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Nurs 221 HESI Practice – Review Questions & Answers | Thorough Study Guide With Solutions

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Terms in this set (86)



At what step in the procedure should C. before cleansing the client's hip incision
the nurse don sterile gloves?
A. prior to removing the dressing on
the client's hip
B. before opening the new sterile
dressing package
C. before cleansing the client's hip
incision
D. after cleansing the client's hip
incision


On admission, a client presents a b. Battery
signed living will that includes a Do
Not Resuscitate (DNR) prescription.
When the client stops breathing, the
nurse performs cardiopulmonary
resuscitation (CPR) and successfully
revives the client. What legal issues
could be brought against the nurse?
A. Assault
B. Battery
C. Malpractice
D. False imprisonment


*Hint: the answer is equal to
"unwanted touching" legally

,A client who is in hospice care A. Give an around-the-clock schedule for
complains of increasing amounts of administration of analgesics.
pain. The healthcare provider
prescribes an analgesic every four
hours as needed. Which action
should the nurse implement?
A. Give an around-the-clock schedule
for administration of analgesics.
B. Administer analgesic medication as
needed when the pain is severe.
C. Provide medication to keep the
client sedated and unaware of stimuli.
D. Offer a medication-free period so
that the client can do daily activities.


Hint*: Analgesics are less effective if
pain persists.

,A Sub-Saharan African widowed D. Tell the surgeon that the brother-in-law will decide
immigrant woman lives with her after explanation of the proposed surgery is
deceased husband's brother and his provided to him and the widow.
family, which includes the brother-in-
law's children and the widow's adult
children. Each family member speaks
fluent English. Surgery is
recommended for this client. What is
the best plan to obtain consent for
surgery for this client?
A. Obtain an interpreter to explain the
procedure to the client
B. Encourage the client to make her
own decision regarding surgery
C. Ask the family members to provide
a clarification of the surgeon's
explanation to the client
D. Tell the surgeon that the brother-in-
law will decide after explanation of
the proposed surgery is provided to
him and the widow.


*Hint: Understand that in some
cultures inheritance of wife and
polygamy exist

, During a visit to the outpatient clinic, C. Degree of flexion and extension of the client's
the nurse assesses a client with knee joint.
severe osteoarthritis using a
goniometer. Which finding should the
nurse expect to measure?
A. Adequate venous blood flow to the
lower extremities.
B. Estimated amount of body fat by an
underarm skinfold.
C. Degree of flexion and extension of
the client's knee joint.
D. Change in the circumference of the
joint in centimeters.


*Hint: A doppler is used to measure
blood flow, A caliper is used to
measure body fat, a tape is used to
measure the circumference, and a
goniometer is used to measure...


The nurse is instructing a client with C. I will limit my intake of beef to 4 ounces per week.
high cholesterol about diet and
lifestyle modification. What comment
from the client indicates that the
teaching has been effective?
A. If I exercise at least two times
weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins,
including red meat.
C. I will limit my intake of beef to 4
ounces per week.
D. My blood level of low density
lipoproteins needs to increase.


*Hint: Exercise helps to reduce
cholesterol but not every client is able
to exercise. What is every client
capable of doing?

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