2018 hesi exit v3 latest

• A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? • Explain to the client that the dentures must come out as they may get lost or broken inthe operating room • Ask the client if there are second thoughts about having the procedure • Notify the anesthesia department and the surgeon of the client's refusal • Ask the client if the preference would be to remove the dentures in the operating roomreceiving area The correct answer is D: Ask the client if the preference would be to remove the denturesin the operating room receiving area • The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic. Which form of evaluation would best measure learning? • Performance on written tests • Responses to verbal questions • Completion of a mailed survey • Reported behavioral changes The correct answer is D: Reported behavioral changes • The nurse is planning care for an 18 month-old child. Which action should be included in the child's care? • Hold and cuddle the child frequently • Encourage the child to feed himself finger food • Allow the child to walk independently on the nursing unit • Engage the child in games with other children The correct answer is B: Encourage the child to feed himself finger food • A partner is concerned because the client frequently daydreams about moving to Arizona to get away from the pollution and crowding in southern California. The nurse explains that • Such fantasies can gratify unconscious wishes or prepare for anticipated future events • Detaching or dissociating in this way postpones painful feelings • This conversion or transferring of a mental conflict to a physical symptom can lead to marital conflict • To isolate the feelings in this way reduces conflict within the client and with others.The correct answer is A: Such fantasies can gratify unconscious wishes or prepare for anticipated future events • An appropriate goal for a client with anxiety would be to • Ventilate anxious feelings to the nurse • Establish contact with reality • Learn self-help techniques • Become desensitized to past trauma The correct answer is C: Learn self-help techniques • While the nurse is administering medications to a client, the client states "I do not wantto take that medicine today." Which of the following responses by the nurse would be best? • "That's OK, its all right to skip your medication now and then." • "I will have to call your doctor and report this." • "Is there a reason why you don't want to take your medicine?" • "Do you understand the consequences of refusing your prescribed treatment?" The correct answer is C: "Is there a reason why you don't want to take your medicine?" • While caring for a client, the nurse notes a pulsating mass in the client's peri umbilicalarea. Which of the following assessments is appropriate for the nurse to perform? • Measure the length of the mass • Auscultate the mass • Percuss the mass • Palpate the mass The correct answer is B: Auscultate the mass • A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client? • "Good morning. Do you remember where you are?" • "Hello. My name is Elaine Jones and I am your nurse for today." • "How are you today? Remember, you're in the hospital." • "Good morning. You’re in the hospital. I am your nurse Elaine Jones."The correct answer is D: "Good morning