Adult Health 1: HESI Exam #1
Remediation
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 Correct answers
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.
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 Correct answers 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.
Which questions are best for the nurse to ask to assess for "disuse
syndrome" 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? Correct
answers 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."
Which factor is most likely to contribute to the development of
osteoarthritis? A: Atrophy of skeletal muscles
B: Calcium deficiency
C: High body mass index
D: Sedentary lifestyle Correct answers 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.
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 order into the record
D: Verify the order with another nurse Correct answers A: Compare the
order with the client's current status
Rationale:
The implementation of standing orders requires the nurse to use clinical
judgment. Comparing the client's current status with the order is one
way to apply clinical judgment.
A client has a swollen, bruised, sprained ankle and states that the current
pain level has risen from a 3 to a 5 on a 10 point scale. Which analgesic
medication would most likely be prescribed to relieve this pain?
A: Morphine
B: Ibuprofen
C:
Oxycodone
D:
Acetaminop
hen Correct
answers B:
Ibuprofen
Rationale:
Ibuprofen is indicated for mild to moderate pain relief. It is also a non-
steroidal anti- inflammatory drug (NSAID) which inhibits the synthesis of
prostaglandins which then inhibits the cellular response to inflammation.
What steps should the nurse implement to ensure a client's confidentiality is
maintained when working with electronic medical records (EMR)? (SATA)
Remediation
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 Correct answers
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.
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 Correct answers 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.
Which questions are best for the nurse to ask to assess for "disuse
syndrome" 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? Correct
answers 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."
Which factor is most likely to contribute to the development of
osteoarthritis? A: Atrophy of skeletal muscles
B: Calcium deficiency
C: High body mass index
D: Sedentary lifestyle Correct answers 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.
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 order into the record
D: Verify the order with another nurse Correct answers A: Compare the
order with the client's current status
Rationale:
The implementation of standing orders requires the nurse to use clinical
judgment. Comparing the client's current status with the order is one
way to apply clinical judgment.
A client has a swollen, bruised, sprained ankle and states that the current
pain level has risen from a 3 to a 5 on a 10 point scale. Which analgesic
medication would most likely be prescribed to relieve this pain?
A: Morphine
B: Ibuprofen
C:
Oxycodone
D:
Acetaminop
hen Correct
answers B:
Ibuprofen
Rationale:
Ibuprofen is indicated for mild to moderate pain relief. It is also a non-
steroidal anti- inflammatory drug (NSAID) which inhibits the synthesis of
prostaglandins which then inhibits the cellular response to inflammation.
What steps should the nurse implement to ensure a client's confidentiality is
maintained when working with electronic medical records (EMR)? (SATA)
