HESI (NCLEX) FUNDAMENTAL PRACTICE
EXAM QUESTIONS AND ANSWERS A+
GRADED RATED A.
The nurse is performing nursing care therapies and including the client
as an active participant in the care. Which basic step is involved in this
situation?
Planning
Evaluation
Assessment
Implementation
✔✔Implementation
The basic step implementation involves performing nursing care
therapies and including the client as an active participant in the care.
Planning involves nursing processes such as developing an individualized
care plan. Evaluation involves nursing processes such as identifying the
success in meeting desired outcomes. Assessment involves nursing
processes such as collecting data about a client's physical, psychological,
social culture.
Which definition is involved in the caring process called knowing
according to Swanson's theory of caring?
Being emotionally present for the other
Sustaining faith in the other's capacity to get through an event
,Striving to understand an event as it has meaning in the life of the other
Facilitating the other's passage through life transitions and unfamiliar
events
✔✔Striving to understand an event as it has meaning in the life of the
other
In Swanson's theory of caring process, knowing involves striving to
understand an event as it has meaning in the life of another. The
definition of being emotionally present for the other is related to the
caring process called being with. The definition of sustaining faith in the
other's capacity to get through an event or transition is related to the
caring process called maintaining belief. The definition of facilitating the
other's passage through life transitions and unfamiliar events is related to
the caring process called enabling.
An advanced practice registered nurse (APRN) is caring for a pregnant
woman. Which type of APRN would care for this client?
,A certified nurse midwife (CNM) is qualified and has the skills to care for
a pregnant woman. A clinical nurse specialist (CNS) is an advanced
practice registered nurse (APRN) who is an expert clinician in a
specialized area of practice. A certified nurse practitioner (CNP) is an
APRN who provides healthcare to a group of clients, usually in an
outpatient, ambulatory care, or community-based setting. A certified
registered nurse anesthetist (CRNA) is an APRN with an advanced
education in a nurse anesthesia accredited program.
A client is admitted to the hospital with a tentative diagnosis of infectious
pulmonary tuberculosis. What infection control measures should the
nurse take?
Don an N95 respirator mask before entering the room.
Put on a permeable gown each time before entering the room.
Implement contact precautions and post appropriate signage.
After finishing with patient care, remove the gown first and then remove
the gloves.
✔✔Don an N95 respirator mask before entering the room.
A N95 respirator mask is unique to airborne precautions and for clients
with a diagnosis such as tuberculosis, varicella, or measles. The gown
needs to be nonpermeable to be protective. Airborne precautions are
required, not contact precautions. When finished with care, gloves should
be removed first because they are the most contaminated.
, An older adult in an acute care setting is experiencing emotional stress
because of a recent surgery. Which intervention would be most
appropriate for the client?
Touch
Reminiscence
Reality orientation
Validation therapy
✔✔Reality orientation
A client who has undergone surgery may experience emotional stress
leading to disorientation. Reality orientation is an appropriate
intervention to minimize the client's disorientation. Touch is a
therapeutic tool that helps to induce relaxation, provide physical and
emotional comfort, and communicate interest. Reminiscence helps to
bring meaning and understanding to the present and resolve current
conflicts by recollecting the past. Validation therapy is a communication
technique that can help a client in a confused state.
Which psychophysiologic factors can influence communication between
a nurse and a client? Select all that apply.
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