HESI Comprehensive Exam 3Questions With Correct Answers

the nurse-manager is developing a plan to increase the local population's utilization of a new community-based public clinic. Which approach should the nurse utilize to obtain the most impact on developing a collaborative partnership with the community? a. provide free services for those whose income is defined within the poverty range b. distribute flyers about recommended health screenings in the community c. create an "ask a nurse" telephone service for health related questions d. conduct a focus group in community to gather data on culturally significant needs - Answer d. conduct a focus group in community to gather data on culturally significant needs The nurse is conducting a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are client-centered and written in behavioral terms. The Continuous Quality Improvement Committee expected benchmark is 98% compliance. The sample size is 200 charts and the results show 180 charts met the benchmark. Which evaluation outcome would the nurse conclude? a. no action plan is necessary b/c benchmark was met b. benchmark was not met and action plan should be developed c. an immediate re-audit is necessary because the benchmark was not met d. the rate of compliance was close to the benchmark, so an action plan is unnecessary - Answer b. benchmark was not met and action plan should be developed The nurse instills an atropine ophthalmic solution into both eyes of a client who is having a routine eye exam. Which side effects should the nurse tell the pt. to anticipate? a. blurred vision b. halos c. inability to see at night d. itchingof conjunctivia - Answer c. halos A client is using an otic solution, hydrocortisone and polymixin B, for external otitis media. Which therapeutic response should the nurse tell the client to expect? a. decrease inflammation and pain b. reduces the existing colony count c. slows the rate of organism growth d. prevents hearing loss as a possible complication - Answer a. decreases inflammation and pain The nurse is providing tracheostomy care for a client who has encrusted secretions inside the inner cannula. Which solution should the nurse use to remove the debris? a. iodine b. azelaic acid c. isopropyl alcohol d. hydrogen peroxide - Answer d. hydrogen peroxide The nurse is instructing a client about the use of podofilox for the treatment of genital warts. What info should the nurse provide? a. genital warts are not contagious during treatment b. use your fingers to spread the drug on the affected areas c. take this drug with meals to prevent GI upset d. redness peeling, and itching may occur at the site of application - Answer d. redness peeling, and itching may occur at the site of application the nurse is reviewing lab results of an older pt. who is admitted to a medical unit. Which serum chemistry value should the nurse recognize as most commonly affected by the aging process? (select all) a. calcium b. chloride c. phosphorus d. potassium e. sodium f. magnesium - Answer a. calcium d. potassium e. sodium a 38 yo female pt. is admitted to the mental health unit after a recent manic episode of spending large amounts of $ on new furniture, making excessive long-distance phone calls, and not sleeping for 3 days. During the admission process, the pt. is wearing a green bathing suit. What intervention should nurse implement? a. conduct suicide assessment b. asses client's needs for food, liquid, and rest c. set strict limits on dress and actions d. obtain a psychosocial assessment - Answer b. asses client's needs for food, liquid, and rest during admission to the MH unit, a female pt. w/ bipolar disorder, manic phase, is loud, hyperverbal, hyperactive, and is garishly dressed. Which intervention should nurse include when planning care? a. encourage others to use peer pressure to modify pt. behavior b. plan group activities that focus on the client as the center of attention c. maintain an environment that reduce stimulation d. included activities that require attention to detail to limit inappropriate behavior - Answer c. maintain an environment that reduce stimulation