CRITICAL CARE HESI PRACTICE QUESTIONS & ANSWERS
(43 Q&A)
1.The nurse determines a need for additional instruction when the patient with
newly diagnosed type 1 diabetes says which of the following?
a) “I will need a bedtime snack because I take an evening dose of NPH
insulin.”
b) “I can choose any foods, as long as I use enough insulin to cover the
calories.”
c) “I can have an occasional beverage with alcohol if I include it in my
meal plan.”
d) “I will eat something at meal times to prevent hypoglycemia, even if I
am not hungry.”
ANS: B
Most patients with type 1 diabetes need to plan diet choices very carefully.
Patients who are using intensified insulin therapy have considerable flexibility
in diet choices but still should restrict dietary intake of items such as fat,
protein, and alcohol. The other patient statements are correct and indicate good
understanding of the diet instruction.
2.To assist an older patient with diabetes to engage in moderate daily exercise,
which action is
most important for the nurse to take?
a) Determine what types of activities the patient enjoys.
b) Remind the patient that exercise improves self-esteem.
c) Teach the patient about the effects of exercise on glucose level.
d) Give the patient a list of activities that are moderate in intensity.
ANS: A
Because consistency with exercise is important, assessment for the types of 129
exercise that the patient finds enjoyable is the most important action by the
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, nurse in ensuring adherence to an exercise program. The other actions may be
helpful but are not the most important in improving compliance.
3.Which statement by the patient indicates a need for additional instruction in
administering insulin?
1.“I need to rotate injection sites among my arms, legs, and abdomen each
day.”
2.“I can buy the 0.5-mL syringes because the line markings will be easier to
see.”
3.“I do not need to aspirate the plunger to check for blood before injecting
insulin.”
4.“I should draw up the regular insulin first, after injecting air into the NPH
bottle.”
ANS: A
Rotating sites is no longer recommended because there is more consistent
insulin absorption
when the same site is used consistently. The other patient statements are
accurate and indicate that no additional instruction is needed.
11. Which patient action indicates good understanding of the nurse’s teaching
about administration of aspart (NovoLog) insulin?
a) The patient avoids injecting the insulin into the upper abdominal area.
b) The patient cleans the skin with soap and water before insulin
administration.
c) The patient stores the insulin in the freezer after administering the
prescribed dose.
d) The patient pushes the plunger down while removing the syringe from
the injection site.
ANS: B 129
This study source was downloaded by 100000859431492 from CourseHero.com on 12-20-2022 06:07:45 GMT -06:00
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(43 Q&A)
1.The nurse determines a need for additional instruction when the patient with
newly diagnosed type 1 diabetes says which of the following?
a) “I will need a bedtime snack because I take an evening dose of NPH
insulin.”
b) “I can choose any foods, as long as I use enough insulin to cover the
calories.”
c) “I can have an occasional beverage with alcohol if I include it in my
meal plan.”
d) “I will eat something at meal times to prevent hypoglycemia, even if I
am not hungry.”
ANS: B
Most patients with type 1 diabetes need to plan diet choices very carefully.
Patients who are using intensified insulin therapy have considerable flexibility
in diet choices but still should restrict dietary intake of items such as fat,
protein, and alcohol. The other patient statements are correct and indicate good
understanding of the diet instruction.
2.To assist an older patient with diabetes to engage in moderate daily exercise,
which action is
most important for the nurse to take?
a) Determine what types of activities the patient enjoys.
b) Remind the patient that exercise improves self-esteem.
c) Teach the patient about the effects of exercise on glucose level.
d) Give the patient a list of activities that are moderate in intensity.
ANS: A
Because consistency with exercise is important, assessment for the types of 129
exercise that the patient finds enjoyable is the most important action by the
This study source was downloaded by 100000859431492 from CourseHero.com on 12-20-2022 06:07:45 GMT -06:00
https://www.coursehero.com/file/96538666/CRITICAL-CARE-HESI-PRACTICE-QUESTIONS-ANSWERSdocx/
, nurse in ensuring adherence to an exercise program. The other actions may be
helpful but are not the most important in improving compliance.
3.Which statement by the patient indicates a need for additional instruction in
administering insulin?
1.“I need to rotate injection sites among my arms, legs, and abdomen each
day.”
2.“I can buy the 0.5-mL syringes because the line markings will be easier to
see.”
3.“I do not need to aspirate the plunger to check for blood before injecting
insulin.”
4.“I should draw up the regular insulin first, after injecting air into the NPH
bottle.”
ANS: A
Rotating sites is no longer recommended because there is more consistent
insulin absorption
when the same site is used consistently. The other patient statements are
accurate and indicate that no additional instruction is needed.
11. Which patient action indicates good understanding of the nurse’s teaching
about administration of aspart (NovoLog) insulin?
a) The patient avoids injecting the insulin into the upper abdominal area.
b) The patient cleans the skin with soap and water before insulin
administration.
c) The patient stores the insulin in the freezer after administering the
prescribed dose.
d) The patient pushes the plunger down while removing the syringe from
the injection site.
ANS: B 129
This study source was downloaded by 100000859431492 from CourseHero.com on 12-20-2022 06:07:45 GMT -06:00
https://www.coursehero.com/file/96538666/CRITICAL-CARE-HESI-PRACTICE-QUESTIONS-ANSWERSdocx/
