HESI (NCLEX-PN) Exam – Adherence-Health,Wellness, and Illness

Adherence-Health,Wellness, and Illness

•             A client who is recovering from an acute myocardial infarction reports not being happy about the lack of salt with meals. Which information should the nurse share with the client about the purpose of salt restriction?

•             A depressed client has been sitting alone in a chair most of the day and displays no interest in eating. How should the nurse plan to meet this client’s nutritional needs?

•             A nurse is providing instructions for a client who is receiving phenytoin but has limited access to health care. What side effect is the basis for the nurse’s emphasis on meticulous oral hygiene?

•             What should the nurse include in the discharge instructions for a client who will be receiving total parenteral nutrition (TPN) at home?

•             A 9-year-old boy who is hyperactive and acting out is started on a behavior modification program in which tokens are given for acceptable behavior. When he begins to lose a game he is playing with other children, he begins to kick the other children under the table and call them names. What is the most appropriate behavior modification technique for the nurse to use?

•             A client is prescribed prolonged bed rest after surgery. Which complication does the nurse expect to prevent by teaching this client to avoid pressure on the popliteal space?

•             A client is found to have preeclampsia, and bedrest at home is prescribed. It is doubtful that this client will be able to comply because she has two preschool children. What should be included in the plan of care that may help the client follow the prescribed regimen?

•             A client says, “I take baking soda in water when I get heartburn.” The nurse suggests an antacid containing aluminum and magnesium hydroxide instead of baking soda. What is the advantage these antacids have over baking soda?

•             A client has been instructed to stop smoking. The nurse discovers a pack of cigarettes in the client’s bathrobe. What is the nurse’s initial action?

•             The nurse evaluates that the teaching about myasthenic and cholinergic crises is understood when a client who is diagnosed with myasthenia gravis states that which characteristic is common to both crises?

•             A client is diagnosed with pancytopenia caused by chemotherapy. What should a nurse teach the client about this complication?

•             A nurse reviews the plan of care for a client who is recovering from the acute phase of left ventricular failure. Which dietary restriction will the nurse expect to be included in the plan?

•             A client who is diagnosed as having a myocardial infarction is admitted to the coronary care unit with prescriptions for bed rest and medication for chest pain. Within an hour after admission, the nurse finds the client walking around the unit. What is the nurse’s best initial response?

•             A client with mild preeclampsia is instructed to rest at home. She asks the nurse, “What do you mean by rest?” What is the most appropriate response?

•             When discussing a scheduled liver biopsy with a client, the nurse explains that for several hours after the biopsy the client will have to remain in what position?

•             A nurse teaches a client with calcium-based renal calculi about foods that can be eaten on a low-calcium diet. The nurse concludes that the teaching is effective when the client selects which food items from the menu? Select all that apply.

•             The clinic nurse is teaching an adolescent about lifestyle modifications to prevent hyperlipidemia. Which statement by the adolescent indicates a need for further teaching?

•             The nurse provides education related to the relationship between aerobic exercise and weight loss to an obese client. The nurse evaluates that this teaching is effective when the client states, “I know that exercise will           .”

•             The nurse is providing instructions to a client on how to reduce the dietary intake of sodium. What should the nurse include in the instructions?

•             A nurse in the health clinic is counseling a college student who was recently diagnosed with asthma. On what aspect of care should the nurse focus?

Explanation & Answer

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