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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialHESI Practice
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Comprehensive
Exam 2021
, HESI Practice Test Comprehensive Exam 2022
Practice Test Assessment Performance
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Correct
A nurse is planning to teach self-care measures to a female client about prevention of
yeast infections. Which instructions should the nurse provide?
Use a douche preparation no more than once a month.
Increase daily intake of fiber and leafy green vegetables.
Select nylon underwear that is looseD-ofiwntltoiandegd ,byw
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3/21/2021 HESI
Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
Rationale
A common genital tract infection in females is candidiasis, which is an overgrowth of the normal vaginal flora of Candida
albicans that thrives in an environment that is warm and moist and is perpetuated by tight-fitting clothing, underwear, or
pantyhose made of nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent, such as cotton
underwear, and avoid using bubble-bath or bath salts which further irritate sensitive genital tissue. Douching is not
recommended because it can irritate vaginal tissue, alter pH, and contribute to fungal growth. While increasing dietary fiber
intake encourages healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon undergarments, provide
absorbancy and reduce moisture in the perineal area.
Which information should the nurse provide a client who has undergone cryosurgery
for Stage 1A cervical cancer?
Notify the healthcare provider if heavy vaginal discharge occurs.
Use condoms for sexual intercourse during the next week.
Flat subclinical mucosal lesions are a common harmless side effect.
Use a sanitary napkin instead of a tampon.
Rationale
Clients should avoid the use of tampons for 3 to 6 weeks after the procedure to reduce the risk of infection. A heavy, watery
vaginal discharge is expected during this time, so the healthcare provider notification is not necessary. Sexual intercourse
should be avoided for up to 6 weeks. Mucosal lesions are not a side effect of the procedure but may indicate human
papillomavirus or a cancerous lesion and should be reported.
, s that a client 's body weight is 105 % above the standardized height -weight scale .
3/21/2021
HE
Which related factor should the nurse include in the nursing problem,
SI
T
"Imbalanced nutrition: more than body requirements?"
h
Morbidly obese.
e
Markedly obese.
n Inadequate lifestyle changes in diet and exercise.
u Increased morbidity and mortality risks.
r
Rationale
s Obesity is a body weight that is 20% above desirable weight for a person's age, sex, height, body build, and calculated body mass
e index (BMI). Focusing on diet and exercise best identifies factors that contribute to the formulation of the nursing diagnosis.
Markedly and morbid obesity are both medical classifications for a client's weight. Although the client is at an increased risk for
several chronic illnesses, such as heart disease, diabetes mellitus, hypertension, coronary artery disease and hyperlipidemia, this
d is not a contributing cause or related factor that supports the nursing diagnosis.
e
t
A client with metastatic cancer is preparing to make decisions about end-of-life issues.
e
When the nurse explains a durable power of attorney for health care, which description
r
is accurate?
m
"It allows you to document your wishes regarding life-sustaining treatment if you can't speak for
i yourself."
n
"It will identify someone that can make decisions for your health care if you are in a coma or
e vegetative state."
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