HESI Practice Exam Nurs-300/NURS-301 2022

HESI Practice Exam Nurs-300/NURS-301 2022 A male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response? A)."It is important that you continue your medication while learning to meditate." B)."Spiritual meditation requires a time commitment of 15 to 20 minutes daily." C)."Obtain your healthcare provider's permission before starting meditation." D)."Complementary therapy and western medicine can be effective for you." A)."It is important that you continue your medication while learning to meditate." What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? A).It is more difficult to find a superficial vein in the feet and ankles. B).A decreased flow rate could result in the formation of a thrombosis. C).A cannulated extremity is more difficult to move when the leg or foot is used. D).Veins are located deep in the feet and ankles, resulting in a more painful procedure. B).A decreased flow rate could result in the formation of a thrombosis. When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action should the nurse implement first? A).Establish a new nursing diagnosis. B).Note which actions were not implemented. C).Add additional nursing orders to the plan. D).Collaborate with the healthcare provider to make changes. B).Note which actions were not implemented. A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and his 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. D).Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is provided to him and the widow. Which response by a client with a nursing diagnosis of "Spiritual distress," indicates to the nurse that a desired outcome measure has been met? A).Expresses concern about the meaning and importance of life. B).Remains angry at God for the continuation of the illness. C).Accepts that punishment from God is not related to illness. D).Refuses to participate in religious rituals that have no meaning. C).Accepts that punishment from God is not related to illness. At the time of the first dressing change, the client refuses to look at her mastectomy incision. The nurse tells the client that the incision is healing well, but the client refuses to talk about it. Which is the best response to this client's silence? A).It is normal to feel angry and depressed, but the sooner you deal with this surgery, the better you will feel. B).Looking at your incision can be frightening, but facing this fear is a necessary part of your recovery." C).It is OK if you don't want to talk about your surgery. I will be available when you are ready." D).I will ask a woman who has had a mastectomy to come by and share her experiences with you." C).It is OK if you don't want to talk about your surgery. I will be available when you are ready." A female client asks the nurse to find someone who can translate her treatment concerns into her native language. Which action should the nurse take? A).Explain that anyone who speaks her language can answer her questions. B).Provide a translator only in an emergency situation. C).Ask a family member or friend of the client to translate. D).Request and document the name of the certified translator. D).Request and document the name of the certified translator. Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent constipation. Each capsule contains 100 mg. How many capsules should the nurse administer? 3 When conducting an admission assessment, the nurse should ask the client about the use of complementary healing practices. Which statement is accurate regarding the use of these practices? A).Complementary healing practices interfere with the efficacy of the medical model of treatment. B).Conventional medications are likely to interact with folk remedies and cause adverse effects. C).Many complementary healing practices can be used in conjunction with conventional practices. D).Conventional medical practices will ultimately replace the use of complementary healing practices. C).Many complementary healing practices can be used in conjunction with conventional practices. The nurse is completing a mental assessment for a client who is demonstrating slow thought processes, personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive functions? A).Thalamus. B).Hypothalamus. C).Frontal lobe. D).Parietal lobe. C).Frontal lobe. The nurse is evaluating a client learning about a low-sodium diet. Selection of which meal would indicate to the nurse that this client understands the dietary restrictions? A).Tossed salad, low-sodium dressing, bacon and tomato sandwich. B).New England clam chowder, no-salt crackers, fresh fruit salad. C).Skim milk, turkey salad, roll, vanilla ice cream. D).Macaroni and cheese, diet Coke, a slice of cherry pie. C).Skim milk, turkey salad, roll, vanilla ice cream. The nurse is instructing a client with high cholesterol about diet and life style 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." C)."I will limit my intake of beef to 4 ounces per week." The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How many tablets should the nurse plan to administer? 1 1/2 The nurse is assisting an 82-year-old client to ambulate. Which is the center of gravity for an elderly person? A).Arms. B).Upper torso. C).Head. D).Feet. B).Upper torso. The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the child only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices, remain untouched. What explanation is most appropriate for this behavior? A).The belief is held that the "evil eye" enters the child if anything cold is ingested. B).After surgery the child probably has refused all foods except broth. C).Eating broth strengthens the child's innate energy called "chi." D)."Hot" remedies restore balance after surgery, which is considered a "cold" condition. D)."Hot" remedies restore balance after surgery, which is considered a "cold" condition. The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital signs from a very anxious client. What instructions should the nurse give the UAP? A).Remain calm with the client and record abnormal results in the chart. B).Notify the medication nurse immediately if the pulse or blood pressure is low. C).Report the results of the vital signs to the nurse. D).Reassure the client that the vital signs are normal. C).Report the results of the vital signs to the nurse. A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV every 24 hours is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? A).Contact the healthcare provider and complete a medication variance form. B).Administer the Levaquin at 1300 and resume the 0900 schedule in the morning. C).Notify the charge nurse and complete an incident report to explain the missed dose. D).Give the missed dose at 1300 and change the schedule to administer daily at 1300. D).Give the missed dose at 1300 and change the schedule to administer daily at 1300. A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow? A).9 a.m., 1 p.m., and 5 p.m. B).8 a.m., 4 p.m., and midnight. C).Before breakfast, before lunch, and before dinner. D).With breakfast, with lunch, and with dinner. B).8 a.m., 4 p.m., and midnight. A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days. Azithromycin is available as 250 mg scored tablets. How many tablets should the nurse administer per dose? (Enter the numerical value only.) 2 An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with "miseries." Based on this statement, which focused assessment should the nurse conduct? A).Inquire about the source and type of pain. B).Examine the nose for congestion and discharge. C).Take vital signs for temperature elevation. D).Explore the abdominal area for distension. A).Inquire about the source and type of pain. An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP? A).Position the client on the right side of the bed in reverse Trendelenburg. B).Fill the enema container with 1000 mL of warm water and 5 mL of castile soap. C).Reposition in a Sims' position with the client's weight on the anterior ilium. D).Raise the side rails on both sides of the bed and elevate the bed to waist level. C).Reposition in a Sims' position with the client's weight on the anterior ilium. The nurse is developing a plan of care for a client with dementia. Which feature of confusion in the elderly is accurate? A).Bewilderment is to be expected, and progresses with age. B).Disorientation often follows relocation to new surroundings. C).Uncertainty is a result of irreversible brain pathology.