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BSN 225
HESI prep
Question | Answer |
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Which safety advocacy program is being implemented when the nurse teaches the patients care giver how to change a dressing to the wound while giving discharge instructions to a patient? | National Patient Safety Goals |
Which instructional approach would be used to ensure student learning when a nurse is preparing to teach school-aged children about nutrition? | use clear, simple explanations to promote understanding. |
Which outcome is being fulfilled when a nurse asks the patient for a return demonstration after explaining a surgery and its potential outcomes and demonstrating postoperative exercises? | it improves the patients self-efficacy. |
Which mode of teaching would the nurse use for an older adult patient with cancer who states, "I was a farm kid and never really went to school."? | Verbal teachings |
Which time would a nurse caring for a patient scheduled for coronary artery bypass grafting surgery select to teach breathing exercises and coughing techniques to prevent respiratory complications? | Before surgery |
Which concept would the home health nurse keep in mind while developing a teaching plan and caring for a patient who is resting at home after surgery? | The nurse should consider what insurance will cover during each visit. |
Which example would the nurse give when training the nursing staff on how to provide formal patient education? | The nurse teaches a patient about self-care and follow-up after discharge. |
Which quality that would enable a patient to change dressings at home needs to be factored into patient education by the nurse? Select all that apply. | Adequate strength, sensory acuity, coordination. |
Which characteristic is associated with the discussion method of the cognitive domain of learning? Select all that apply. | It allows peer support, it involves both the nurse and the patients, it helps the patient learn from other' experiences. |
Which statement made by the patient indicates inadequate health literacy? Select all that apply. | I take my medication regularly, but i cant tell if my health has changed. I'm unable to understand the questions asked on the hospital admission forms.. I need you to read this instructions paper to me since i forgot my glasses. |
Which three A's of the National Action Plan to improve Health Literacy will the nurse consider when planning patient education? Select all that apply. | Accurate, Accessible, Actionable. |
Which topic can be considered primary education when planning a training workshop for the nursing staff about different types of primary education that can provided to patients? Select all that apply. | The importance of good handwashing, the importance of balanced nutrition, The importance of proper dental care. |
Which action would indicate that a patient with diabetes mellitus has proficient health literacy? Select all that apply. | The pt quits smoking after obtaining information about it dangerous effects, The pt decides to do yoga after learning about its effects on the human body, The pt obtains data from the internet about good lifestyle habits for pt with diabetes. |
Which mode of teaching would the nurse use when preparing to give instructions about a medication regimen to a spanish-speaking pt who does not understand english. Select all that apply. | Show relevant videos to the pt, utilize illustrations with the pt, draw a picture for the pt to use. |
Which fall risk assessment tool would the nurse employ for the patient using a walker? | Morse Falls Scale |
The senior nurse is teaching a group of nursing students about the prevention of hospital fires. Which activity would be performed during a fire? Select all that apply. | use a fire extinguisher, Turn off sources of oxygen, Close all doors and windows. |
A nurse discovers a fire in a patient care area. In which order would the nurse perform the following actions? | Move patients to safety, Pull and activate the fire alarm, Close all doors to the room, Attempt to extinguish the fire. |
A nurse is using physical restraint for a patient in the medical-surgical unit. For which possible reason would the nurse use restraints on the patient? Select all that apply. | Confused and disoriented, Trying to remove medical devices. |
The nurse is teaching a group of elderly patients about environmental precautions for fall prevention. Which instruction does the nurse include in the teaching session? Select all that apply. | Keep you pathways illuminated at night, keep your floors clean and dry at all times, keep all of you assistive devices within reach. |
Which factor would the nurse evaluate when assessing an elderly patient using the Morse Fall Scale? | Gait pattern. |
A nurse is assessing a patient with an uncoordinated and shuffling gait. The patient also has a stooping posture. Which assessment activity would the nurse perform on this patient? Select all that apply. | observation of posture, observation of body alignment, measuring the range of motion, appraising the patients home for hazards. |
A patient is confused and has become violent after recovering from a seizure episode. Which action will the nurse take to reorient this patient and provide further care? Select all that apply. | Answer the patients questions, Explain what happened. |
A pt suffered a CVA. the pt reports associated weakness and neglect on the L side of the body. on further assessment, the nurse learns that the pt has a visual disturbance and uncoordinated gait. which action with the nurse take to ensure the pt safety. | Eliminate the risk of falls, consult with a physical therapist, recommend an assessment of the eyes. |
Which fall assessment tool would the nurse use to assess the patients risk of falls for an elderly patient who is on phenytoin, and antiepileptic medication? | Hendrich II Fall Risk Model. |
Which guideline would the nurse working in the x-ray unit of a hospital follow with respect to the patients safety? Select all that apply. | Ask the patient to wear lead aprons when in the radiation zone, Limit the patients time spent near the source of radiation, Make the distance from the source as maximum as possible. |
Which precaution would a nurse take to avoid environmental risks at health care facilities? Select all that apply. | Follow proper hand hygiene, Follow standard isolation procedures, Safely dispose of sharps. |