HESI RN · Introduction to Nursing Final Exam Quizlet
Question 1 of 73
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in determining whether the patient has had an AMI?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 2 of 73
A 75-year-old man is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 3 of 73
What is not a part of a needle in a syringe?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 4 of 73
A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 5 of 73
A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client's skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. This wound is best described as:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 6 of 73
When assessing a skin temperature, which side of the hand should be used?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 7 of 73
There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 8 of 73
What is Nurse Trish’s first response to wound dehiscence with evisceration after a colon resection?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 9 of 73
0.9 normal saline solution had been infusing at 100 mL/hour via a central line catheter in the right internal jugular for approximately 12 hours to increase urine output and maintain the client's blood pressure. Upon entering the Justine’s room, the you noted that the client is breathing rapidly and coughing. For which additional signs of a complication should the nurse assess based on the previously known data?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 10 of 73
The stage of the Nursing process in which the client is appraised for expected outcomes is known as: -
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 11 of 73
A client is dehydrated and requires 0.5 L of dextrose 5% in water to infuse at 50 ml/hour. If the solution is hung at 1:00 pm, what time will the solution be completed?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 12 of 73
When auscultating a client's chest, the nurse assesses a second heart sound (S2). This sound results from:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 13 of 73
A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 14 of 73
A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound infection. What actions are best to achieve this goal? (Select the one that does not apply.)
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 15 of 73
Alice Jones, a registered nurse, is documenting assessments at the beginning of her shift. How should she sign the entry?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 16 of 73
Taking the temperature rectally is contraindicated with which of the following clients?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 17 of 73
A client refuses to have pain medication administered by injection. The nurse states, 'If you don't let me give you the shot, I will get help to hold you down and give it.' What tort may the nurse be committing?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 18 of 73
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 19 of 73
Immunocompromised patients are best nursed using:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 20 of 73
A nurse, preparing for a patients discharge after surgery, is teaching the patients wife to change the dressing. How can the nurse be certain the wife knows the procedure?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 21 of 73
Nurse De Silva knows he can perform chest physiotherapy:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 22 of 73
A newly admitted female client was diagnosed with deep vein thrombosis. Which nursing diagnosis should receive the highest priority?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 23 of 73
Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 24 of 73
Mrs. Sales also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 25 of 73
A baby is born with Down syndrome, which influences his health-illness status. This is an example of which of the following human dimensions?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 26 of 73
Which nursing diagnosis is in PES format?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 27 of 73
The priority of palliative care is:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 28 of 73
A client9s body uses physiologic mechanisms from within to respond to internal changes and maintain an essential balance. This process is known as:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 29 of 73
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 30 of 73
To give a Z-track injection, the nurse measures the correct medication dose and then draws a small amount of air into the syringe. What is the rationale for this action?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 31 of 73
The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 32 of 73
What does a lab report showing RBC 5M/mm3, WBC 12,000/mm3, Platelet 200,000/mm3, and prothrombin time of 11 seconds suggest?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 33 of 73
If a nurse threatens to strike a client while rushing toward the person in an angry manner, which intentional tort has been committed?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 34 of 73
According to HIPAA regulations, which of the following is a patient right regarding the patient's medical record? Select all that apply.
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 35 of 73
A client with diarrhea is for low residue diet. Which among the following is not included in the low fiber diet for diarrhea?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 36 of 73
A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 37 of 73
Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 38 of 73
A family has recently immigrated to the United States. All members are quickly learning the language and the children are all in public school. Both parents are working and adapting to the new culture. What is this family demonstrating?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 39 of 73
An emergency department nurse assesses a female client. Which assessment findings would alert the nurse to request a prescription for an electrocardiogram? (Select the one that does not apply.)
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 40 of 73
On auscultation of a patient’s lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third bilaterally. How should the nurse document this finding?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 41 of 73
A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 42 of 73
A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, what action will the nurse take to relieve pain?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 43 of 73
What was one barrier to the development of the nursing profession in the United States after the Civil War?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 44 of 73
To reduce risk of airborne disease transmission from a client with infectious status in a private room, the nurse should do which of the following control measures?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 45 of 73
The nurse cares for a patient who works in a high stress profession but loves the job. Which term best describes this client's psychological state?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 46 of 73
A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 47 of 73
A nurse is teaching a client who has cystic fibrosis (CF). Which statement would the nurse include in this client’s teaching?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 48 of 73
Which area should the nurse address first when a client presents with chest pain?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 49 of 73
Which phrase best describes the science of nursing?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 50 of 73
The nurse should plan to use a wet-to-dry dressing for which patient?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 51 of 73
What part of the patients record is commonly used to document specific patient variables, such as vital signs?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 52 of 73
A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient‘s laboratory work, the nurse interprets that the patient‘s international normalized ratio (INR) level of 3 indicates that:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 53 of 73
The client has just had a liver biopsy. Which of the following nursing actions would be the priority after the biopsy?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 54 of 73
What safety measure should the nurse observe for a client with a urinary catheter?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 55 of 73
A nurse is caring for a client who has just had a central venous access line inserted. What action will the nurse take next?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 56 of 73
What leadership style does the nurse manager demonstrate by shared decision-making with staff nurses?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 57 of 73
A patient is taking thiazide diuretic and reports anorexia and fatigue the nurse suspects which electrolyte imbalance in this patient?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 58 of 73
What condition does a 56-year-old client with a chronic cough, peripheral edema, and cyanotic nail beds likely have?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 59 of 73
The barium enema should be done before the upper gastrointestinal series because of which of the following?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 60 of 73
Which of the following increases the pulse rate? Select one that doesn't apply
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 61 of 73
The number of dressing forceps pairs in a complete wound dressing pack is:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 62 of 73
What action should the nurse take immediately after instilling the prescribed eyedrops into the patient9s eye?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 63 of 73
A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 64 of 73
When prioritizing a client's plan of care based on Maslow's hierarchy of needs, the nurse's first priority would be:
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 65 of 73
Which of the following phrases best describes continuity of care?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 66 of 73
Which of the following is a priority nursing action when administering oral care to a dependent client?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 67 of 73
What is a common prerequisite for obtaining licensure as a registered nurse (RN) for both ADN and BSN graduates?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 68 of 73
A nurse recognizes that a helping relationship is established with a patient if the communication.
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 69 of 73
A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 70 of 73
A nurse cares for a client with arthritis who reports frequent asthma attacks. What action would the nurse take first?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 71 of 73
Which condition might a 7-year-old client with tachypnea, afebrile status, and a nonproductive cough have?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 72 of 73
Who defined nursing as helping individuals achieve their highest level of independence in activities of daily living?
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HESI RN · Introduction to Nursing Final Exam Quizlet
Question 73 of 73
A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital sign hereafter. What phrase of nursing process is being implemented here by the nurse?
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