EVOLVE COMPREHENSIVE EXAM HESI STUDY
GUIDE WITH SOLVED QUESTIONS AND
ANSWERS
◉ Following an emergency C-section, the nurse encourages the mom
to immediately breastfeed the NB infant. Why does the nurse do
this?
Answer: This will stimulate uterine contraction -- with each suck of
the breast, oxytocin is released from the posterior pituitary which
stimulates the release of colostrum and thus, contracts the uterus.
The overall GOAL is to prevent uterine hemorrhage.
◉ A female pt. is admitted to the inpatient psych unit with PPD. Is it
important for her to see her baby?
Answer: Yes -- structured visits that are supervised and guided
provide an opportunity for mom and infant to bond.
◉ A 16 year old pt. is admitted with a fracture and needs surgery to
immobilize the fracture. How should a valid informed consent be
obtained?
Answer: Obtain the permission of the custodial parent(s) -- the pt. is
a minor and it not emancipated and so cannot legally sign on his
own.
,◉ What is the first step in problem solving?
Answer: Identifying the problem -- then you can consider the
alternatives and the likely outcomes of the alternatives.
◉ A pt. has the following problem: "Imbalanced nutrition r/t mental
impairment and decreased intake aeb confusion and wt. loss of more
than 30 lbs over the last 6 months." What is a realistic short term
goal for this pt. to achieve??
Answer: Eat 50% of 6 small meals each day by the end of one week
Goals should be set to 7-10 days before discharge
Goals need to be attainable
◉ A client is angry and is leaving AMA. He demands to take his chart
with him and states that it is "his" chart and wants to leave with it. Is
what he is saying true?
Answer: The chart is property of the hospital BUT the pt. has a legal
right to the info in it and so a copy of the record should be provided
to him.
◉ When a nurse is making their daily schedule and considering
what tasks are most important to do first...what nursing activity
would take priority?
Answer: Med administration -- scheduled activities come before PRN
needs
, ◉ Match the type of nursing with its role:
-Team nursing
-Primary nursing
-Case management
-Functional nursing
-Model of care delivery where the nurse is accountable for planning
care for clients around the clock
-A care delivery model that provides pt. care by assignment of
functions or tasks
-Uses a collaborative process of assessment, planning, facilitation,
and advocacy for options and services to meet an individual's health
needs
-Assignments to a group of patients are provided by a mixed-staff
team
Answer: -Team nursing >> Mixed staff team
-Primary nursing >> Accountable for care around the clock
-Case management >> collaborative process of options and services
-Functional nursing >> pt. care by assignment of functions/tasks
◉ What is an important rule to remember when resolving conflict
between coworkers?
Answer: Solve issues NOT personalities.
GUIDE WITH SOLVED QUESTIONS AND
ANSWERS
◉ Following an emergency C-section, the nurse encourages the mom
to immediately breastfeed the NB infant. Why does the nurse do
this?
Answer: This will stimulate uterine contraction -- with each suck of
the breast, oxytocin is released from the posterior pituitary which
stimulates the release of colostrum and thus, contracts the uterus.
The overall GOAL is to prevent uterine hemorrhage.
◉ A female pt. is admitted to the inpatient psych unit with PPD. Is it
important for her to see her baby?
Answer: Yes -- structured visits that are supervised and guided
provide an opportunity for mom and infant to bond.
◉ A 16 year old pt. is admitted with a fracture and needs surgery to
immobilize the fracture. How should a valid informed consent be
obtained?
Answer: Obtain the permission of the custodial parent(s) -- the pt. is
a minor and it not emancipated and so cannot legally sign on his
own.
,◉ What is the first step in problem solving?
Answer: Identifying the problem -- then you can consider the
alternatives and the likely outcomes of the alternatives.
◉ A pt. has the following problem: "Imbalanced nutrition r/t mental
impairment and decreased intake aeb confusion and wt. loss of more
than 30 lbs over the last 6 months." What is a realistic short term
goal for this pt. to achieve??
Answer: Eat 50% of 6 small meals each day by the end of one week
Goals should be set to 7-10 days before discharge
Goals need to be attainable
◉ A client is angry and is leaving AMA. He demands to take his chart
with him and states that it is "his" chart and wants to leave with it. Is
what he is saying true?
Answer: The chart is property of the hospital BUT the pt. has a legal
right to the info in it and so a copy of the record should be provided
to him.
◉ When a nurse is making their daily schedule and considering
what tasks are most important to do first...what nursing activity
would take priority?
Answer: Med administration -- scheduled activities come before PRN
needs
, ◉ Match the type of nursing with its role:
-Team nursing
-Primary nursing
-Case management
-Functional nursing
-Model of care delivery where the nurse is accountable for planning
care for clients around the clock
-A care delivery model that provides pt. care by assignment of
functions or tasks
-Uses a collaborative process of assessment, planning, facilitation,
and advocacy for options and services to meet an individual's health
needs
-Assignments to a group of patients are provided by a mixed-staff
team
Answer: -Team nursing >> Mixed staff team
-Primary nursing >> Accountable for care around the clock
-Case management >> collaborative process of options and services
-Functional nursing >> pt. care by assignment of functions/tasks
◉ What is an important rule to remember when resolving conflict
between coworkers?
Answer: Solve issues NOT personalities.
