HESI Extra Credit Module 7 Exam [NEW!!] 2022 (73 Pages) 100% CORRECT - DOWNLOAD TO SCORE A+
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Course
HESI
Institution
HESI
Module 7 Exam
1. 1.ID: 41
A nurse is providing information to a mother of a 1-year-old who has asked
about bladder-training her child. The nurse should provide which information to
the mother?
A. That a child cannot begin to control urination until
approximately the age of 24 months Correct
...
hesi extra credit module 7 exam new 2022 73 pages 100 correct download to score a
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1. Module 7 Exam
1. 1.ID: 22266446341
A nurse is providing information to a mother of a 1-year-old who has asked
about bladder-training her child. The nurse should provide which information to
the mother?
A. That a child cannot begin to control urination until
approximately the age of 24 months Correct
B. That her child is too young and that she should not yet be
worrying about it
C. That bowel training should be started immediately and then
begin bladder training in about 1 month
D. That she may start bladder training at any time
Rationale: A child cannot control micturition voluntarily until he or she is
approximately 24 months old. A child must be able to recognize the feeling of
bladder fullness, to hold urine for 1 to 2 hours, and to communicate the sense
of urgency to an adult. Telling the mother that her child is too young and to not
be worrying about bladder training is a nontherapeutic response because it
provides false reassurance and places the mother’s issue on hold. Bowel
control develops before bladder control; however, 1 year of age is too early for
the mother to begin elimination training.
Test-Taking Strategy: Use therapeutic communication techniques to
eliminate the option that tells the mother that her child is too young and to not
be worrying about bladder training. To select from the remaining options, recall
the concepts related to growth and development and elimination, which will
direct you to the correct option.
Review: growth and development concepts related to elimination.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Elimination
Giddens Concepts: Development, Elimination
HESI Concepts: Developmental, Elimination
Reference: Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M.
(2013). Fundamentals of nursing. (8th ed., p. 147). St. Louis: Mosby.
Awarded 100.0 points out of 100.0 possible points.
2. 2.ID: 22266446734
A client with renal calculi is instructed to follow an alkaline ash diet. Which
menu choice by the client indicates to the nurse that the client understands the
prescribed regimen?
A. Linguini with shrimp, tossed salad, and a plum
, B. Chicken, potatoes, and cranberries
C. Spinach salad, milk, and a banana Correct
D. Peanut butter sandwich, milk, and prunes
Rationale: In an alkaline ash diet, all fruits are allowed except cranberries,
prunes, and plums. The incorrect options represent components of an acid ash
diet.
Test-Taking Strategy: Focus on the subject, foods allowed on an alkaline ash
diet. Knowledge of foods that are either included or restricted in an alkaline ash
diet is necessary to answer this question. Remembering that cranberries,
prunes, and plums are not allowed in an alkaline ash diet will direct you to the
correct option.
Review: the foods allowed in an alkaline-ash and an acid-ash diet.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Nutrition
Giddens Concepts: Elimination, Nutrition
HESI Concepts: Metabolism, Teaching and Learning-Patient Education
Reference: Nix, S. (2013). Williams’ basic nutrition and diet therapy (14th ed.,
pp. 443-444). St. Louis: Mosby.
Awarded 100.0 points out of 100.0 possible points.
3. 3.ID: 22266441990
The nurse is assigned to care for four clients. Which client does the nurse
expect is likely to experience chronic pain?
A. A client with a leg fracture who is in skeletal traction
B. A client who has undergone appendectomy
C. A client with osteoarthritis Correct
D. A client with angina pectoris
Rationale: Chronic pain is associated with chronic disease. The pain is
prolonged, varies in intensity, and lasts longer than 6 months. The incorrect
options are clients who are likely to experience acute pain.
Test-Taking Strategy: Focus on the subject, chronic pain. Think about the
word “chronic and note that the correct option is the only one that identifies a
chronic problem.
Review: the characteristics of acute and chronic pain
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Vital Signs
Giddens Concepts: Caregiving, Pain
HESI Concepts: Assessment, Comfort
, Reference: Ignatavicius, D., & Workman, M. (2013). Medical-surgical nursing:
Patient-centered collaborative care. (7th ed., p. 41). St. Louis: Saunders.
Awarded 100.0 points out of 100.0 possible points.
4. 4.ID: 22266441971
A client arrives at the emergency department after sustaining an ankle injury,
and the health care provider (HCP) prescribes the application of a cold
compress to the ankle. The nurse, preparing to apply the compress, assesses
the ankle and notes that it is extremely edematous. The nurse should take
which action?
A. Apply the cold compress for 20 minutes, and then apply a hot
compress for 20 minutes
B. Elevate the ankle and place cold compresses under and on top
of the ankle
C. Apply the cold compress to the ankle
D. Consult with the HCP before applying the cold
compress Correct
Rationale: Cold is usually contraindicated if the site of injury is extremely
edematous because it further retards circulation to the area and prevents
absorption of the interstitial fluid. For this reason, applying the cold compress to
the ankle and elevating the ankle and placing a cold compress under and on
top of the ankle are both incorrect. The nurse would not place heat on an injury
without a prescription to do so. The nurse would consult with the HCP about
the prescription for cold application.
Test-Taking Strategy: Eliminate the comparable or alike options that involve
applying cold. To select from the remaining options, eliminate the option that
involves the application of heat, because the nurse would not apply heat to an
injury without a prescription to do so.
Review: the principles of heat and cold applications
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Adult Health/Musculoskeletal
Giddens Concepts: Clinical Judgment, Perfusion
HESI Concepts: Clinical Decision-Making-Clinical Judgment-Critical Thinking,
Perfusion
Reference: Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M.
(2013). Fundamentals of nursing. (8th ed., p. 1212). St. Louis: Mosby.
Awarded 100.0 points out of 100.0 possible points.
5. 5.ID: 22266441974
, A client has been told to apply cold packs to a knee injury, and the client asks
the nurse how this will help the injury. The nurse hould provide the clent with
which information about a cold pack?
A. Reduces muscle tension
B. Dilates the blood vessels
C. Promotes muscle relaxation
D. Reduces blood flow to the extremity Correct
Rationale: The application of cold reduces blood flow through its
vasoconstriction action and eases localized pain. Cold also reduces the oxygen
need of the tissues and promotes blood coagulation at the site of injury. The
incorrect options are the effects of heat application.
Test-Taking Strategy: Eliminate the comparable or alike options that are
effects of heat application. Also, recall the effects of heat and cold on the blood
vessels; this will help you eliminate the option that states that cold packs dilate
the blood vessels.
Review: the effects of heat and cold application
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Adult Health/Musculoskeletal
Giddens Concepts: Perfusion, Pain
HESI Concepts: Perfusion, Pain
Reference: Perry, A., Potter, P., & Ostendorf, W. (2014). Clinical nursing skills
& techniques (8th ed., p. 986-987). St. Louis: Mosby.
Awarded 100.0 points out of 100.0 possible points.
6. 6.ID: 22266446338
A client has been found to have a bladder infection. When planning care, which
area of dysfunction would cause the nurse to monitor the client most
closely for signs of a kidney infection?
A. Glomerulus
B. Urethra
C. Nephron
D. Ureterovesical junction Correct
Rationale: The ureterovesical junction is the point where the ureters enter the
bladder. At this junction, the ureter runs obliquely for 1.5 to 2 cm through the
bladder wall before opening into the bladder. This pathway prevents the reflux
of urine back into the ureter, in essence acting as a valve to prevent urine from
traveling back into the ureter and up to the kidney. The urethra extends from
the bladder to the opening of the body where urine is excreted. The nephrons
and glomeruli are located in the kidneys.
Test-Taking Strategy: Note the strategic words, most closely. Note that the
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