Comprehensive Exam 3, Comprehensive Exam 3 A, HESI COMP #3 b, Exam Questions and Answers
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Course
RN Comprehensive
Institution
RN Comprehensive
to avoid a false positive result for fecal occult blood in stool specimen, the nurse should instruct client to avoid ingestion of which substances prior to collecting a sample? - Answer-fish, beef, vit c, ibuprofen
The nurse manager is developing a plan to increase the local population's utiliza...
Comprehensive Exam 3, Comprehensive
Exam 3 A, HESI COMP #3 b, Exam
Questions and Answers
to avoid a false positive result for fecal occult blood in stool specimen, the nurse should
instruct client to avoid ingestion of which substances prior to collecting a sample? -
Answer-fish, beef, vit c, ibuprofen
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? -
Answer-Conduct a focus group in community to gather data on culturally significant
needs
Nursing's unique role in improving community health relies on an approach based on
knowledge of the community's diversities and specific needs, which is obtained through
relationships with leaders and members of the community.
The nurse instills an atropine ophthalmic solution into both eyes for a client who is
having a routine eye exam. Which side effects should the nurse tell the client to
anticipate? - Answer-Blurred vision
atropine ophthalmic solution is used during eye exams to dilate the pupil (mydriasis)
and paralyze the ciliary muscle (cycloplegic refraction) which prevents accommodation
and causes blurred vision
A client is using an otic solution, hydrocortisone and polymyxin B (Otobiotic otic), for
external otitis media. Which therapeutic response should the nurse tell the client to
expect? - Answer-Decreases inflammation and pain
The otic preparation of polymyxin B and hycrocortisone is a combo antibiotic and
corticosteroid used to reduce imflammation and control 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? -
Answer-hydrogen peroxide
an oxidizing antiseptic is used as a cleansing agent to loosen dried secretions that
collect on the inner cannula and around the tracheostomy stoma.
The nurse is reviewing the lab results of an older client who is admitted to a medical
unit, Which serum chemistry values should the nurse recognize as most commonly
affected by the aging process? - Answer-Calcium, potassium, sodium
,An 11-year-old boy with oppositional defiant disorder becomes angry and defiant over
the rules of the day treatment mental health program. Which response by the nurse is
the most effective way to defuse the situation? - Answer-Tell the child to go to the gym
to play basketball
Redirecting the expression of feelings into nondestructive, age-appropriate behaviors,
such as a physical activity, helps a child learn how to moderate the expression of
feelings and exert self-control. The least restrictive alternative should be implemented
before resorting to more restrictive measures
A male client with degenerative arthritis of the knees and hips takes an OTC NSAID for
pain. During a routine clinic visit, the client tells the nurse, "For the past month I've been
having a lot of trouble sleeping. I can't seem to fall asleep, and when I finally do get
sleep, I find that I wake up a number of times during the night." Which info should the
nurse obtain first? - Answer-How intense does the client rate his pain on a scale of 1-
10?
A client with degenerative arthritis may have sleep disturbances related to chronic pain,
so the client's pain intensity should be determined.
An adolescent who lost fifty pounds during the past 3 mo is hospitalized. during the
admission assessment, the client complains of dry skin, poor skin turgor, hair breakage,
brittle nails, and a history of menstrual cycle problems. Which finding is most important
for the nurse to obtain additional assessment info? - Answer-Amenorrhea
As a result of anorexia nervosa, a hypoestrogenic condition can result from a decreased
percentage of body fat and cuase amenorrhea, absence of three or more menstrual
cycles, which should be determined is this finding is a characteristic feature of anorexia
or is the adolescent may possibly be pregnant .
Which interventions should the nurse use when interacting with a client with Alzheimer's
disease? - Answer--Encourage verbal and nonverbal communication.
-Maintain a clam demeanor during all interactions.
frequent communication and a calm affect should be maintained with the client
An older Chinese client refuses to perform the range-of-motion and breathing exercises
after a surgical procedure and is hesitant to complete hygienic care and grooming. What
cultural factor should the nurse consider that is related to this client's behavior - Answer-
Reliance on family members to assist with care
Which intervention demonstrates the nurse's accountability in a specific decision-
making process - Answer-Evaluating a client's outcomes after implementation of care
, Accountability involves follow-up and a reflective analysis of implementation of care and
client outcomes.
A male client gives a copy of his living will to the nurse upon admission to the hospital.
What action should the nurse implement if the client is unable to express his desire
about life-prolonging measures? - Answer-Allow the client to die with dignity and without
life-prolonging techniques.
A living will is an advance directive that is prepared when an individual is competent to
make decisions about end-of-life care that specifies withholding resuscitative measures
that prolong life
An adolescent client is admitted to the mental health unit for impulsivity and acting-out
behavior at scchool. What intervention should the nurse implement that is most
beneficial for this client? - Answer-explain the consequences for breaking the unit rules
provide consistent expectations of behavior and are the most beneficial in establishing
trust and reinforcing acceptable behaviors for interacting with others
Which action should the hospice nurse implement to assist a client maintain self-worth
during the end-of-life process - Answer-Plan regular visits with the client throughout the
day
Helps the client maintain self-worth because it demonstrates that the client is worthy of
others and the nurse's time and attention
The nurse is providing comfort and palliative care for a terminally ill client who is
experiencing nausea and vomiting. Which action is best for the nurse to take to promote
the client's comfort? - Answer-Offer high-protein foods
For some clients, an empty stomach exacerbates the nausea, so offering frequent,
small amounts of foods that appeal to the client, such as dry cracker or bland, high
protein foods help nutritional status
Which information is most accurate for the nurse to use when calculating safe drug
dosages for a child? - Answer-Body Surface Area
most accurate method of calculating pediatric doses is based on child's body surface
area
What assessment finding should the nurse identify in a client with fluid volume excess -
Answer-Elevated blood pressure
Blood pressure is the product of heart rate, stroke volume, and peripheral resistance, so
an elevated blood pressure occurs
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