Exit HESI Practice

Which teaching method is most effective when providing instruction to members of special populations?

a. Teach-back
b. Video instruction
c. Written materials
d. Verbal explanations
Click the card to flip 👆
1 / 27
Terms in this set (27)
Which teaching method is most effective when providing instruction to members of special populations?

a. Teach-back
b. Video instruction
c. Written materials
d. Verbal explanations
a. Teach-back
Which health concern(s) should the nurse be aware of as risk factors when caring for clients of African American descent? Select all that apply

a. Cancer
b. Obesity
c. Hypertension
d. Heart Disease
e. Hypothyroidism
f. Diabetes mellitus
a. Cancer
b. Obesity
c. Hypertension
d. Heart Disease
f. Diabetes mellitus
The nurse is planning care for an assigned client. The nurse should include information in the plan of care about prevention of human immunodeficiency virus (HIV) for which individuals specifically at risk?

a. Lesbian persons
b. Men-who-have-sex-with-men (MSM)
c. Women-who-have-sex-with-women (WSW)
d. Female-to-male (FTM) transgender persons
b. Men-who-have-sex-with-men (MSM)
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The nurse develops a teaching plan that includes information about which measure that is related to a newborn complications within this ethnic group?

a. Safe sleeping
b. Car seat safety
c. Breast-feeding
d. Baby-proofing
a. Safe sleeping
Which therapeutic communication technique is most helpful when working with transgender persons?

a. Using open-ended question
b. Using their first name to address them
c. Using pronouns associated with birth sex
d. Anticipating the clients needs and making suggestions
a. Using open-ended question
Which special population should be targeted for breast cancer screening by way of mammography? Select all that apply

a. Male-to-female (MTF)
b. Female-to-male (FTM)
c. Men-who-have-sex-with-men (MSM)
d. Women-who-have-sex-with-men (WSM)
e. Women-who-have-sex-with-women (WSW)
a. Male-to-female (MTF)
b. Female-to-male (FTM)
d. Women-who-have-sex-with-men (WSM)
e. Women-who-have-sex-with-women (WSW)
The nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted, should be addressed first?

a. Blood pressure 154/72 mmHg
b. visual acuity of 20/200 in both eyes
c. Random blood glucose level of 206 mg/dL (11.47 mmol/L)
d. Complains of pain associated with numbness and tingling in both feet
d. Complains of pain associated with numbness and tingling in both feet

Client concern is always addressed first
The nurse is preparing to discharge resources for a client being discharged to the homeless shelter. When looking at the discharge medication reconciliation form, the nurse determines there is a need to follow-up if which medication was prescribed?

a. Glipizide
b. Lisinopril
c. Metformin
d. Beclomethasone
a. Glipizide

Should be avoided in homeless populations due to safety risks.
The nurse is completing the admission assessment for a client who is intellectually disabled. Which part of the client encounter may require more time to complete?

a. The history
b. The physical assessment
c. The nursing plan of care
d. The readmission risk assessment
a. The history
The nurse working in a correctional facility is caring for a new prisoner. The client asks about the health risks associated with living in a prison. How should the nurse respond?

a. "Health care is very limited in the prison setting."
b. "Living in a prison isn't different from living at home."
c. "Living in a prison can predispose a person to different health conditions."
d. "Living in a prison is similar to living in a condominium complex or dormitory."
c. "Living in a prison can predispose a person to different health conditions."
The nurse is caring for a female client in the emergency department who presents with complaints of fatigue and shortness of breath. Which physical assessment findings, if noted by the nurse, warrant a need to follow up? a. Reddened sclera of the eyes b. Dry flaking noted on the scalp c. A reddish-purple mark on the neck d. A scaly rash noted on the elbows and kneesc. A reddish-purple mark on the neck A possible sign of domestic violenceThe nurse working in a community outreach program for foster children plans care knowing which health conditions are common in this population? select all that apply a. Asthma b. Claustrophobia c. Sleep problems d. Bipolar disorder e. Aggressive behaviors f. Attention-deficit hyperactivity disorderc. Sleep problems d. Bipolar disorder e. Aggressive behaviors f. Attention-deficit hyperactivity disorderThe nurse is planning care for a military veteran should prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in this population? a. Hypertension b. Hyperlipidemia c. Substance abuse disorder d. Post-traumatic stress disorderd. Post-traumatic stress disorderThe nurse is caring for a refugee considers which health care need priority for this client? a. Access to housing b. Access to clean water c. Access to transportation d. Access to mental health servicesd. Access to mental health servicesWhich action by the nurse will best facilitate adherence to the treatment regimen for a client with chronic illness? a. Arranging for home health care b. Focusing on managing a single illness at a time c. Communicating with one provider only to avoid confusion for the client d. Allowing the client to teach a support person about their treatment regimena. Arranging for home health careThe nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? a. The client fell out of bed. b. The client climbed over the side rails. c. The client was found lying on the floor. d. The client became restless and tried to get out of bed.c. The client was found lying on the floor.A client is brought to the Emergency Center after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding the informed consent for the surgical procedure, which is the best action? a. Obtain a court order for the surgical procedure b. Ask the EMS team to sign the informed consent c. Transport the victim to the operating room for surgery d. Call the police to identify the client and locate familyc. Transport the victim to the operating room for surgeryThe nurse has assisted a client back to bed after a fall. The nurse and primary care provider have assessed the client and have determined that the client is not injured. After completing the occurrence report, the nurse should implement which action next? a. Reassess the client. b. Conduct a staff meeting to describe the call c. Contact the nursing supervisor to update information regarding the fall d. Document in the nurse's note that an occurrence report was completed.a. Reassess the client.The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? a. Refuse to float to the ICU based on lack of unit orientation b. Clarify the ICU client assignment with the team leader to ensure that it is a safe assignment c. Ask the nursing supervisor to review the hospital policy on floating d. Submit a written protest to the nursing administration and then call the hospital lawyerb. Clarify the ICU client assignment with the team leader to ensure that it is a safe assignmentThe nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around their upper arm. The coworker is about to insert a needle attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? a. Call security b. Call the police c. Call the nursing supervisor d. Lock up the coworker in the medication room until help is obtainedc. Call the nursing supervisorA hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? a. "I will sign as a witness to your signature" b. "You will need to find a witness on your own" c. "Whoever is available at the time will sign as.a witness for you" d. "I will call the nursing supervisor to seek assistance regarding your request"d. "I will call the nursing supervisor to seek assistance regarding your request"The nurse has made an error in documentation of the dose administered of an opioid pain medication in the client's record. The nurse draws 1 mg from the vial and another registered nurse (RN) witnesses wasting of the remaining 1 mg. When scanning the medication, the nurse entered into the medication administration record (MAR) that 2 mg of hydromorphone was administered instead of 1 mg. The nurse should take which action(s) to correct the error in the MAR? a. Complete and file an occurrence report b. Right-lick on the entry and modify it to reflect the correct information c. Document the correct information and end with the nurse's signature and title d. Obtain a co-signature from the RN who witnessed the waste of the remaining 1 mg e. Document in a nurse's note in the client's record detailing the corrected informationb. Right-lick on the entry and modify it to reflect the correct information c. Document the correct information and end with the nurse's signature and title d. Obtain a co-signature from the RN who witnessed the waste of the remaining 1 mg e. Document in a nurse's note in the client's record detailing the corrected informationWhich identifies accurate nursing documentation notation(s)? select all that apply a. The client slept through the night b. Abdominal wound dressing is dry and intact without drainage c. The client seemed angry when awakened for vital sign measurement d. The client appeared to become anxious when it is time for respiratory treatment e. The client's left lower medical leg wound is 3 cm in length without redness, drainage, or edemaa. The client slept through the night b. Abdominal wound dressing is dry and intact without drainage e. The client's left lower medical leg wound is 3 cm in length without redness, drainage, or edemaNursing staff members are sitting in the lounge taking their morning break. An assistive personnel (AP) tells the group that she thinks that the unit secretary has acquired immunodeficiency virus (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the AP that making this accusation has violated which legal tort? a. Libel b. Slander c. Assault d. Negligenceb. SlanderAn older woman is brought to the emergency department for treatment of a fractured arm. On physical assessment, the nurse notes new and old ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her is supper is not prepared on time when he arrives home from work. Which is the most appropriate nursing response? a. "Oh really? I will discuss this situation with your son" b. "Let's talk about the ways you can manage your time to prevent this from happening" c. "Do you have any friends who can help you out until you resolve these important issues with your son?" d. "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help you find a safe place to stay."d. "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help you find a safe place to stay."The nurse calls the primary healthcare provider (PHCP) regarding the new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the PHCP, and the medication is due to be administered. Which action should the nurse take? a. Contact the nursing supervisor b. Administer the dose prescribed c. Hold the medication until the PHCP can be contacted d. Administer the recommended dose until the PHCP can be locateda. Contact the nursing supervisorThe nurse employed in a hospital is waiting to receive a report from the laboratory via the facsimile (fax) machine. The fax machine activates and the nurse expects the report but instead receives a sexually oriented photograph. Which is the most appropriate initial nursing action? a. Call the police b. Cut up the photograph and throw it away c. Call the nursing supervisor and report the occurrence d. Call the laboratory and ask for the name of the individual who sent the photographc. Call the nursing supervisor and report the occurrence