weight bearing
and are the strongest in the body. Using the knees for leverage while lifting the client shifts the
stress of the transfer to the caregiver's legs. By using the strong muscles of the legs, the back is
protected from injury. Bending at the waist and then using the back for leverage is how many
caregivers and people who must lift heavy objects sustain back injuries. The anatomic structure of
the back is equipped only to bear the weight of the upper body. By leaning back, the client's weight
is on the caregiver's arms, which are not equipped for heavy weight bearing. The caregiver's arms
are not strong enough to lift the client. In the struggle to lift the client, the client and caregiver may
be injured.
Question:
,● Which nursing actions may help in effective assessment of older clients? Select all that apply
A.The nurse makes eye contact with the client. B. The nurse leans backward during the interaction
C. The nurse smiles at the clients during the interaction D. The nurse shrugs her shoulders in
response to a client's question E. The nurse asks the clients to express details as quickly as possible.
Answer:
The nurse makes eye contact with the client. The nurse smiles at the clients during the interaction
The nurse should make eye contact while interacting with the client. It shows that the nurse is
interested to hear client issues. The nurse shows positivity and of good humor with a smile during an
interaction. The nurse should lean forward while interacting with the client; this shows attention and
interest. The nurse should answer questions verbally, not simply with body language. Older adults
may need time to think and answer; therefore, the nurse should allow pauses and time while asking
client to explain anything.
Question:
● While assessing an older adult, the nurse observes visual impairment in the client. Which
technique should the nurse use to communicate? A. Face the caregiver while speaking B. Provide
bright, diffuse, glare lighting C. Stand or sit away from the client while remaining in the client's full
view. D. Encourage the older adult to use assistive devices such as glasses.
Answer:
Encourage the older adult to use assistive devices such as glasses. If an older adult has visual
impairment, the nurse should encourage the older adult to use assistive devices such as glasses. The
nurse should face the older adult while speaking and should not cover his or her mouth. The light
should be bright and non-glaring so that the older adult can see properly. The nurse should stand or
sit closely in front of the client in full view so that the client is able to identify.
Question:
● Which nursing action would be considered a part of self-regulation in the decision-making
process? A. Reflecting on one's own experiences B. Looking at all the situations objectively C.
Supporting findings and conclusions D. Making careful assumptions about a client's information.
Answer:
Reflecting on one's own experiences Self-regulation requires the nurse to reflect on his or her own
experiences. Explanation requires looking at all situations objectively. Findings and conclusions are
supported by explanation. Analysis requires the nurse to not make any careless assumptions.
, Question:
● Which nursing interventions indicate client care that supports physical functioning? A.
Interventions to facilitate client's learning B. Interventions to alter client's undesirable behavior C.
Interventions to maintain client's nutritional status D. Interventions to maintain client's regular
bowel patterns E. Interventions to prevent complications in the client related to electrolyte
imbalance.
Answer:
Interventions to maintain client's nutritional status Interventions to maintain client's regular bowel
patterns Providing interventions to maintain the client's nutritional status and providing
interventions to maintain the client's regular bowel patterns indicates interventions that support
physical functioning [1] [2]. Providing interventions to facilitate a client's learning and providing
interventions to alter the client's undesirable behavior indicates interventions to support
psychosocial functioning and facilitates lifestyle changes. Providing interventions to prevent
complications related to electrolyte imbalance indicates the nursing care that supports homeostatic
regulation.
Question:
● Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against
medical advice. What is it important for the nurse to inform the client of?
Answer:
That the client must accept full responsibility for possible undesirable outcomes The client has the
right to self-determination, which includes refusing medical treatment. However, if the client does
so, he or she must accept full responsibility for the illness and possible injury or undesirable
outcomes. Healthcare professionals have a responsibility to inform the client and, if possible, have
the client sign an informed waiver or a leaving against medical advice document. Acting
irresponsibly is a subjective assumption. The client may be violating the hospital policy; however, if
the client is deemed competent, he or she has the right to refuse treatment. Leaving against medical
advice does not mean that the current primary healthcare provider will refuse to provide care to the
client in the future.
Question:
● A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of
water. The initial blood work shows a sodium level of 122 mEq/L (122 mmol/L) and a potassium
level of 3.6 mEq/L (3.6 mmol/L). Based on the lab results and symptoms, what is the client
experiencing? A. Hypernatremia B. Hyponatremia C. Hyperkalemia D. Hypokalemia.
FULL SOLUTION
Question:
● Which critical thinking skill refers to the use of knowledge and experience to choose effective
client care strategies? A. Evaluation B. Explanation C. Interpretation D. Self-regulation.
Answer:
Explanation Explanation involves using knowledge and experience to choose strategies to use to
care for clients. Evaluation is applicable when using criteria to determine the results of nursing
actions. Interpretation is involved in the orderly collection of data. Self-regulation is applicable
when the nurse identifies ways to improve his or her own performance.
Question:
● A nurse is teaching members of a health care team how to help disabled clients stand and transfer
from the bed to a chair. To protect the caregivers from injury, the nurse teaches them to lift the client
by first placing their arms under the client's axillae and doing what next? A. Bending and then
straightening their knees B. Bending at the waist and then straightening the back C. Placing one foot
in front of the other and then leaning back D. Placing pressure against the client's axillae and then
raising their arms.
Answer:
Bending and then straightening their knees. The leg bones and muscles are used for weight bearing
and are the strongest in the body. Using the knees for leverage while lifting the client shifts the
stress of the transfer to the caregiver's legs. By using the strong muscles of the legs, the back is
protected from injury. Bending at the waist and then using the back for leverage is how many
caregivers and people who must lift heavy objects sustain back injuries. The anatomic structure of
the back is equipped only to bear the weight of the upper body. By leaning back, the client's weight
is on the caregiver's arms, which are not equipped for heavy weight bearing. The caregiver's arms
are not strong enough to lift the client. In the struggle to lift the client, the client and caregiver may
be injured.
Question:
,● Which nursing actions may help in effective assessment of older clients? Select all that apply
A.The nurse makes eye contact with the client. B. The nurse leans backward during the interaction
C. The nurse smiles at the clients during the interaction D. The nurse shrugs her shoulders in
response to a client's question E. The nurse asks the clients to express details as quickly as possible.
Answer:
The nurse makes eye contact with the client. The nurse smiles at the clients during the interaction
The nurse should make eye contact while interacting with the client. It shows that the nurse is
interested to hear client issues. The nurse shows positivity and of good humor with a smile during an
interaction. The nurse should lean forward while interacting with the client; this shows attention and
interest. The nurse should answer questions verbally, not simply with body language. Older adults
may need time to think and answer; therefore, the nurse should allow pauses and time while asking
client to explain anything.
Question:
● While assessing an older adult, the nurse observes visual impairment in the client. Which
technique should the nurse use to communicate? A. Face the caregiver while speaking B. Provide
bright, diffuse, glare lighting C. Stand or sit away from the client while remaining in the client's full
view. D. Encourage the older adult to use assistive devices such as glasses.
Answer:
Encourage the older adult to use assistive devices such as glasses. If an older adult has visual
impairment, the nurse should encourage the older adult to use assistive devices such as glasses. The
nurse should face the older adult while speaking and should not cover his or her mouth. The light
should be bright and non-glaring so that the older adult can see properly. The nurse should stand or
sit closely in front of the client in full view so that the client is able to identify.
Question:
● Which nursing action would be considered a part of self-regulation in the decision-making
process? A. Reflecting on one's own experiences B. Looking at all the situations objectively C.
Supporting findings and conclusions D. Making careful assumptions about a client's information.
Answer:
Reflecting on one's own experiences Self-regulation requires the nurse to reflect on his or her own
experiences. Explanation requires looking at all situations objectively. Findings and conclusions are
supported by explanation. Analysis requires the nurse to not make any careless assumptions.
, Question:
● Which nursing interventions indicate client care that supports physical functioning? A.
Interventions to facilitate client's learning B. Interventions to alter client's undesirable behavior C.
Interventions to maintain client's nutritional status D. Interventions to maintain client's regular
bowel patterns E. Interventions to prevent complications in the client related to electrolyte
imbalance.
Answer:
Interventions to maintain client's nutritional status Interventions to maintain client's regular bowel
patterns Providing interventions to maintain the client's nutritional status and providing
interventions to maintain the client's regular bowel patterns indicates interventions that support
physical functioning [1] [2]. Providing interventions to facilitate a client's learning and providing
interventions to alter the client's undesirable behavior indicates interventions to support
psychosocial functioning and facilitates lifestyle changes. Providing interventions to prevent
complications related to electrolyte imbalance indicates the nursing care that supports homeostatic
regulation.
Question:
● Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against
medical advice. What is it important for the nurse to inform the client of?
Answer:
That the client must accept full responsibility for possible undesirable outcomes The client has the
right to self-determination, which includes refusing medical treatment. However, if the client does
so, he or she must accept full responsibility for the illness and possible injury or undesirable
outcomes. Healthcare professionals have a responsibility to inform the client and, if possible, have
the client sign an informed waiver or a leaving against medical advice document. Acting
irresponsibly is a subjective assumption. The client may be violating the hospital policy; however, if
the client is deemed competent, he or she has the right to refuse treatment. Leaving against medical
advice does not mean that the current primary healthcare provider will refuse to provide care to the
client in the future.
Question:
● A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of
water. The initial blood work shows a sodium level of 122 mEq/L (122 mmol/L) and a potassium
level of 3.6 mEq/L (3.6 mmol/L). Based on the lab results and symptoms, what is the client
experiencing? A. Hypernatremia B. Hyponatremia C. Hyperkalemia D. Hypokalemia.
