Exam (elaborations)
HESI Practice Test B 2024/2025
- Course
- Institution
HESI Practice Test B 2024/2025 HESI Practice Test B 2024/2025 HESI Practice Test B 2024/2025
[Show more]
Content preview
HESI Practice Test BC (The nursing process is a problem-solving approach that provides an organized, systematic, decision
making process to effectively address the client's needs and problems. The nursing process includes an
organized framework using knowledge, judgments, and actions by the nurse as the client's plan of care
is determined, and encompasses assessment, analysis, planning, implementation, and evaluation of
client care (C). (A, B, and D) do not support the basis for using the nursing process.
Correct Answer: C) - ANS: What is the rationale for using the nursing process in planning care for clients?
A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems.
B. To establish nursing theory that incorporates the biopsychosocial nature of humans.
C. As a tool to organize thinking and clinical decision making about clients' healthcare needs.
D. To promote the management of client care in collaboration with other healthcare professionals.
In the nursing process, the evaluation component examines the effectiveness of nursing interventions in
achieving client outcomes (D). (A) is an evaluation of client satisfaction, not outcomes. (B) is a written
record of the plan of care. Although (C) may occur when client outcomes are achieved, evaluation is best
determined by attainment of measurable client outcomes.
Correct Answer: D - ANS: What activity should the nurse use in the evaluation phase of the nursing
process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been alleviated.
D. Examine the effectiveness of nursing interventions toward meeting client outcomes.
The first part of the nursing diagnosis statement is the diagnostic label and is followed by related to the
cause, which should direct the nurse to the appropriate interventions. (D) best fits this criteria. (A and B)
contain a medical diagnosis. (C) includes an observable cause, but (D) focuses on the client's response,
which the nurse can provide support, reflection, and dialogue.
Correct Answer: D - ANS: Which statement is an example of a correctly written nursing diagnosis
statement?
,A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract infection.
C. Risk for impaired tissue integrity related to client's refusal to turn.
D. Ineffective coping related to response to positive biopsy test results.
Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it is
strictly forbidden. So asking permission before touching a client (A) demonstrates culturally sensitive
care. (B, C, and D) do not demonstrate cultural awareness.
Correct Answer: A - ANS: What action by the nurse demonstrates culturally sensitive care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care and cultural folk remedies.
D. Applies knowledge of a cultural group unless a client embraces Western customs.
Acknowledging a client's beliefs and customs related to sickness and health care are valuable
components in the plan of care that prevents conflict between the goals of nursing and the client's
cultural practices. Cultural sensitivity begins with examining one's own cultural values (B) to compare,
recognize, and acknowledge cultural bias. (A and C) do not consider the family's needs to care for the
client and are not the best ways to cope with the nurse's frustration. Although (D) may be an option,
examining one's cultural differences allows the nurse to cope, empathize, and implement culturally
specific interventions pertaining to the needs of the client and the family.
Correct Answer: B - ANS: A nurse is becoming increasingly frustrated by the family members' efforts to
participate in the care of a hospitalized client. What action should the nurse implement to cope with
these feelings of frustration?
A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the client.
,The most important factor in performing a physical assessment is following a consistent and systematic
technique (C) each time an assessment is performed to minimize variation in sequence which may
increase the likelihood of omitting a step or exam of an isolated area. The method of completing a
physical assessment (A, B, and D) may be at the discretion of the examiner, but a consistent sequence by
the examiner provides a reliable method to ensure thorough review of the clients' history, complaints,
or body systems.
Correct Answer: C - ANS: Which technique is most important for the nurse to implement when
performing a physical assessment?
A. A head-to-toe approach.
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model.
A client's dietary habits should be determined first by the client's dietary recall (B) before suggesting
protein sources or supplements (A and C) as options in the client's diet. Although grains and legumes (D)
contain incomplete proteins that reduces the essential amino acid pools inside the cells, the client's
cultural preferences should be illicited after confirming the client's dietary history.
Correct Answer: B - ANS: A 73-year-old Hispanic client is seen at the community health clinic with a
history of protein malnutrition. What information should the nurse obtain first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client.
The nursing diagnosis of ineffective health maintenance refers to an inability to identify, manage, and/or
seek out help to maintain health, and is best exemplified in the client belief or understanding about diet
and health maintenance (D). (A) indicates noncompliance with an action to be done in the management
of diabetes. (B) represents inattentiveness. (C) reflects knowledge deficit.
Correct Answer: D - ANS: The nurse formulates the nursing diagnosis of, "Ineffective health maintenance
related to lack of motivation" for a client with Type 2 diabetes. Which finding supports this nursing
diagnosis?
, A. Does not check capillary blood glucose as directed.
B. Occasionally forgets to take daily prescribed medication.
C. Cannot identify signs or symptoms of high and low blood glucose.
D. Eats anything and does not think diet makes a difference in health.
An objective should contain four elements: who will perform the activity or acquire the desired
behavior, the actual behavior that the learner will exhibit, the condition under which the behavior is to
be demonstrated, and the specific criteria to be used to measure success. (C) is a concise statement that
is a learning objective that defines exactly how the client will demonstrate mastery of the content. (A, B,
and D) lack one or more of these elements.
Correct Answer: C - ANS: Which statement correctly identifies a written learning objective for a client
with peripheral vascular disease?
A. The nurse will provide client instruction for daily foot care.
B. The client will demonstrate proper trimming toenail technique.
C. Upon discharge, the client will list three ways to protect the feet from injury.
D. After instruction, the nurse will ensure the client understands foot care rationale.
Healthy middle-aged adults focus on establishing the next generation by nurturing and guiding, which is
describe by Erikson as the developmental stage of generativity (A), and is characteristic of middle
adulthood. (B, C and D) are not stages of this age group according to Erickson's psychosocial
developmental theory.
Correct Answer: A - ANS: A middle-aged woman who enjoys being a teacher and mentor feels that she
should pass down her legacy of knowledge and skills to the younger generation. According to Erikson,
she is involved in what developmental stage?
A. Generativity.
B. Ego integrity.
C. Identification.
D. Valuing wisdom.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now