UPDATED HESI EXIT FINAL EXAM (FAMILY NURSE PRACTITIONER) QUESTIONS AND VERIFIED ANSWERS

Which of the following nursing actions demonstrates that the nurse understands the nursing process? a) Prioritizing patient goals, documenting all health records precisely, conducting the health history, and documenting the nursing diagnosis b) Reviewing health record, documenting patient goals, identifying etiology of the nursing problem, and evaluating treatment outcome. c) Assessing for allergies, administering analgesic, obtaining baseline vital signs, and documenting nursing diagnosis as acute pain d) Obtaining vital signs, documenting nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level d) Obtaining vital signs, documenting nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level Rationale: Steps of the nursing process in order are: Assessment, Diagnosis, Planning, Implementation, and Evaluation. Assessment is the systematic collection of data to determine the patient's health status and any actual or potential health problems. Nursing diagnoses are actual or potential health problems that can be managed by independent nursing interventions. Planning is the development of goals and outcomes. Implementation is the actualization of the plan of care through nursing interventions. Evaluation is the determination of the patient’s responses to the nursing interventions and the extent to which the outcomes have been achieved. 2. The nurse educator is planning a teaching session for nursing students related to treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating? a) Evidence-based practice b) Patient-centered care c) Interdisciplinary teamwork d) Quality improvement measures c) Interdisciplinary teamwork Rationale: By integrating interdisciplinary core competencies into their respective curricula the nurse educator is demonstrating interdisciplinary teamwork. A case-study approach planning care around individual patient preferences is an example of patient-centered care. Conducting an evidence- based literature review related to gestational diabetes reflects evidence-based practice. Providing education related to measures/indicators or tools used to assess the level of care provided within a system of care to populations of patients with gestational diabetes exemplifies a quality improvement measure. 3. A nursing student observes the home care nurse provide education to a patient with congestive heart failure (CHF). The nurse teaches the patient how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which of the following basic principles of patient education? a) The home care nurse is providing hospital discharge instructions b) The home care nurse has a physician order to teach a 2-g sodium diet c) Patients are required to learn about their therapeutic nutritional regimen d) Patient instruction related to self-care activities promotes patient independence